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    Old 04-09-2011, 04:33 AM   #1
    UK Dave
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    Sciatica but only when standing

    Hello, I've been suffering from sciatica in my right hip and the pain is also intense just above my ankle. There is no pain when sat down or laying down but always starts within 10 minutes of being on my feet making it so painful that I'm struggling to do my job. Often starts with a very slight numbness/pins and needles sensation.

    Have had this for 4 months now. Had an exray which showed quite a lot of wear on my lowest 3 vertabrae and early signs of wear on my hip (I'm 50).

    Have tried 6 hours of Bowen therapy which made no difference and more recently have been doing exercises such as the pyraformis stretch, knees to chest and pelvic tilt. No relief so far but will persevere.

    Just wondered if anyone else has had the same sort of thing and if anyone can advise on how to rectify. Have found all the posts interesting and consider myself lucky that mine only happens when I'm standing so feel really sorry for all those that can't get any reprieve from this horrible pain.

    Thanks for reading, David

     
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    Old 04-09-2011, 12:56 PM   #2
    maltluver
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    Re: Sciatica but only when standing

    Hello Dave, and welcome to the forum, tho I am sorry that you have to seek help here.

    Sciatic usually causes pain in the buttock and down the back of the leg, so I'm not sure if that is what is wrong with you. Obviously, there is some kind of problem and it needs to be checked out. X-rays will only show hard material like bone, so you probably need to have an MRI to rule out bulging discs, bones spurs (osteophytes) or other spinal issues.

    I would assume you have seen your family doctor so the next step would be to see a spine specialist. That would be either an orthopedic or neurosurgeon who has a fellowship training in spine and neck issues. They devote their practice to that area only and don't tend to things like knees, hips, or broken bones. If you can get the family doctor to order an MRI, that would be fine, but he is not best qualified to find the kinds of things that a spine specialist can see, so if he suspects any problem, he can refer you. I do know that medical care is different where you are so I don't know what steps you have to take.

    In the meantime, refrain from strenuous activity, including lifting until you can get a diagnosis. Over the counter medications might give some relief from the pain, and you can also try using ice or heat for 20 minutes. You can rotate from icing 20 min., off 15-20 minutes, and then heat. Or, if one or the other is the most helpful, just use that.

    Until you get a proper diagnosis, there just isn't a lot else to recommend, but I do hope some of the above will be helpful. Perhaps other posters will think of something else that I have overlooked.

    Please continue to post and let us know how you are getting along.

    Carol
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    Old 04-10-2011, 10:25 AM   #3
    UK Dave
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    Re: Sciatica but only when standing

    Thanks for your reply, Carol.

    Yes, it was indeed my family doctor that thinks I have sciatica but in my case I don't get the sharp shooting pain all the way down the back of my leg that so many people describe on this forum. I do get quite severe pains from the bottom of my spine to my right buttock and my right hip but only when standing/walking. At the same time there is an intense pain at the front of my right foot. It's an interesting point you raise that it might be something else other than sciatica with there being no pain down the back of my leg and something I will bring up with my doctor at my next appoitment.

    At the moment I'm 5 weeks into a 9 week waiting list for Physio that my doctor has organised for me but with it being a long waiting list I decided to go private for the Bowen treatment on the advice of a colleague who found it was the only thing that worked for him and his lower back problems. It was the wrong option for me as it turned out so I have been doing exercises I've found on the internet for sciatica. Having read your reply I am in two minds as to whether to continue with these just in case I risk doing further damage if it is something other than sciatica. I will discuss this with my doctor as well as the advice you give about the MRI scan and spine specialist treatment.

    I haven't tried the ice and heat alternative yet but will put this into practice with immediate effect.

    I see from the bottom of your post that you've really been through it with so many operations spanning many years and I really feel for you. I hope that after going through all that, that you are feeling the benefits. Thanks again, David

     
    Old 04-10-2011, 01:39 PM   #4
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    Re: Sciatica but only when standing

    Thanks for the good wishes Dan. My last surgery was in October, and went a long way to resolving my pain; however, I had nerves being severely impinged and now have leg weakness that may not get better. I simply waited too long, trying every conservative measure available to me for almost 2 years. In my case, it was too long and the nerve is most likely permanently damaged. I suppose it's a pretty good trade-off....low pain but weak legs opposed to high pain and weak legs, lol.

    Please continue to post and let us know howyou are.

