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Triple Threat

BexxBBexx Posts: 5
Anyone out there that can give me advice/help on the double crush injury or as I like to say my triple threat from hell. Piriformis Syndrome (Left), SI joint disfunction (left), Spinal stenosis and herniated (3) disks with nerve impengment at L3 and S1.

I guess that's 4, I sort just group the back issues as one. Months of pain, morphine, doctors, and therapy. UGH! Getting nowhere. Any surgery is not an option right now- the NS is taking the wait and see approach and I am at the mercy of the VA system so I have no choice.

I have had 3 ESI's with about 6-8 weeks relief each, PT, KT, steroids, NSAIDS, opiates, I have a stimulator that I use total of 3.5 hrs a day, exercises, anti-depressants and nerve pain meds.

Suggestions? Do the SI belts really help?

Thanks in advance




  • All I hear from those around me is "get over it", quit complaining",'big deal, my backs too."

    My PT sent me here to gain insight and share and give/receive support. So, I'll post to myself so he csn check this abject fsilure off his list of things he has do to.



  • Hi and sorry I didn't see your original post. I've been behind on reading recent posts due to some issues of my own. What is a SI Belt? I've never heard of it. I am sorry that you are going through all those things. It can be very frustrating when you are in so much pain and no one understands what you are going through nor do they seem to care. Well we care here at SH and that's what our community is about.

    We aren't medical professionals (especially me) so I am not entitled to give you any kind of diagnosis. Anything I say is from my own personal experience and/or opinions and matters of my heart.

    It seems weird they are holding off on the surgery to fix the herniated disc that is pressing on the nerve. Couldn't this cause permanent nerve damage if left untreated? This is something you might want to bring up to your doc asap. You will find a lot of helpful, useful information on this site. Not just in the forums but if you search certain conditions it will give you a lot information as well as treatments for that condition right here on spine health. I suggest you be your own advocate and do as much research as you can.

    Hang in there and keep in touch and keep me posted on your updates. Feel free to pm me anytime with any questions, comments and/or concerns.

  • What stimulator do you use? I too know not what a SI belt is. I know what you mean by wait and see. It's been one year I've been out of work and that's it, I stay in and never go out except to Dr appointments once a month to get meds. I've had facet joint injections and getting more Feb. 26. All I can say is get a second opinion from another Neuro or Orthopedic Surgeon. If your EMG is normal it seems they're not in a rush to do surgery. Once you have surgery also there's a chance of other disc problems. It's a shame whoever tells you to get over it, hardly a family member would say that to me. Other people I thought were my friends I never hear from especially when I said I may not ever be able to go back to work. They don't understand they don't get it. Other co-workers miss me so much but it's hard to even talk to anyone I'm so snowed from meds. See all the specialists you can. I'm even on my second pain management Dr. who noticed my facet joint problem. Take care and try to stay positive and avoid the cronies that bring you down. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Bummer about the double crush and bummer dealing with the VA, although I guess depending on which VA hospital you are going to, some have better luck than others.

    How long has it been since your injury? One thing that the military and civilian medical communities are good about doing (and not necessarily to our personal comfort) is waiting a specified amount of time for trying and failing as many conservative treatments as possible.

    Anyway, I'm not trying to make excuses for them, so don't take it that way.

    Well I hope you get some sort of help and answers. At least something to set your mind a bit more at ease.

    Best of luck,

  • Thanx,

    My initial diagnosis was over 15 yrs ago and it has caused ups and downs but it has been since Jun of 07 that this has been on going.

    I went to help a former classmate with a big project due Wed. and I was siting/ standing and the PC for 6 hours and between the fist around my heart from missing the class to the level of pain the PT has managed to reduce (he's gonna kill me) that shot down my leg and groin and back and just made itself at home I cried and cried when I left.

    I had my hubbie bring the walker out, easier that trying to walk on my own right now. I am pretty sure things in the lumbar started declining 3 yrs ago after a brain surgery and that left with mobility problems because of when the surgery was. It was like a stroke without the TOTAL loss of one side. Bedbound for a while and yall know the whole rehab deal.

    Lucky me- the nerves and herniations and the SI problems are all on the left side that was the unaffected side from surgery but it was also my non-dominant side so I asked too much if it too fast in the Post surgery PT/KT

    Second opionins are hard to come by here, all of the Neuros and Orthos have VA patients as well and there are only 2 Back Clinics and the one that did my ESI's are affilated with my brain surgeon and we are sueing for malpractice (items were left inside and there were things done that were suppossed to be.) They had to enter through the neck to access the base of my skull near the brain stem. So that makes that a bit hard. We are in a small town with a medical school.

    I really am tired of fighting the system, but I still make my presence known. You have so little to say when it somes to the VA. I had diabetes for 8 months that they knew from my last check up and ooops, never told me.

    But, with all that they are much better than most. I used to volumteer with the wounded and I grumble about the system but it beats the way my HMO doc's treat me when I go to them. My back is service connected disability so the VA provide ALL treatment.

    Lucky me. I wish I had the money to pay flat out for the stupid laminectomy that they dangle like a carrot

    With that said, how are yall?

    By the way, I use an RS 41 stimulator and a SI belt is similar to the lumbar support belt but is much narrower and circles your hips and you tighten it down to help with the SI joint and stability. (so it says) The PT says he is considering one and I need to know if it helps/

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