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Message
re: Sciatica is kicking my arse
Posted on 1/30/24 at 11:09 am to GrapevineTiger
Posted on 1/30/24 at 11:09 am to GrapevineTiger
quote:
Stretch Lab or Stretch Zone ETC
This is pretty cool, much appreciated.
I am pretty sure mine occurred because of the treadmill running/overstriding.
Plus, one hip is higher than the other
Posted on 1/30/24 at 11:34 am to LUS Tiger in FL
quote:
Plus, one hip is higher than the other
Couch stretch
Posted on 1/30/24 at 11:43 am to cubsfan5150
I am currently laying face down on the couch, because it's the only thing I can do and not he in excruciating pain.
I've had back pain for years but in the last month it changed completely. I have a very bad L4/5 herniation.
I always swore I would never do any surgery on my back, but I am praying to get on the surgery schedule for next week
I've had back pain for years but in the last month it changed completely. I have a very bad L4/5 herniation.
I always swore I would never do any surgery on my back, but I am praying to get on the surgery schedule for next week
Posted on 1/30/24 at 11:49 am to GEAUXT
Before this I literally hadn't been to a doctor or taken medicine for probably 15 years. Yesterday, I took 2 separate steroids, meloxicam, torodol shot, gabapentin, and even a percocet at night and nothing helped the pain.
I am a podiatrist, and get ALOT of referrals for patients with foot pain/numbness/weakness and the vast majority of the time it's lumbar radiculopathy. I always said if I started getting numbness and weakness that would be the sign I have to do something. Now in the last 1-2 I have gone from pins and needles to outright numbness in my foot, and it is also profoundly weak.
It sucks a lot, especially because I'm only 37 and know the long term prognosis for back will likely be a fusion at some point
I am a podiatrist, and get ALOT of referrals for patients with foot pain/numbness/weakness and the vast majority of the time it's lumbar radiculopathy. I always said if I started getting numbness and weakness that would be the sign I have to do something. Now in the last 1-2 I have gone from pins and needles to outright numbness in my foot, and it is also profoundly weak.
It sucks a lot, especially because I'm only 37 and know the long term prognosis for back will likely be a fusion at some point
Posted on 1/30/24 at 12:08 pm to GEAUXT
I have an ongoing issue that i can't seem to find any relief. Higher mileage runner for 6+ years (2500 miles/yr avg). over the past year i've lost "feeling" in my foot. its not pins and needles asleep, its not numb as I can still feel stuff its just rather muted and in general feels like I don't have control of my foot. normal turnover motion while running is off, seems very unstable and each step feels difference. my feet feel completely different in my shoes like the "bad" foot feels sideways or shoe is on crooked. its difficult to describe and is beyond mentally frustrating. i occasionally have "burning" sensation in outer thigh area. I've had xray, mri and emg but DR doesn't see anything definitive. not sure what else to do. mri reading
11-T12: Evaluated on sagittal imaging only, there is a posterior disc bulge/herniation which results in mild spinal canal narrowing.
T12-L1: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L1-L2: Mild degenerative disc height narrowing. Small disc bulge with superimposed shallow right central disc protrusion. Mild spinal canal narrowing. No significant neural foraminal stenosis.
L2-L3: No focal posterior disc herniation, spinal canal stenosis, or neural foraminal stenosis.
L3-L4: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L4-L5: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L5-S1: Minimal disc bulge and superimposed shallow central disc protrusion. No significant spinal canal stenosis or neural foraminal stenosis.
IMPRESSION:
1. Mild degenerative changes of lumbar spine:
- Mild retrolisthesis and mild spinal canal narrowing at L1-L2.
- No significant lumbar neural foraminal stenosis.
2. Mild spinal canal narrowing at T11-T12.
11-T12: Evaluated on sagittal imaging only, there is a posterior disc bulge/herniation which results in mild spinal canal narrowing.
T12-L1: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L1-L2: Mild degenerative disc height narrowing. Small disc bulge with superimposed shallow right central disc protrusion. Mild spinal canal narrowing. No significant neural foraminal stenosis.
L2-L3: No focal posterior disc herniation, spinal canal stenosis, or neural foraminal stenosis.
L3-L4: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L4-L5: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L5-S1: Minimal disc bulge and superimposed shallow central disc protrusion. No significant spinal canal stenosis or neural foraminal stenosis.
IMPRESSION:
1. Mild degenerative changes of lumbar spine:
- Mild retrolisthesis and mild spinal canal narrowing at L1-L2.
- No significant lumbar neural foraminal stenosis.
