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Severe Sciatic Pain, Standing and Walking.


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Old 10-31-2017, 10:14 AM   #16
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Re: Severe Sciatic Pain, Standing and Walking.

I do not see any signs of spondylolisthesis on your x-rays. They just show the degenerative changes around L4-L5 and L5-S1 where you have the disc extrusions.

 
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Old 10-31-2017, 10:02 PM   #17
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Re: Severe Sciatic Pain, Standing and Walking.

You would need a flexion-extension X-ray to tell if the spondylolisthesis is somewhat subtle. Mine went undiagnosed for a couple years, until my first spine surgeon asked for the flexion/extension X-ray.

One thing I would caution everyone about is assuming any doctor can read a MRI or X-ray of the spine. Most THINK they can, but, in reality, if the issue isn't fairly obvious, many things can go unnoticed. I would not take a pain management doctor's or GP or PCP's diagnosis, for example. It might be correct, but, then again, you might be told things are OK when, in reality, there is a pain generator that hasn't been noticed or understood.

 
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Old 11-01-2017, 11:35 AM   #18
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Re: Severe Sciatic Pain, Standing and Walking.

Heading to get injections in about 30 minutes, One question the pain when I stand now instead of burning is now like pins and needles in the calf and foot, Does that mean the nerve or pressure on it is letting up some or just the muscle relaxers kicking in? Or getting worse

 
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Old 11-01-2017, 04:04 PM   #19
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Re: Severe Sciatic Pain, Standing and Walking.

You said "injections." You had more than one?

Changes like you mention don't necessarily mean much. If there is numbness, then nerve compression is probably gotten worse.

 
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Old 11-02-2017, 06:13 AM   #20
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Re: Severe Sciatic Pain, Standing and Walking.

First question on the spondylolisthesis-What is the Fix for that? Just curious

Yesterday 3:45pm I went in and they gave me a local then stuck a needle in my lower back I assume below L5-S1 disc, put in Dye then the Steroid I assume, slight burn and pressur was pretty intense but only lasted about 10 Seconds. Stuck me again above that spot same thing, dye steroids, burn then pressure. 1 more a little higher and if I am not mistake 1 about mid-back. There was a pain killer in the dye I think so on the ride home I didn't feel any pain but my leg was twitching a little. Iced every hour or so for 20 minutes. Around 8:30pm Pain was maybe a 1 out of 10, I fell asleep and slept solid for 3 hours. Best sleep I have had in a month. Pain was zero at this point, did not sleep anymore just watched TV. Got up and walked downstairs this morning a 6am and had the same tingling pins and needles in calf and foot with numbness like before the injections and after about 20 steps the pain got worse back up to 7 or 8. Had to sit down. I saw some earlier posts about not sitting but honestly for the last month before injections that was the only position that would take the pain down to a 1 or 2 from a 10 other than a hot bath. Standing, walking, laying feet up, pillow between legs, you name it every position hurt, face down pillow on hips, laying on back, laying on firm matress, mats, couch, everything hurt except sitting sort of slumped over. I am hoping maybe the pins and needles lessons today or goes away, I am wondering if I should start walking as far as I can and do some Mckenzie stuff or just lay low for a few days and take it easy, what do you guys think.

 
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Old 11-02-2017, 08:33 AM   #21
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Re: Severe Sciatic Pain, Standing and Walking.

What instructions were you given? Were you told to keep a diary to jot down notes about symptoms...like when they returned, how long you were pain-free, etc? I'm not sure what type of injections you were given. Your description doesn't sound like the typical ESI...more like a diagnostic injection.

Did the doctor say what he was doing or did you get some paperwork with it?

 
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Old 11-02-2017, 08:51 AM   #22
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Re: Severe Sciatic Pain, Standing and Walking.

[QUOTE=teteri66;5471716]What instructions were you given? Were you told to keep a diary to jot down notes about symptoms...like when they returned, how long you were pain-free, etc? I'm not sure what type of injections you were given. Your description doesn't sound like the typical ESI...more like a diagnostic injection.

