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2
Posted on 2/9/17 at 2:37 pm to SirSaintly
Sciatica. Inflammation of nerve root caused by disc at L5-S1. See orthopedist. Do not go to a chiroquackter. The prednisone might actually work. If not, you may be looking at a transforaminal intervertebral cortisone injection as a first step. Usually works first or second time.
Posted on 2/9/17 at 2:47 pm to SirSaintly
Not a doctor, but
Is usually not the answer regardless of what your disease is. You pay doctors for medical advice. Listen to it, not Google.
quote:
begin to Google and of course start seeing horrible diseases and syndromes so I freak out
Is usually not the answer regardless of what your disease is. You pay doctors for medical advice. Listen to it, not Google.
Posted on 2/9/17 at 2:52 pm to SirSaintly
Would be helpful to go see neurosurgeon. The L5-S1 disc protrusion is likely compressing the L5 nerve root. It is the one that travels to your anterior lower leg (tibialis anterior), which controls dorsi flexion. When you lose that, you have foot drop. There are injections for it, but if you are already experiencing muscle weakness, it would be smart to consult a surgeon ASAP.
Posted on 2/9/17 at 2:58 pm to GoldenHebert
quote:
The L5-S1 disc protrusion is likely compressing the L5 nerve root.
does not equal
quote:
3 2mm bulging disks
Posted on 2/9/17 at 10:37 pm to LSUSoulja08
quote:I appreciate your exuberance.
Med student here
But Pro-Tip: never, ever cite the fact that you are med student to evidence your authority on anything. You are either a doctor or you are not. Just the way it is.
Posted on 2/9/17 at 10:52 pm to SirSaintly
You need to see a spine specialist in your area. Can be ortho or neurosurg. Just ask around to see who's good.
Btw harbinger of a good spinal surgeon is one who turns down a lot of folks for surgery because he knows he likely can't help.
If you develop incontinence, your situation has become an emergency. You don't want the nerve to your dick or a-hole suffering permanent damage.
Btw harbinger of a good spinal surgeon is one who turns down a lot of folks for surgery because he knows he likely can't help.
If you develop incontinence, your situation has become an emergency. You don't want the nerve to your dick or a-hole suffering permanent damage.
This post was edited on 2/9/17 at 10:57 pm
Posted on 2/9/17 at 10:55 pm to CrimsonTideMD
quote:
If you develop incontinence, your situation has become an emergency. You don't want the nerve to your dick or a-hole suffering permanent damage.
I'm no doctor, but this sounds like some damn good advice to me...
Posted on 2/9/17 at 11:11 pm to OysterPoBoy
Sounds like you've developed nerve involvement from the bulging disc. Definite MRI of lumbar spine is needed.
Posted on 2/9/17 at 11:18 pm to SirSaintly
quote:
Chiro ordered MRI. My PCP said it wasn't necessary at this stage. I freaked out when the urinary issues started and googled and saw the Cauda Equina Syndrome so wanted MRI.
Cauda equina ...
Jesus F Christ... stop googling shite and stop seeking advice from the morons on here. 2mm bulges (if true as stated) aren't causing symptoms and have absolutely nothing to do with frequent urination. Sounds like neurologist did right thing and confirmed your foot drop. Hopefully it slowly resolves itself over the next couple of months.
Posted on 2/9/17 at 11:25 pm to SirSaintly
How much weight have you lost over what period of time?
Posted on 2/9/17 at 11:43 pm to SirSaintly
quote:
Who should I see? PCP, who's an Internist, doesn't seem too concerned.
A DPT and/or a Physical Medicine MD or Neuro.
This post was edited on 2/9/17 at 11:45 pm
Posted on 2/10/17 at 3:21 am to SirSaintly
Yeah, you have some spinal impingement probably at L5/S1. Epidural Steroids, see a Spine Specialist to just get that ball rolling, and home Steroids and time heal it in the process. No aggressive chiropractic techniques at this point IMO, but stay lightly active if you can, hot showers, heat to lower back area(pad). ..
Posted on 2/10/17 at 3:58 am to Stevo
Go to a neurosurgeon and be done with it. Don't wait
Posted on 2/10/17 at 4:53 am to SirSaintly
Anyone do a decent physical exam? straight leg test? Or Tap/put pressure behind the right fibular head to see if it reproduces symptoms? Any increased pain/numbness when coughing or sneezing?
i would have neurology repeat the Nerve conduction study, and compare the conduction velocities of the peroneal motor nerve across the knee on the left side to the right side. also have them do a needle EMG of the right leg, and if indicated, the right lumbar paraspinal muscles. The MRI report sounds benign.
i would have neurology repeat the Nerve conduction study, and compare the conduction velocities of the peroneal motor nerve across the knee on the left side to the right side. also have them do a needle EMG of the right leg, and if indicated, the right lumbar paraspinal muscles. The MRI report sounds benign.
This post was edited on 2/10/17 at 4:54 am
Posted on 2/10/17 at 5:44 am to Lokistale
quote:
Wait... who read the MRI? Your chiro? If you really have spinal nerve impingement, you need to go see a spinal neurosurgeon, not a neurologist, not an ortho, and definitely not a chiropractor!
Why do you say this? You have many orthopedic surgeons who are trained in spinal surgery just like a NS.
Posted on 2/10/17 at 6:03 am to Roscoe
quote:
Why do you say this? You have many orthopedic surgeons who are trained in spinal surgery just like a NS.
Not directed at me, but for me personally If i would need surgery I'm going with the specialist who spent 7+ years doing actual neurosurgery versus the orthopod who did a 1 year fellowship in spine.
I'm first going to a good Neurologist.
This post was edited on 2/10/17 at 6:18 am
Posted on 2/10/17 at 6:05 am to SirSaintly
Your 2-3 mm disc herniarions are unlikely to be the cause of your symptoms. The abrupt onset of your symptoms, the combination of sensory and motor deficits, and the improvement of your symptoms on steroids all concern me enough to suggest an MRI brain rather than MRI spine to rule out conditions such as multiple sclerosis. Go back to neurology.
Posted on 2/10/17 at 6:18 am to SirSaintly
Had a coworker with similar symptoms, did the ortho,chiropractic thing w/o relief, saw a open minded physical therapist, diagnoses as piriformis problem, did PT for 4 weeks and completely fixed this guy.
Posted on 2/10/17 at 6:22 am to SirSaintly
I hope you read this OP...
1.) spend some time going through Mobility WOD's old free videos
2.) spend some time on Yoga Tune Up and buy their therapy balls. The techniques on these two sites will really help resolve some symptoms.
3.) be sure to really address your piriformis and arches
4.) you need to strengthen your trunk like it's your job
5.) continue down the path of visiting medical experts and make an informed decision; don't lean on Meds/injections too much
6.) look up trigger point relief for your numbness symptoms for potential help
7.) consider transitioning to a standing desk
1.) spend some time going through Mobility WOD's old free videos
2.) spend some time on Yoga Tune Up and buy their therapy balls. The techniques on these two sites will really help resolve some symptoms.
3.) be sure to really address your piriformis and arches
4.) you need to strengthen your trunk like it's your job
5.) continue down the path of visiting medical experts and make an informed decision; don't lean on Meds/injections too much
6.) look up trigger point relief for your numbness symptoms for potential help
7.) consider transitioning to a standing desk
This post was edited on 2/10/17 at 6:23 am
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