2. Mild spinal canal narrowing at T11-T12.
Posted on 1/30/24 at 12:15 pm to ks_nola
L4/L5/S1 are the levels that go to the foot. Based purely on the Mri findings I would say that it doesn't look terrible, but also your symptoms are classic neuritic (nerve) symptoms.
Nerve issues in the leg/ankle could also be a possibility. Tarsal tunnel could potentially lead to your symptoms, other than the burning thigh.
I have quite a lot of patients that have "normal" EMGs that 10/10 doctors would diagnose with neuropathy based on physical exam
Nerve issues in the leg/ankle could also be a possibility. Tarsal tunnel could potentially lead to your symptoms, other than the burning thigh.
I have quite a lot of patients that have "normal" EMGs that 10/10 doctors would diagnose with neuropathy based on physical exam
Posted on 1/30/24 at 12:40 pm to PrezCock
Thanks. I’ve considered that too as it feels like someone is crushing my hip when I get into the wrong position, which is most.
On a positive note, the pain in my foot and shin are mostly gone after finally figuring out a way to keep my foot raised without pain. Blood has pooled pretty bad in my foot and it was warm to the touch, all due to not being able to lie down or get my foot above my heart.
On a positive note, the pain in my foot and shin are mostly gone after finally figuring out a way to keep my foot raised without pain. Blood has pooled pretty bad in my foot and it was warm to the touch, all due to not being able to lie down or get my foot above my heart.
Posted on 1/30/24 at 12:54 pm to cubsfan5150
quote:
I can’t move at all. Pain levels up around 8-9
even if you go for a walk?
Posted on 1/30/24 at 1:14 pm to bayou85
Can’t walk because of the hip/shin/feet pain
This post was edited on 1/30/24 at 1:17 pm
Posted on 1/30/24 at 1:25 pm to GEAUXT
thanks for the feedback. EMG was pretty much all within range when compared to the "standard'. I thought it was odd that they only tested the "bad" leg and not the good one to be able to compare them to one another. maybe that isn't standard practice.
tarsal tunnel could play a part but not sold on it as i had no pain in foot or leg just overall muted sense of feel, slap /drop foot feeling when walking or running and the weird sensation that my shoe is on wrong.
tarsal tunnel could play a part but not sold on it as i had no pain in foot or leg just overall muted sense of feel, slap /drop foot feeling when walking or running and the weird sensation that my shoe is on wrong.
Posted on 1/30/24 at 5:09 pm to Yeti_Chaser
quote:
Just about any PT is going to treat you with the McKenzie method
That’s far from the truth anymore. While the method can be helpful as a tool a quality PT knows how to properly dose and load the spine depending on symptom irritability
Posted on 1/30/24 at 5:24 pm to cubsfan5150
Sciatica is brutal and can be debilitating at times. A cortisone shot in the but with a depo medrol dose pack really helps.
Disclaimer: This is not medical advice from a doctor
Disclaimer: This is not medical advice from a doctor
Posted on 1/30/24 at 5:39 pm to Yeti_Chaser
quote:
Just about any PT is going to treat you with the McKenzie method.
McKenzie is pretty tried and true and works on a variety of patients. With that being said, I think it's ok. I usually find the McGill Big 3 has better outcomes. In ks_nola's case, I really like the Big 3 for treating spondylolithesis.
Posted on 1/31/24 at 6:15 am to PrezCock
McGill Big 3 didn't seem to do much for me either. Every case is different but ATG kept me out of a 2nd surgery
Posted on 1/31/24 at 6:39 am to Yeti_Chaser
I slept on my back for the first time in 3 weeks last night. I thought it was a miracle and I was healed.
The second I turned on my side...instant pain. Oh well
The second I turned on my side...instant pain. Oh well
Posted on 1/31/24 at 11:54 am to GEAUXT
quote:
It sucks a lot, especially because I'm only 37 and know the long term prognosis for back will likely be a fusion at some point
Man I would do almost anything to avoid a back surgery at 37.
What form of exercise do you normally engage in?
Posted on 2/2/24 at 9:04 am to Earnest_P
So while I do indeed have a bulging and burst disk, the sciatica like symptoms ended up being piriformis syndrome. I’m still down for the count.
Posted on 2/2/24 at 10:39 am to cubsfan5150
quote:
ended up being piriformis syndrome
How do you know? Just curious
But if it is, an elevated pigeons stretch should help
This post was edited on 2/2/24 at 10:39 am
Posted on 2/2/24 at 10:51 am to Yeti_Chaser
Doc diagnosed it yesterday.
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