    Carol
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    Old 04-10-2011, 07:20 PM   #5
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    Re: Sciatica but only when standing

    Whenever I see "only when standing" I always think of lumbar stenosis. Did you doctor mention that to you? You can read about it here. I think it is OK to post the link as it is from a sister website to Healthboards: http://www.*****.com/back-pain/tc/lumbar-spinal-stenosis-topic-overview

    One of the symptoms of stenosis is sciatic pain.

    I hope your doctor can provide a bit more guidance and will want you to have further imaging. It would be important to know if there is instability in the lower lumbar spine before proceeding with a lot of additional physical therapy.

     
    Old 04-12-2011, 07:13 AM   #6
    UK Dave
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    Re: Sciatica but only when standing

    Thanks for the excellent, informative link. My doctor didn't mention Lumbar Stenosis and I had never heard of it until reading your reply. It's the first time I've read anything about pain being related to standing and walking only and I feel convinced you are correct in your assumption because so many of the symptons match mine. Most people seem to suffer most when sitting or laying down but I have no pain whatsoever with that, it's the opposite way round for me.

    As well as reading the site on your link, I have now read lots of other sites about Lumbar Stenosis and particularly the exercises that can be done to ease it-most of them are consistent with the ones I've been doing for sciatica. As a keen cyclist, I'm relieved to see that cycling helps it due to leaning forward towards the handle bars. That probably explains why I can do a 20 mile bike ride without any pain whatsoever yet if I stand for a long time or walk for only quarter of an hour, the pain is so intense that it puts everything on hold.

    The doctor told me my bottom 3 vertabrae had "knobbly bits" on due to wear and tear and that causes me to have arthritis in my back as well as my hips. I am wondering if these "knobbly bits" are trapping on a nerve when I walk having read the information on it.

    I will certainly mention it to my doctor before my first physio session and will post what he says on here. I'm fortunate in being otherwise very fit and healthy but have real worries about being able to do my job as it involves being on my feet for long periods plus light lifting and I fear damage being done to the nerves so I really do need to look into this suggestion further and any further scans to supplement my xray.

    Thanks once again for your help, really appreciate it.

     
    Old 04-12-2011, 08:33 AM   #7
    teteri66
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    Re: Sciatica but only when standing

    Oh good...I'm glad the link helped. The first pain symptom I had was sciatic-type pain, and then my MRI showed fairly severe lumbar stenosis, and a more narrow than normal central canal, as well as a spondylolisthesis at L4-5. (This is an instability where one vertebra slides over the top of the adjacent one.) Due to the spondylolisthesis, right out of the box I was told I would need a fusion, if I elected to have surgery.

    I was shocked by this news and ended up "thinking" about it for a couple years. I got to the point where I couldn't stand for more than about a minute, and I was driving to the end of my driveway to collect my mail. On a really good day, I could walk about half a block. But I was very lucky in that as soon as I would sit or lie down, the pain usually would go away!

    I did eventually have that surgery...and am doing well.

    The little nobs you mention can contribute to nerve pain. It just depends where they are located. They often develop on the facet joints, which cause a bigger problem, as the joint no longer slides smoothly. They can also cause uneven wear and tear. When all this is going on, it can result in a degenerative process, which makes the spine unstable...which is one way a nerve can get trapped and compressed. Once this arthritic disease process gets going, it becomes a vicious circle.

    I hope your physio will help you...and that your doctor can provide more details for you.

     
    Old 04-13-2011, 07:18 AM   #8
    golfgill
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    Re: Sciatica but only when standing

    Hi Dave I have this horrible pain all the time. I see someone mentioned heat, my chiro says never apply heat because if this is inflammation causing this pain it will make it worse. ICE ICE ICE everytime. He is going to write to my Dr today to ask him to refer me for MRI to see where the nerve is compressed but I see you are from the uk so I am not sure what my chances will be of getting this scan anytime soon. I have been like this for 5 months now !

     
    Old 08-02-2012, 06:27 PM   #9
    575needles
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    Re: Sciatica but only when standing

    just had a cervical pain pump for pain from 2 anterior fusions, c-2 to c-6, 3 failed nerve stimulator implants that just tore up the back of my spine( doctor lost lives and crippled many, including myself,) also lost his license, l-4 and l-5 is having issues, pump installed 5 days ago and 5 nerve blocks at lower back 2 days ago , bent my back gently and 90% of pain is back, is this a temporary pain or are am i back in hell

     
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