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Old 12-31-2010, 07:44 AM   #1
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What is causing this? Pain & limping after sitting

Does anybody know what causes this? I went out last night, and sat for about an hour at a time, and got up and walked around for awhile, then sat again. A few hours into the night, I started getting low back and buttock pain both sides, where the SI joints are ( have had injections there before for arthritis ), and my left leg then turned out and I walked with a limp. Now today, it is no better, and I have an ache down the front of my thighs to my knees, and it has switched sides and my left leg now turns out. I do have a long history of back problems, surgery at L 4-5 years ago for a herniation, facet joint arthritis, and DDD. I normally can lay down at home, as sitting too long bothers my low back, as does standing up to a half hour, but of course could not lay down while out, so now I can barely walk. It is a ache, no shooting sharp pains.

 
Old 12-31-2010, 09:19 AM   #2
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Re: What is causing this? Pain & limping after sitting

I too have DDD, stenosis and problems with L4-5, and I can't sit for more than about 20 min. without major discomfort. Especially late in the day, if I sit for example in a restaurant, when I try to get up, my legs won't work properly and my low back is very painful. I carry a lumbar roll pillow with me everywhere I go, to help with support, but even with it, sitting too long will cause similar problems. Without the pillow, I couldn't sit for more than about 10 minutes. I think everything is just compressed in the lumbar spine, and sitting just aggravates it. Relief comes when I can get it stretched out, usually by lying down.
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Old 12-31-2010, 01:20 PM   #3
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Re: What is causing this? Pain & limping after sitting

[QUOTE=Kasey443;4651095]Does anybody know what causes this? I went out last night, and sat for about an hour at a time, and got up and walked around for awhile, then sat again. A few hours into the night, I started getting low back and buttock pain both sides, where the SI joints are ( have had injections there before for arthritis ), and my left leg then turned out and I walked with a limp. Now today, it is no better, and I have an ache down the front of my thighs to my knees, and it has switched sides and my left leg now turns out. I do have a long history of back problems, surgery at L 4-5 years ago for a herniation, facet joint arthritis, and DDD. I normally can lay down at home, as sitting too long bothers my low back, as does standing up to a half hour, but of course could not lay down while out, so now I can barely walk. It is a ache, no shooting sharp pains.[/QUOTE]


Hi Kasey. I took just a quick glance at some of your posts, and I believe you mentioned stenosis in one of them. Have you ever found out what kind of stenosis you have?

I think it would be wise to see your surgeon and have a new MRI as the problems may have gotten worse and is causing your newer symptoms. It's hard to say just what is causing your legs to turn out like that, but with your history, I really think it is time to be looking into what is going on in your back now.

I hope you are able to find a comfortable position and that this aching lets up soon. Please stay in touch.

Carol

 
Old 12-31-2010, 04:50 PM   #4
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Re: What is causing this? Pain & limping after sitting

Thanks for your replies. What shocked me was the last time I went to the doc, he said I didn't have much stenosis??? The only thing I can figure out with that is I had just had an injection, then an MRI after that for a dif. problem, so it was not too bad then? Yet I have gotten injections in the past for weak legs, and they did help at first. I also have all the symptoms of stenosis, and have to use a grocery cart when shopping to lean on, or I dont last long. I had a followup appointment I had to cancel at the Mayo because of the weather where I live, which seems to be the worst winter for travel. The doc that wanted to see me for the followup is in the spine clinic there. It's about 2 hours away. I do need to get back there though. Thankyou to both of you for your information and sharing.

 
Old 12-31-2010, 04:56 PM   #5
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Re: What is causing this? Pain & limping after sitting

Minstrel, wow, same here on sitting and trying to get up. My legs, hips, are stiff and I cannot walk right at first. Just getting up and walking does not help, only laying down does. The compression makes sense, the low area of my back looked so bad, even to me, the doc didn't even have to point anything out to me. It is bad below and above the area I had my surgery also, so that whole area looks bad on the MRI. I will make sure I get back to the spine clinic, hope this weather clears up, it is getting old, the snow storms etc!

 
Old 01-02-2011, 09:56 AM   #6
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Re: What is causing this? Pain & limping after sitting

As you mentioned, your best bet is to follow through with your appointment at the Mayo Clinic to find out what is going on now in your back. My back issues began at L4-5 too. When you have DDD and fact joint issues, it is possible you have some instability going on. The facet joints can wear down to the point of being just little nubs which not only cause pain but also some movement between vertebrae that isn't supposed to be there.

It is possible that if you have any loose ligaments in the SI joints, your pelvis may have rotated which can throw everything from your toes to your chin, out of alignment. It can create a feeling of one leg being longer than the other.

Watch your posture for a few days. When you sit, are you sitting squarely on both "sit bones" or do you favor one side? Do you cross your legs? If so, do you usually cross one leg over the other on a regular basis? For example, I sit with more weight on my right side. Without thinking about it, when I look, my left leg is always the one that is crossed over that right leg. When I stand in line or at the stove stirring something, more weight is on my right leg. After years and years of doing this, it had an effect on my spine and the soft tissue of my back. I am working on relearning all these postures in an attempt to rebalance the muscles and soft tissue.

I also have ligaments holding the SI joints that are too loose. This allows one side of my pelvis to rotate forward. This causes pain in my piriformis, and "hip" and makes it more painful to walk.

Unfortunately most spine specialists do not consider issues other than the discs, vertebrae, facet joints and nerves. They are less willing to consider how body alignment, laxity in the SI joints, etc. can result in or at least, contribute to major back pain as well.

One thing you might try until you can get in to see your doctor that helped me tremendously before I had surgery and I still do it every day is to lie on the floor on your back with your knees bent, feet flat on floor. Tuck your chin ever so slightly so that the back of your neck is in alignment with the rest of your spine. Arms are at your sides, palms facing the ceiling. Then you just relax. Breathe slowly and deeply from the belly, so that you can see the belly going up and down. And just RELAX. This posture is very good for those with stenosis. It allows the spine to get out from the weight of gravity and allows the discs to "unload."

Before I had surgery I had both stenosis and spondylolisthesis, and this was the one position that brought me relief. When I couldn't walk any further, I would rest in this position for a few minutes, and then I could walk a bit further. I've been known to find an out-of-the-way corner of an airport and lie down for a few minutes. It doesn't provide any long-lasting relief, but it does allow a bit of relief...and if you have anything that is slipping slightly, it helps the spine to realign itself.

Good luck to you. I hope we have a January thaw so you can safely get to Mayo's.....

 
Old 02-05-2011, 08:15 AM   #7
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Re: What is causing this? Pain & limping after sitting

I finally got answers. I had to get a referral to a specialist in the town where I live. I never could get back to mayo, but was having some neck problems and wanted to get this checked out as I have large bone spurs in it, and severe stenosis. I found out from the orthopedic spine surgeon, that I have a large herniation in my low back! None of the other docs told me this. Maybe this would explain some of my symptoms? He also told me what I already knew, that therapy is short term relief, as I have had numerous therapies, and that surgery of course is a last resort. This doc took alot of time with me and drew pics and explained things in detail which I was very happy about, and didn't play my symptoms down at all, he said my symptoms went right along with the problems I have. Treatment is anti-inflammatory meds., strong ibuprofen, and I was already on flexerol for the cramps in my calves. He did mention injection in my neck, I said no, I have had enough in my back and know an injection will not help bone spurs, only help with symptoms.

 
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