Did the doctor say what he was doing or did you get some paperwork with it?[/QUOTE]

The doctor used Dye and then used X-ray to see where he was injecting the STEROID into my back. I forgot to mention I wasnt asked to start a journal but I have always kept one for everything from diet to injuries and started one for this procedure right when i got home yesterday.

Last edited by toprank; 11-02-2017 at 08:52 AM. Reason: for got to mention

 
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Old 11-06-2017, 12:35 PM   #23
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Re: Severe Sciatic Pain, Standing and Walking.

Any idea how long it takes for the injections to work if they do work? I do feel like the pain lying down had decreased however walking is no better than it was before the shots. I can walk maybe 10 steps before excruciating pain and I have to sit. Also when I took off the bandages on my back I can see he only gave me two shots. I thought it was 3, but realize now only 2. I believe one below the L5-S1 and one above it.
Tried doing McKenzie stretch and pain and numbness goes down calf and foot goes numb just starting to arch back on the floor. What is strange is people say don't sit, stand at work, to me the least amount of pain I have is sitting and sort of hunched over in a bad posture. The worst position for me is standing. If you gave me 100 dollars for every minute I could stand, you might owe me 100 dollars and that would probably have me screaming and cursing to make one minute.

Last edited by toprank; 11-06-2017 at 12:39 PM. Reason: added content

 
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Old 11-06-2017, 07:58 PM   #24
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Re: Severe Sciatic Pain, Standing and Walking.

I was the same with my sciatic pain, which I had for about three years before I agreed to a fusion surgery. It got so bad that I had to sit to chop an onion and was driving down the driveway to collect my mail. I couldn't tolerate being on my feet. Sitting usually took the pressure off.

You may have a central canal stenosis that is constricting the nerve or nerves.

The injection can take up to about a week to work...if it has any effect.

 
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Old 11-07-2017, 06:39 AM   #25
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Re: Severe Sciatic Pain, Standing and Walking.

Thanks, teteri66 your post are always helpful and give a little hope. Tomorrow will be a week and honestly I don't think the shot has done anything except maybe take the pain level while laying down from a 9 to about a 6 or 7. I had a few nights I slept 7 hours but last night was up throughout the night, icing and using the TENS to try and get some sleep, I ended up falling asleep for about 5 minutes in the bath tub, got out dried off and feel asleep face down on a towel for about an hour. I am meeting with a Neurosurgeon this Thursday. My life this past month is fight to get some sleep, crawl around the house, get up get dressed for work and drive to work, struggle to walk into work and sit all day afraid to go to the bathroom because of the pain of walking. Leave work go home back on the couch do it all over again. Did you have a microdiscectomy or discectomy before you had the fusion? Are you happy you had it, I have talked to a few people that said they had the fusion and it was the best thing they could have done, while others say they wish they had not had it, but I have realized everyone is different. So tired of co workers telling me to do yoga or stretches because they have the same issue, but when I ask them how hard is it to walk to the mailbox or sleep or walk into the kitchen and make a cup of coffee and they say I don't have any pain like that, I know they don't have the faintest idea the pain you are feeling or what you are going through.
At this point I will take any surgery to relieve the pain and numbness so I can walk. I hear stories of waiting too long and the nerve never comes back, hoping they don't tell me to do PT as I have tried every stretch known to man and PT, inversion, decompression and nothing helps and all of them cause more pain and numbness.
Thanks again and sorry to ramble on.

 
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Old 11-07-2017, 08:48 AM   #26
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Re: Severe Sciatic Pain, Standing and Walking.

One of the annoying things about back pain is that everyone is an expert. Maybe they had a sore back for a couple days and they assume yours is the same! I learned to just smile sweetly and change the subject! Also, if you need surgery, everybody and his brother will share a story with you...usually of an unsuccessful surgery.

This is why I always tell people that after deciding to have surgery, the most important decision you will make is the choice of the surgeon. It can make a difference that will effect the rest of your life.

