Hello everyone -
In 2008 I had a laminectomy & disc excision on my S1/L5. After surgery I had back pan until about 7 weeks ago. 7 weeks ago I started getting sharp shooting pains down my leg when I was kickboxing. I remembered the pain from the last time injured my back, and started icing it. The pain continued to worsen, so I visited my PCP and she ordered and MRI. I had the MRI done, and my PCP ordered me to see a Neurosurgeon. The findings of the MRI was that I have a superimposed moderate sized central disc herniation at the interspace level, and there is an 8 x 6 x 5 mm oval extruded component. The combination of these findings causes high-grade central spinal canal stenosis and frank impingement on the right S1 nerve root in the right lateral recess behind the upper S1 vertebral body. Mild facet degenerative changes. Mild narrowing of both caudal neural foramina.
I talked to the surgeon about what my possible options are with this type if injury. In his opinion someone with this condition as about a 50% chance of not need surgery. Thinking that was great new I ask him what conservative approaches we could do to help with the pain. I was referred to the hospitals pain management center. I saw the pain management doctor within 2 days. She gave me a nerve block and hydrocodone for the pain. The pain went away for about 4 days, then it was back worse then ever. I called back the pain management clinic and told them I needed to in and see the doctor because the pain was becoming unmanageable. They got me in to see her this past Thursday. She gave me another nerve block & increased my dosage of the pain meds.
Yesterday, the pain increased to a 10, and I could only lay in bed and cry it hurt so bac. (My leg & back). I took an extra pain pill which lowered the pain just enough so that she could take me to urgent care. The doctor at urgent care told me that he could not help me. If the pain was that bad I would need to be admitted to the hospital for pain management. He gave me a shot or Torodol and some sleeping pills for me to get some rest.
I do have an appt. to talk to my neurosurgeon on the 17th to talk about my options again, but that is a long time away. What should I do in the meantime? Call back the pain management clinic on Monday? I can barely walk to go to the bathroom. The only relief I get is laying in bed. The pain mills help about 20%, just enough so I can get up to pp!
I would appreciate any advice. Oh..I should also metion, I ice every 5 hours, and I have been doing PT, but stopped last week when the pain was unmanageable.