Discussions that mention keppra

Back Problems board


I had a Hemilaminectomy/discectomy back on June 2.... had relief for roughly 2 weeks... over the 2 weeks the pain gradually came back... having constant Lower back, hip, buttock, leg, calf and foot pain.... have the crawling, tingling, burning, numb, sensations in my right leg, and now in my left as well, which I didn't have before surgery, also have the pulling, achy pain in my legs... cant bend at the waist or it pulls all the way down my leg, Doc says I have no achilles reflex in my right leg....EMG confirmed this as well... last three toes on my right foot are numb and my toes and foot ache terribly.....I am having a very hard time even being able to walk on my toes on my right foot now becaue of the pain in my foot and that it sends through my leg.....EMG concluded I have L5-S1 Radiculopathy.... Had another MRI in August it says I dont have any nerve compression, but I do have residual epidural tissue at L5-S1, whatever that is.....Have gone for 3 Epidural Steroid Injections... first two gave me maybe 2 days relief... the last one I had this past tuesday lasted only a few hrs.. now my pain is back... worse....I was on Keppra... didnt help... then on Neruontin, he took me off it on tuesday because it was causing terrible headaches... and wasnt helping..... Had a Myelogram on Oct 20th... it says I dont have any nerve compression .....When my PM Doc did my injection Tuesday, he said he was going to treat the S1 nerve, because he said wth my symptoms they pointed directly to S1 nerve root irritation...... when he injected me, it immediately shot the pain down my butt and leg clear to my foot... .Hurt something awful, but went away in a few seconds... and pain totally disappeared for maybe a hour..... Then started to come back... and is back full force... and in some ways worse......My Neuro has already told me that if it is scar tissue, he will not go in and cut away the scar tissue because it will just come back and cause more problems..... if the MRI and Myelogram/CT shows no compression on the nerves....but does show prominent Lumbar lordosis...and disc narrowing at L5-S1....If I have no nerve compression why am I having such pain? something has to be there...Right? it is so frustrating to have this pain, and have the tests say nothing is there.... Sorry this is quite long... but I am at my wits end with this... Where do I go from here?? Any input anyone can give me sure would help.... Thanks in advance.......Take Care..... :angel:

April
Quote from carol632:
You are sure having a rough time of it. It seems to me that an MRI with contrast is in order and perhaps a myelogram-ct or discogram. SOMETHING is causing your pain and just because this doctor hasn't found it, doesn't mean it isn't there. Are you saying you have seen 4 other doctors since your surgery? If so, then I am at a loss.
The epidural residual tissue is scar tissue. For sure, there is no reason to allow any more ESI's, they are just going to cause more damage. It seems obvious to me that if you have no reflexes and have numbness and tingling, you are nerve compression. You may have a leaking disc...it might be arachnoiditis or SI joint. My doctors are having a hard time finding what is causing my lastest set of symptoms and have begun doing "diagnositic nerve blocks", using only local anethesia, no steroids. We already know part of my problem is the SI, but it kept them guessing for 6 months! It could be that you have more stenosis than it appears, that is another reason for suggesting the MRI with contrast or the myelo-ct.
I do sympathize greatly, and hope the doctors come up with something soon. If not, pain management may be the best choice for you.

Much good luck.

Carol



My last MRI I had back on August 11th was with and witout contrast.... I just had a Myeloram/CT on October 20th.....finished my 3rd ESI this past Tuesday and yes he told me no more because non of them helped anyway....and he doesnt do more then 3....... I have been to 4 Neuro's since my surgery, but this last one is the only one that ordered any further testing.....My Original Neuro that did my surgery sat and looked at my MRI films from August and told me that I had a really narrow canal..... but nobody else says anything about it... or it doesn't say it on my MRI report....Keppra and Neurontin didn't work.......Since the ESI's didn't work What else can they do as far as pain management?? I am at a total loss as well.... Thanks alot for the response.... Hope you feel better soon. and figure out what is causing your pain..... Take Care....... :angel:

April
My last MRI I had back on August 11th was with and witout contrast.... I just had a Myeloram/CT on October 20th.....finished my 3rd ESI this past Tuesday and yes he told me no more because non of them helped anyway....and he doesnt do more then 3....... I have been to 4 Neuro's since my surgery, but this last one is the only one that ordered any further testing.....My Original Neuro that did my surgery sat and looked at my MRI films from August and told me that I had a really narrow canal..... but nobody else says anything about it... or it doesn't say it on my MRI report....Keppra and Neurontin didn't work.......Since the ESI's didn't work What else can they do as far as pain management?? I am at a total loss as well.... Thanks alot for the response.... Hope you feel better soon. and figure out what is causing your pain..... Take Care.......

April


There are lots of avenues of pain management. Are you trying to cure your pain or manage it? If they can't find anything wrong, nothing that they can pin point, they will start trying to manage the pain. Sometimes there is no evidence of why the pain exists. There is bio-feedback, visualzation, white noise distraction, hynosis, the tens unit that diverts the attention of the pain receptors, accupunture, massage, narcotics, and more.

You might have referred pain. That is always a possibity. My friend had fibroids and it was causing lower back pain. Once she had those removed, no more back pain. I knew someone else who had gall bladder problems. When they took out her gall bladder, the back pain went away. hearts, brains, and gallbladders don't feel pain so the body tries to alert you to problems that they are having by using referred pain. The gall bladder is notorious for causing lower back pain.

I hope that you find the souce of your pain. It can be very frustrating.