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Really wanting an answer!

AnonymousUserAAnonymousUser Posts: 49,671
Hello everyone! I am 28 yr old about 3mo ago started having severe lower back and leg pain on my right side all the way to my foot when sitting it feels like a rubber band is around my thigh my lower back and knee hurt so bad by the end of the day I'm in tears. When I sleep I am woken up by cramps in calf and foot. All blood work came back normal. MRI of Lower RT lombar was normal and the damn EMG was normal! The Neurologist Gave me a course of Pred for Acute pain and increased my Topamax because I also suffer from Migraines lol but it hasen't done anything. Feeling really frustrated!!!


  • i would get a second opinion ..it sounds like L4/L5 even S1 nerve damage ..has there been any trauma to your back ? dont let it go on please go and see another doctor because that is not right ..let me know how you get on .meanwhile try a good TENS on your lower back ans use an ice pack ..you also need to see your doctor for some suitable pain control
  • Welcome to the spine-health site and sorry to hear of your pain and situation. There is a lot of information and short video’s on Back conditions and sure you will find them informative. If muscles are in spasms it sounds like the doctor was right sending you to neurologist. I am actually amazed that the cause has not been found with MRI and tests you describe (especially as symptoms sound common on this site) and can therefore understand your frustration. ~X( Keep pushing for answers and you may need to get second opinion (and they can review the same MRI)!

    Hope you get a good diagnosis and the information you need from the doctors.
    You have my sympathies and support. >:D<
  • you'd think something would show up. i have question . when you lay down on your stomach does pain subside? try it and if it helps it may indicate disc protrusion.
  • When i was in my twenties I also had alot of pain doctors excused it for nothing well now i have had a micro done on l5s1. One thing that did help me with the low back and legg pain was to lay on the floor with knees up. Kinda spin neutral positiontakes presure of the low back. Be persistent i just read another guys thing here and first mri was clear second was not. i worked for 4 months in a plywood plant with a ruptured disc till i wound up in er and emergency surgery two days later cause of foot drop and severe compression on spinal cord. What im saying is take it easy and keep going to your doc or find a second one. I hope you get better. Also have a se4cond doc look at first mri everyone sees different things
  • I feel for you, I know the pain very well and it must be miserable not getting any definitive answer on the cause.

    I may have misinterpreted this info as I've had to take in so much lately but my spinal surgeon explained at one point to me that nothing necessarily needs to contact the sciatic nerve to cause severe pain. If I understood correctly there can be issues with a disc that can cause release of a chemical that will aggravate the nerve and can cause swelling etc. From what I understood this can happen without a significant disc bulge or rupture and merely some damage to the disc itself which may not be obvious. He was explaining this to me because even though my issue is clear (fully ruptured and visible on MRI) sometimes pain can be tolerable after some time but similarly people can have little or no visible issues and suffer very badly so he's unable to predict how I may recover. He said he sees people with disc protrusions the size of a tennis ball walk in to see him and sit down fine and he wonders how they are even surviving, whereas he sees other people with no visible issue or very small bulges that are carried in to see him in absolute agony. It seems every case of sciatic pain is fairly individual and whilst they do the MRI's etc. to try and see the issue to assess whether surgery may be an option the results of these tests don't directly correlate with pain being suffered.
    I think you need to try and find a specialist or doctor that understands and is sympathetic to this (if yours isn't already). If the cause can't be found don't let doctors base pain management purely on that, as far as I understand there's no scale they can measure sciatic pain against and say "a bulge needs this" and "a rupture needs this" etc etc. by comparing MRI's and other tests.
    I would try and get understanding enough from someone that can prescribe you a medication/s that are effective enough so you can pursue whatever non surgical methods to try and reduce your daily pain to a manageable level. Be that Physio, maybe acupuncture etc etc or whatever you can find that might help. Doctors and physios may be able to recommend things you can try out to minimize the end of the day and night pain, that might be positions of sleep, mattress you're sleeping on, stretches you can do, maybe even something like a support belt or something if you are on your feet a lot through the day ....and so on.

    Anyway, I really hope you get some relief somehow soon whether you know the direct cause or not. Take it a day at a time and try whatever you think might help and don't give up!

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