Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

In this Discussion

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

Issue with burning foot and glute

Hi all,

I decided to start a thread in the hope of finding other people who are presently or have had a similar issue to the one I'm experiencing right now.

I am now 38 and have a denegative back condition that seems to have 'flared up' in the last 6 months. The crux of my issue is at L5/S1. It is in this space where I had a micro-discectomy in 2009. To be honest, I've had very few issues since then.

MRI on 12/3/13 releaved such things as:

* disc dessication and loss of height
* right lateral modic type 1 signal abnormality
* mild right facet arthropathy
* small disc protrusion in the far right lateral positon, which causes some displacement of the L5 nerve root

A more recent MRI (23/6/13) showed similar:
* intervertebral disc height reduced
* end plate degenerative changes
* no significant compression
* right sided focal bulge of the disc into the neural foramen without significant compression

A recent CT scan reported moderatly severe bilateral facet joint hypertrophy which "raises the possibility of bilateral L5 nerve root impingement.

To match these results with my present symptoms has been difficult to say the least.

For me, right now, I am experiencing mostly an intermittent burning in the right foot and glute. This mostly occurs in the afternoon.

I'm aware of the fact that my posture and the fact that I have a desk job is greatly contributing to this. My rationale is that I'm sitting all day (I still get up every 20-30 mins to go for a brief walk), then I get up and the nerve root starts to get some action (i.e. rubbing).

What I dont seem to understand is this: why does it happen only late in the day? I have no pain or discomfort when sitting down. The burning is just an issue when walking, however when I'm at the gym doing the stepper or treadmill (just walking), I rarely notice it.

I've had a doctor recommend a lumbar ESI (epidural steroid injection) but I've been reluctant to go down this path just yet because it is not debilitating.. just annoying and perhaps producing some mild discomfort.

What I'd like to know is: has anyone else experienced something similar to this? What did they do? How long was it an issue and how did they resolve it?

Most of the doctors seem unconcerned and a surgeon has told me that from what he observed on my MRI films and report, it does not warrant an operation.

My pain seems to improve and then get worse with activity. That simply means that I have no pain/issues when working out (i've eliminated squats and deadlifts and anything else that causes compression gtom my routine... simply because I see that as preventing further 'damage') but 12-24 hours later... depending on what I do.. I can experience that 'burn'.. not always, just sometimes.

I've tried a course of antibiotics recently, as there had been some reports of studies conducted recently where people with Modic Type 1 changes had experienced relief and an easing of their symptoms as a result of taking a 3 month course of antibiotics. This did seem to work but I believe the reason for this was not due to a bacterial infection. Anti-biotics seems to suppress something the body produces when there is inflammation. It is called TNF and it can contribute the way pain in perceived by the body. Unfrotunately, it only works while you're taking the meds and I dont see taking antibiotics as a long term solution. Modic Type 1 changes seem to be associated with an inflammatory process and I have been thinking that this could be the source of my issues.. however I am still confused as to why inflammation would just target the glute and foot??? Wouldnt the pain travel along the ENTIRE nerve?

I rarely take NSAID's.. but I do have no issues taking Panadol (and perhaps Neurofen) for when I get a 'flare up'.


  • LizLiz Posts: 7,832
    edited 07/25/2013 - 8:40 PM
    I am sure that you will find your time on Spine-Health very rewarding. This site is a powerful and integrated system that is dynamic and continues to grow.
    Here are just some of the highlights:

    - Detailed medical libraries of Articles and Videos that address almost every Spinal Conditions and Treatment

    - The Wellness section contains articles, tips and videos to help patients after surgery and also to help people avoid surgery.

    - Under the Resource tab, there is a section Doctor Advice Health Center which can be invaluable.

    - As a bonus, Spine-Health provides these patient forums. Here is where you can meet thousands of other people who understand and can relate to your situation. You will soon become part of the Spiney family who provide comfort and the advantages of a Support System. You are now part of this family that is approximately 20,600 International members and growing daily.

    - It is very important to understand the Forum Rules to make sure all of your posts do not violate any of the rules.

    - As a new member, it is helpful to understand the 'makeup' of these forums, how to make posts, tips on adding images and much more. You should read Forum FAQ

    Here are some you should take a look at:
    Read before you post
    Tips for Newcomers
    Understanding the rules

    All of this will help make your threads better and improve the times and quality of responses you will receive.

    If you have any questions or need assistance, you can use the Private Message facility to contact any one of the Moderators on my team:






    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
Sign In or Register to comment.