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  • Severe Siatic Pain down Right Leg

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    Old 10-21-2015, 04:48 PM   #16
    teteri66
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    Re: Severe Siatic Pain down Right Leg

    Just be prepared for the fact that the EMG will not necessarily show what is causing your sciatic pain. It may rule out any nerve damage or compression, but we already do not see any of that on the MRI.

    If they cannot find any nerve compression that corresponds to the lower lumbar nerves, I think you should explore the SI joints and whatever was meant by "acute angulation of coccyx. ". Actually unless you are lucky, a doctor is not the best person to answer this question. Anything that has to do with anatomical structure and alignment will not be regarded as anything that could cause sciatic pain!

    If you have a physical therapist or someone who does body work that is knowledgable about spinal alignment, movement, etc. you might want to discuss this issue with him/her.

     
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    Old 10-26-2015, 04:41 PM   #17
    renee0087
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    Re: Severe Siatic Pain down Right Leg

    Saw the neurosurgeon today, he ordered the EMG and a flex X-ray. Said I've been in pain too long and wants to find the culprit. If the EMG doesn't give him the answer he's looking for he will work with my pain dr to do a nerve block on S1, if that's it he'll do surgery to u pinch it. Please pray they find the answer for me! Thanks everyone!!

     
    Old 10-27-2015, 12:53 PM   #18
    Mark805
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    Re: Severe Siatic Pain down Right Leg

    [QUOTE=renee0087;5384711]Hi I'm new here! I have had chronic back pain for years, but for the last year I have had severe sciatic nerve pain down my right leg. So bad that i can hardly walk/get up off sofa, bed, chair etc. I have had many MRIs and I keep getting told that my bulging discs are mild or slight. But why am I in so much pain? I have had radifrequency nerve ablation 3 times on my facet joints and multiple L5-S1 steriod injections, sometimes with relief and sometimes no relief. Can one of you help me interpret my MRIs and x-ray. The doctors have me on Tramadol 50mg 2-3 times a day (mostly take at night since I still try to work), 5mg Flexaril 3-4 times a day (mostely at night again to work), just started me on gabapentin 400mg (titrating me up to 900mg).

    My last MRI was 9/12/2014 and here are the results:

    Lumbar: The conus medulans terminates at upper L1 and appears normal; the cauda equina appears normal, no intraspinal masses or inflammatory processes are present.
    L1-L2: Unremarkable intervertebral disc, facet and foramina. No change from previous. Thecal sac: 1.5cm (ap midline); L2-L3 unremarkable intervertebral disc, facet and foramina. No change from previous. Thecal sac: 1.4cm (ap midline); L3-L4: unremarkable intervertebral disc, facet and foramina. No change from previous. Thecal sac: 1.3cm (ap midline); L4-L5: Mild annular disc bulge greatest laterally with slight mass effect on the thecal sac and mild facet arthroplathy. Mild ligamentous hypertrophy. No significant neural foraminal stenosis. Thecal sac 1.3 cm (ap midline). L5-S1: Slight loss of disc height poesteriorly with small central posterior disc bulge slight mass effect on the thecal sac with minimal progression from previous. Mild difuse anular disc bulge seen without significant neural foraminal encroachment. Mild facet athropathy and ligamentous hypertrophy noted. Thecal sac 1.2cm (ap midline).

    Thoracic: Vertebral bodies are normal in height. Mild curvature of the thoracic spine to the right. A vetebral body hemangioma is noted at T11. Degenerative changes are in the mid to lower thoracic spince with small vertebral body osteophytes and degenerative changes. There is a loss of height of the T6-T7, T7-T8, T8-T9, T9-T10 and T10-T11 intevertebral discs with mild discogenic marrow changes of the verterbral body endplates. The spinal cord is normal in size. A small central thoracic cord syrinx is present which begins at the T5 level and extends to the T9 level and measures less than 2mm in diameter.
    T6-7: Mild disc-osteophyte complex with a very small central disc protrusion. The AP diameter of the thecal sac is 1.5cm. T7-8, T8-9: minimal disc osteophyte complex. The AP diameter of the thecal sac is 1.5cm. T9-10: No significant disc bulging or protrusion. AP diameter of the thecal sac is 1.5cm. T10-11: Mild disc osteophyte complex with a small and broad-based lef paracentral disc protrusion. AP diameter of the thecal sac is 1.3cm. T11-12: No significant disc bulging or prtrusion. AP diameter is 1.6cm
    Impression: Small throacic cord syrinx extending from T5-T9. Degenerative changes in mid to lower thoracis spine with vertebral body osteophyts, degenerative disc changes and minimal to mild disc-osteophyte complexes. Concurrent small and broad-based left paracentral disc protrusion at T10-11. Small central disc protrusion at T6-7. Mild curvature of thoracic spine to the right.
    Sacrum and Coccyx Radiographs (12/30/2009):
    No acute fracture. Acute angulation of the coccyx is identified. Ther eis no evidence of abnormal presacral soft tissue swelling. Mild degerneative changes of the sacroiliac joints are identified. The sacral arcades remain intact. Mild degenerative disc disease L5-S1. Impression: Mild bilateral sacroiliac joint osteoarthrosis and mild bilateral L5-S1 degernative joint disease.[/QUOTE]
    Hi- sounds like my exact situation. Still working through it and on Terterii66's advice I am getting a Flexion/ Extension x-Ray this week on Thursday. She is very knowledgable and has helped me find new direction. All of my radiology reports read like some of yours and there is nothing " unremarkable " about any parts of my MRIs/ Myleogram or CT scans. Right leg pain just like yours. Don't give up and go to a Specialist or as many doctors as you need to until you get the answers.

    Last edited by Mark805; 10-27-2015 at 01:03 PM. Reason: This is not my post but when I tried to reply to this person it somehow showed up with my name on it. No buggy just dontb

     
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    Old 11-19-2015, 02:09 PM   #19
    renee0087
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    Re: Severe Siatic Pain down Right Leg

    Hey everyone! I had my EMG today and wow that hurt bad! Dr told me definite nerve compression at both L5 and S1. I go back to neurosurgeon on 30th to set surgery date. Dr that did test said I may have permanent nerve damage from what he could tell. Was surprised last neurosurgeon a year ago didn't do EMG.

    I wonder what the surgery will be. What do you think?

     
    Old 11-24-2015, 02:56 PM   #20
    teteri66
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    Re: Severe Siatic Pain down Right Leg

    I am happy they found what is causing your pain. You might want to look at an illustration of the spine as the sacral area is below the lumbar spine. L1 is the first lumbar vertebra after the thoracic spine. Cervical, thoracic, lumbar, sacral with the SI joints connecting the sacrum to the pelvis.

     
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