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  • Sciatica, course of action?

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    Old 03-13-2021, 03:20 AM   #16
    miniguy
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    Re: Sciatica, course of action?

    Could very well be some bursitis in the glutes, that has been going on for a long time and I usually sit on a pillow, this I can live with. The leg pain is the issue and hopefully the MRI will give a better view of things. The lessoning of pain when bending over is mentioned as a sign of stenosis and is concerning, all this came on slowly over maybe a six month period. Thanks

     
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    Old 03-13-2021, 09:05 AM   #17
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    Re: Sciatica, course of action?

    Is sleeping OK?

    When is your MRI?
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    Old 03-13-2021, 09:13 AM   #18
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    Re: Sciatica, course of action?

    Let's just say sleeping is typical for an old guy....... Thankfully most positions are not affected by the sciatica pain. MRI is this Thurs. I have started taking prednisone per my internist instructions, we shall see how that goes.

     
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    Old 03-13-2021, 08:26 PM   #19
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    Re: Sciatica, course of action?

    Hopefully, the MRI will reveal something or nothing as to finally have a diagnosis.

    Awesome no issies while sleeping.
    Please let us know the outcome.

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    Old 03-13-2021, 11:39 PM   #20
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    Re: Sciatica, course of action?

    Hard to say what exactly is going on, but it could also be a combination. Does sound like nerve impingement could be from inflammation of a muscle pressing on a nerve or from the back.

    I must say that sitting in certain positions can make my hip and leg pain and numbness worse depending on the day.

     
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    Old 03-18-2021, 10:09 AM   #21
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    Re: Sciatica, course of action?

    I have a few more days of a tapered dose of prednisone, that perhaps helped a bit with some symptoms but not so much for leg pain. Suspect this will not last once it is discontinued. Might be worth a trial for some although this drug does have some minor side affects and cannot be taken continuously.

    Had MRI this morning as scheduled, hopefully the doc will advise of findings pointing to a particular cause in the next couple of days. Worth the copay I think for a more in depth exam.

     
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    Old 03-18-2021, 10:27 AM   #22
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    Re: Sciatica, course of action?

    Most definitely worth it. Looking forward to your results!
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    Old 03-20-2021, 04:45 AM   #23
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    Re: Sciatica, course of action?

    Not heard from the ortho doc yet but was able to pull MRI results from the portal as follows:

    Mild levoconvex curvature/scoliosis with mild disc desiccation from L2-L3 through L5-S1
    There is severe spinal canal stenosis including severe bilateral lateral recess stenosis combined with prominent facet arthropathy and ligamentum flavum thickening. Mild to moderate left foraminal
    stenosis and mild right foraminal encroachment seen. L5-S1: Mild disc desiccation and facet arthropathy without significant spinal canal or foraminal stenosis. L3-L4: Mild disc bulging causing minimal foraminal encroachment without spinal canal stenosis, : L2-L3: Mild disc bulge causing minimal bilateral foraminal encroachment without spinal canal stenosis.
    Impression: Severe spinal canal stenosis at L4-L5 caused by disc and facet degeneration as described above.

    My primary care physician looked this over and suggested that some surgery might be needed to clear this up. Any comments are welocme.

     
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    Old 03-20-2021, 05:51 AM   #24
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    Re: Sciatica, course of action?

    Well! Obviously this has been coming on longer than the last 6 months. My MRI was very similar to yours with the main difference being my 2 totally dessicated discs, not mildly. Did you get a disc of the MRI? That is VERY interesting!!!!

    PT can help. If you have a leg lift apparatus at your gym, use it to just hang from...don't lift your legs but rather just let the weight of your lower body pull the spine. It really helps me. Chiropractic helps also. I'm also going to talk to my doctor about an inversion table. Next would be a spinal injection. Last is surgery...at least for me. It's going to be a very difficult recovery if I went that route. If you do investigate it, use a neurosurgeon. Keep us posted.

     
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    Old 03-20-2021, 10:58 AM   #25
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    Re: Sciatica, course of action?

    Obvious issues...did you have an injury in the past? No wonder you're in such pain.

    I like the suggestions that Titchou gave. Chiropractics has helped me as well to function. I have a TENS that has helped when muscles are contracted.

    It was suggested by a pain specialist for me to rent a contraption that wrapped around my body to stretch and relieve the pressure on discs and surrounding nerves in the lower back...i don't remember the name tho, and never tried it.

    Purchasing the MRI DVD is good for your own records and certainly visually enlightening. I have all mine.

    Let us know how the ortho doc's appt goes.

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    Old 03-20-2021, 12:07 PM   #26
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    Re: Sciatica, course of action?

    Oh yeah - and I have a back brace that I war for yardwork, etc.

     
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    Old 03-20-2021, 02:44 PM   #27
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    Re: Sciatica, course of action?

    I really have no back pain, it is all in my legs and mostly left leg below the knee when walking, if that would go away I could live with the other issues. Not had surgery for this, but the first time was due to an injury getting out of a car twisting the wrong way, after a month or so the leg pain improved and finally went away. Now I have a bit in the other leg as the MRI indicates. Did not have much success with PT still have the stretches but I hate to say may have irritated things a bit, particularly the glutes. The oral steroids, I think did little, they worked better last time, coming to the end anyway I have not seen the pictures yet, but will get them. Looking forward to a conference with the doc, will see what options to consider. If I saw some indication that this would improve, bulging discs going down, and discomfort lessoning I would ride it out for awhile. Will advise.......and thanks.

     
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    Old 03-20-2021, 04:10 PM   #28
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    Re: Sciatica, course of action?

    i don't either - it's all in my leg and my butt - where the piriformis is - which is what I thought originally was the problem - that I had done something to my piriformis during a 5K. The x rays and MRI revealed the real issues...the sciatic nerve. So the backbrace keeps from compressing that even more. The problem in your back is manifested in your leg.

     
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    Old 03-20-2021, 06:01 PM   #29
    miniguy
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    Re: Sciatica, course of action?

    Absolutely. From what I gather the ortho docs don't seem to think much of piriformis as a legit malady as I have never heard them mention it.

     
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    Old 03-22-2021, 10:36 AM   #30
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    Re: Sciatica, course of action?

    I had a phone conference this morning with the ortho physical medicine doc who has been working with me. We chatted about the results of the MRI and he honestly stated that given the amount of stenosis at L4-L5 he did not feel that injections would be helpful at this point. We talked about a surgical consult to consider options and I agreed. My wife recently fractured her hip and had a surgical repair done that went well and I suggested a consult with this same individual. This would be some form of decompression surgery to be determined at the consult.
    One question that is going through my mind. In that medical care in this city is very good and available, should one consider an orthopedic or neurological surgeon? I asked my primary care physician who is a good friend and neighbor and he said that both could do a good job.

     
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