My initial symptom was sciatic pain. But I was told it could be resolved with conservative modalities. At that point I was letting my GP treat me. After a year I finally demanded to see a specialist. He first sent me to a physiatrist (a doctor of Physical Medicine and Rehabilitation) who had me continue with conservative treatments. Eventually I insisted on seeing a spine surgeon who took all of two minutes to send me across the hall for a flexion/extension X-ray to confirm what everyone else had missed...a spondylolisthesis. It was not obvious on the MRI which was taken lying down. But when I was standing, the effect of gravity pushing down on the spinal column made it much worse and obvious...and you could see where the nerve was getting trapped.

Due to this instability, the only "fix" for the problem was a one level fusion. The surgeon said I didn't need it right away...but when the pain got too bad, it was the only surgery that would help. A fusion sounded so drastic to me that I kept searching for answers, going from specialist to specialist. Gradually my symptoms got worse and worse until I knew the time had come to have the surgery.

In hindsight, I think I waited too long as I do have some permanent nerve damage--loss of ankle reflexes, numbness in both feet that extends up into the ankles and calves.

Since you probably don't have spondylolisthesis, you may be able to have a smaller procedure to relieve pressure on the nerve/nerves. It sounds like you need surgery. Your quality of life sounds non-existent!

I am eager to hear what you learn from your appointment in a couple days.

 
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Old 11-07-2017, 09:08 AM   #27
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Re: Severe Sciatic Pain, Standing and Walking.

Thanks again and I may ask about a flexion/extension X-ray just to make sure or rule that out if possible.
Hopefully they will have some answers. I want to ask the surgeon, do you have kids let's pretend I am your son, or wife how would you treat me being in the pain I am in? Would you have me go to PT or do the surgery? I am sure some won't give an honest answer but just being sent away thinking it will get better is ridiculous. And you are right, back ache from bending wrong in the yard, equals sciatic pain so bad you don't think you can keep going on. Have you tried a massage? Heating pad, "go for a long walk" that helped my grandmother"
Like you I figured out recently before I get really mad, I just say I feel like I am getting a little better but knowing I just don't want to talk about it.

 
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Old 11-14-2017, 12:13 PM   #28
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Re: Severe Sciatic Pain, Standing and Walking.

Last question before Surgery I promise....
I have a question I am scheduled for L4/L5 Discectomy next Monday,
2 Doctors I went to said they think the pain is coming from L5/S1, the
Neurosurgeon thinks its from the L4/L5. How to I make sure he is doing the correct disc to eliminate the pain?
Has anyone on the board had similar symptoms and which disc was it?
My pain starts at the back, radiates down the butt and outer or side of thigh, then down outside of calf muscle and numbness into foot. I feel it in my big toe and index toe as well.

I just don't want to be 2 weeks out of surgery with the same debilitating pain when I try and stand or walk.
I am thinking about doing a video journaling the surgery and rehab etc.

Thanks for any help.

 
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Old 11-14-2017, 03:40 PM   #29
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Re: Severe Sciatic Pain, Standing and Walking.

It can be difficult to determine exactly where the pain is originating. Sometimes a discogram is done, which is painful and invasive and doesn't necessarily indicate the answer. If your surgeon hasn't already requested the test, he probably isn't a fan.

Don't be discouraged if you don't feel immediate results. If the nerve has been compressed over a period of time, it can take awhile for the pain to go away and for the nerve to heal. You should be prepared for this possibility.

If you have more questions, please ask. No one is counting!

 
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Old 11-15-2017, 05:59 AM   #30
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Re: Severe Sciatic Pain, Standing and Walking.

"Don't be discouraged if you don't feel immediate results. If the nerve has been compressed over a period of time, it can take awhile for the pain to go away and for the nerve to heal. You should be prepared for this possibility.

So would a month be considered a period of time or are we talking like several months to years or it just varies from person to person?

Thanks again for all the advice its helping me not be to anxious about the surgery I am just ready to get it over with and start walking again.

 
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