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Old 10-02-2003, 12:37 PM   #1
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Location: PA United States
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ChristinaD HB User
Post twinge/stabbing pain in back of hip/sacrum/SI area? muscle or nerve pain?

I am 4 weeks out of L4 L5 discectomy and bone spur removal and wondering why I am having this pain now. I had it before surgery too. I fear I have done something to myself. I have a very painful stab/pull or something in the back of my hip area like where the dimple is in you sacrum. Like the SI area. I don't know if it is nerve or muscle pain. I hope it is muscle pain like I overdid it or something. I would think that would be more of a sore kinda pain though.
If I am still, I don't really feel it. I do when moving around and moving certain ways and if it flares it is like a knawing pain and my tailbone and foot and stuff starting hurting. What is this, anyone know? How would I know if I re-injured myself? I just have no idea what muscle spasm really are so I don't know what this is. Could the nerve that was compressed before just be 'angry' again because I over did it or something and cause this kind of pain?

Thanks,
Christina [img]http://www.healthboards.com/ubb/heart.gif[/img]
__________________
27 years old
1993: T1 to L1 fusion due to scoliosis at age 17
2000: Tore and ruptured L4 L5 & L5 S1-it finally got better after about a year. Did really well for about a year.
June 2002: Had a relapse and tore/ruptured disc again.
Now I'm 14 months into it and the pain is still there.
Can't deal with it anymore so I'm having a discectomy in Sept. Hoping and praying that it takes care of my problems!!

 
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Old 10-03-2003, 10:34 AM   #2
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Join Date: Aug 2002
Location: PA United States
Posts: 403
ChristinaD HB User
Post

Anyone??
__________________
27 years old
1993: T1 to L1 fusion due to scoliosis at age 17
2000: Tore and ruptured L4 L5 & L5 S1-it finally got better after about a year. Did really well for about a year.
June 2002: Had a relapse and tore/ruptured disc again.
Now I'm 14 months into it and the pain is still there.
Can't deal with it anymore so I'm having a discectomy in Sept. Hoping and praying that it takes care of my problems!!

 
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Old 10-03-2003, 10:11 PM   #3
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Join Date: Sep 2003
Location: Utah, USA
Posts: 82
mspsub HB User
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Christina,

To answer your questions:

You need to have your Dr evaluate your current situation. He/she will be able to help you determine if you have re-injured yourself.

Muscle spasms of like muscle twitches, but they can be quite painful.

Yes...your nerve can still very mad even if you have not overdone it.

I have had a similiar situation...let me tell you my little story:

I was a L4-L5 MicroD On June 26th and about eight weeks later I started to get a deep ache in the sacrum area. The ache worsened and I started to get sharp stabbing pains there and my entire lower back has be quite sore. My surgeon ordered a new MRI with contrast to see if I had re-herniated or had other problems. The MRI came back normal. My surgeon said that we will have to wait and see if the problems resolve on there own. He gave me a few Ultracets for the pain and put me on Bextra. The Bextra has helped quite a bit and I only need to take it once a day (verses 800mg of Ibuprofen 3x day).

I am lucky that I have a B-I-L that is a radiologist and he took my MRI to one of the best NeuroRadiologists around. My MRI looks basically normal, but my nerve is extremely inflammed. She said that this is quite a common result of back surgery and give it 6-8 months to calm down.

I was doing PT 2x/week and my PT felt that my pain was being caused because my back was in such a weakened state. I found that I felt fine during the therapy, but I was in tons of pain for 3-4 days following each session. So I decided that I would lay off of the PT for a week or so and just walk and do my stretched

Anyway...I am now 13 weeks post op and the pain has lessened in the last week or so. I am planning on easing into PT again and monitor the pain levels.

Hope this helps.

Mark


 
Old 10-04-2003, 02:07 PM   #4
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Location: PA United States
Posts: 403
ChristinaD HB User
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Hi Mark,
Thanks for your reply. I'm hoping that my problem and from the swelling and inflammation. I know I over did it and now it is taking time to get better. The day after was awful, I stayed in bed most of the day then yesterday was off and on and today I'm still being careful and laying down off and on too to keep the swelling down. But, I always have the stab moving certain ways. It feels like it could be the swelling that is agitating the nerve that was compressed by the bone spur. I have 'hard like' swelling around my incision and where they took the bone spur off. If I push on it, it is hard like right beside my incision. weird? I just wonder how long I'll continue to have swelling.
Hopefully we both get rid of this terrible symptom!
Christina
__________________
27 years old
1993: T1 to L1 fusion due to scoliosis at age 17
2000: Tore and ruptured L4 L5 & L5 S1-it finally got better after about a year. Did really well for about a year.
June 2002: Had a relapse and tore/ruptured disc again.
Now I'm 14 months into it and the pain is still there.
Can't deal with it anymore so I'm having a discectomy in Sept. Hoping and praying that it takes care of my problems!!

 
Old 10-05-2003, 06:43 AM   #5
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Join Date: Apr 2003
Location: Ohio
Posts: 747
mokita HB User
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Hi Christina!

Sorry to hear you're having problems when you were so enthusiastic at first. It sounds like it c/b just overdoing it. Time will tell that. As for the 'hard' thing by your incision....could that be scar tissue starting to form? If so, perhaps you could ask your doc or pt about massage to dissipate the tissue before it completely heals as many people talk about having scars as independant sources of pain. I had my 2nd girl by C-section...and was going to PT for back after...and the therapist worked on my scar tissue in addition to my back saying that she should've done it years ago cuz the pain she experiences now can be just as sharp as the day she had her son! She showed me how to do a stretching massage to the incision to prevent the problem. Not very fun...got better the more I did it. This may not have anything to do w/ your problem....but, thought it might help to ask

Good luck! [img]http://www.healthboards.com/ubb/love1.gif[/img]

Karen

------------------
9/22/00 24 hour labor, baby posterior, left tailbone killing me
12/00 MRI -normal-but pain still-began taking vicodin
2/8/02 - 2nd baby born - Csection-healthy girl
2000-11/02 various PT + pain meds
11/02 Referred to Neuro
3/03 NEW MRI - slight bulge L3-L4, DDD, neural foramen,Superior aspect S1 and L5 Nerve root involvement-Neuro Refers to PM for ESI's
(2 Rt Transforaminal,1 lumbosacral,3rd one numbed tailbone little
5/9 - Discogram - shows Tear L4 w/ significant leak onto nerves, DDD
Performing doc oversedated, False Negative
7/8- Dept Head ClCl consult
7/28 - ClevelClinic for Facet Injection, changed to Caudal Epidural after seeing xray of displaced coccyx;also,coccygeal manipulation
8/12 - 2nd caudal inj/no coccyx manip
8/14 -coccyx manip AGAIN
9/25 sched appt to begin tx on Disc Tear @ ClevelClinic

 
Old 10-06-2003, 03:49 PM   #6
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Join Date: Jul 2003
Location: bethesda, MD,usa
Posts: 186
colleen b HB User
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Hi How are you?

Maybe you can ask your physical therapist to make sure that your si joint is "in". Just to be on the safe side.

Good luck in your recovery!

Colleen

 
Old 10-06-2003, 09:00 PM   #7
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Join Date: Aug 2003
Location: California, USA
Posts: 124
Raiza HB User
Post

[i]Christina,[/i]
Here is a little bit, right after surgery I was feeling so well, but after 2 weeks, symptoms worsened. My herniation has always been on the right, but it felt that my left got worse after surgery while the right side had improved. I was even feeling more numbness on both feet, while before surgery was only on my right foot. It was nerve racking. But now (into 12 weeks post/op) it is starting to feel much better.

Be thinking to start swimming. Do little at a time until you start getting strength. Now I swim 45 minutes to an hour 3 times a week.

Pain I feel: hips and weakness on legs, but comes and goes. I can now handle it without painkillers. I am feeling so optimistic.

If you think the swelling is abnormal, go to the doctor so he will give you some peace of mind.

good luck,
Raiza
__________________
-Raiza
-Surgery (07/16/03)
-Laminectomy, Lumbard L5-S1 herniated disc.
-Started with back problems on 08/27/01.
-Had 3 epidurals. First they missed, Second worked, however, pain was right back to square one by the fourth month. Third one didn't help much.
-Went to chiropractor for 4 months, I was worse after each session.
-Went to acupuncture for 3 months, Dr. told me I needed to go to a specialist that he could not help me.
-Body massage, would relief pain for a couple of hours.
-Did exercises/stretches, no help.
-Changed insurance. Kaiser was just sending me home by saying: "It will get better" ...never did !!
-Went to see a new NS with a different insurance, in w/in a week he was doing surgery on me.
-2 first weeks post/op was feeling better (too drugged).
-The next four weeks It became worse than before surgery. Dr. told me it was normal.
-I am in my Third and half month post/op and it feels so much better.
-I am glad I went through surgery. Life is better now.

 
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