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Exhausted & very very confused

My name is Trina.I am 25 yrs old and married for 3 yrs and I have no children. I am suffering from lower back pain and left leg pain for 2 yrs. 2 yrs ago I suddenly felt a acute pain on my left leg,then I felt lower back pain. It was increasing day by day. When I went to my orthopedic they X rayed me and MRI too. After MRI they told me at L4-L5 Circumferential disc bulge causing thecal sac indentation and bilateral neural foraminal narrowing, x ray report said that-Straightening of lumber lordotic curvature,Mild scoliosis having leftward convexity,right sided hemi sacralization. I went through medications and exercise, but there was not much improvement. After taking pain killers, muscle relaxing tabs I felt better for some hours, then the same pain came back.For last 6 months I was feeling numbness in my legs. It was only in left leg, but now i am feeling numbness as well as tingling in my both legs,buttocks and genital area. This time I was referred to a Neurologist and I have to do a MRI and X ray again. The X ray report was same,but the MRI report says that-at L2-3 level neural foraminal narrowing due to abutting disc,at L3-4 and L4-5 levels mild thecal sac indentations and mild neural foraminal narrowing due to mild disc bulge. My Neurologist just ignored the report and said that I have coccycodynia, fibromyalgia, LT. Sciatica. He suggested a lot of tablets which I am taking now but there is no improvement, The pain is worse than before. My orthopedic and my neurologist have different opinion. I am very confused as well as exhausted with the pain. Is there someone else who faces the same problems like me? If so then pls suggest me about this problem. My husband and I want a baby desperately. Is there any problem if I become pregnant now?


  • it is sometimes wise to seek out at least another opinion. The old MRI , since it is older than 6 months, most doctors will require a new one...as far as getting pregnant while on medications, that is something that you would need to discuss with your gyn since some medications can cause very serious birth defects and will cause withdrawal in a neonate.
  • Like Sandi said, I would seek out another opinion. Maybe the next doctor will be able to see something different or have a different way of treating you. You did mention exercise, do you mean physical therapy? Also have you tried any ESI injections to help relieve the pain? If not maybe you should inquire about them. For some people they work great. Good luck!
    alif l4-s1
  • I have done a MRI at 20.03.2014 and I have said about the report:( @Sandi
    I have done both, exercise and physical therapy,but I have not tried any ESI injection.Thanks for your suggestion@mjd210
  • Jim_LJJim_L Posts: 189
    edited 03/28/2014 - 10:41 AM

    The docs can toss all the meds at you the can think of but only surgery will relieve the compression.
    However, it won't last forever.
    Get another opinion...
    5.06 You agree not to post information that is considered to be formal medical advice.

    5.12 You agree that any information, opinions or other content provided by doctors or patients on Spine-health.com forums is for educational purposes only and is not intended for medical diagnoses or treatment. Always consult with a physician for any health problem or medical condition.

  • This is an excerpt from Spine - a spine journal. The article states in new research that steroid injections can make pain and surgery for stenosis considerably worse. I cannot give the link on this site but there is a correlation on outcomes if you have steroid injections and not for the better. This is part of the article below in quotes. If you would like the link to some of the article you can PM me.

    "Do Steroid Injections Help in Spinal Stenosis?

    The researchers analyzed data from the Spine Outcomes Research Trial (SPORT)—one of the largest clinical trials of surgery for spinal disorders. In SPORT, patients meeting strict criteria for spinal stenosis (or other common spinal problems) were randomly assigned to surgery or nonsurgical treatment (such as physical therapy and medications). Patients with spinal stenosis have narrowing of the spinal canal, causing back pain, leg pain, and other symptoms.

    The current analysis focused on the effects of ESI as part of treatment for spinal stenosis. Steroid injection is commonly recommended for patients whose symptoms don't improve with initial treatment.

    Dr xxxx and colleagues compared outcomes for 69 patients who underwent steroid injection during their first three months of enrollment in SPORT versus 207 patients who did not receive ESI. The two groups were similar in terms of most initial characteristics, although patients receiving steroid injections were more likely to prefer nonsurgical treatment: 62 versus 33 percent.

    'Significantly Less Improvement' in Patients with ESI

    "Despite equivalent baseline status, ESI were associated with significantly less improvement at four years among all patients with spinal stenosis in SPORT," the researchers write. Among patients who eventually had surgery, those who had ESI showed less improvement in physical functioning through four years' follow-up. For those treated nonsurgically, steroid injections were associated with less improvement in pain as well as functioning."

    This is new research - I know steroid injections are common but before you have them, especially if you want to have a child, please research the effects as the new research correlates steroid injections for stenosis with more pain either with or without surgery.
  • Trina, you are correct in thinking that lumbar back problems can make a painful pregnancy. Please go slow and don't take on more than you can handle at the present time. Perhaps there is another path for you and your family that is not yet visible?
  • Usually causes back pain in almost all women, even if they never had it before. The others right, get 2nd opinions, & get yourself & your back in the best shape possible. Also, talk with your ob about a planned c-section, I think the pushing might do you in. I didn't plan on c-sections, but that's how it worked out, & otherwise I think I would have killed my back, & the problems I have now would have come earlier. Best of luck
    We can't always control the cards we are dealt in life, but we can control how we play the hand
  • My daughter has just turned 4 years old. I completely understand your desire to become a mother, I was advised against becoming pregnant & even offered a termination. It's not only the pregnancy that's going to be incredibly hard, the first few years can be a living nightmare! I DO mean to scare you. Pain is incredibly dangerous for an unborn baby. If you become pregnant now you are unlikely to carry your child full-term. I'm only telling you what every specialist told me. You're talking about a little human being & it's essential that you realize the damage you can cause by doing something rash & not fully preparing for this. To answer your question, YES! there is a HUGE problem if you become pregnant now!

    Many of the medications that we rely upon are a complete no-go when pregnant & breast feeding. If you're like me & determined to do this you will need to completely change your mind set. First, you need to find out exactly what's going on with you, 2nd, 3rd etc. opinions if necessary. Second, obviously take all medical steps you can to eliminate any structural issues.

    Then the fun begins..You need to get yourself into 'fighting shape', not just physically but mentally too. I spent over a year turning my body into the perfect incubator. Physical therapy everyday. You need to be in the very best physical condition going into this. Meditation, relaxation, visualization, aromatherapy, pre & post natal specialist massage etc. If you can't train your mind to manage your pain now you are going to have so many problems. It can be done but I'm not going to lie & tell you it's easy.

    You are currently dissatisfied with your specialists. This has to change, you need a whole team behind you to do this. You need to find specialists who you completely trust who are there to support & guide you through. Only once you've done this & fully recuperated from any surgeries or procedures will you be ready to wean yourself off of your meds & find alternative ways to manage your pain. You know that panic like stress of unmanaged pain? That needs to be totally gone before you start trying for a baby. It's as much about controlling your mind as preparing your body.

    I normally write softer, more reassuring posts but you need to hear the truth. My beautiful little girl is truly a blessing & I've never regretted my decision for a moment. You're still young (I was nearly 40) so there's plenty of time to prepare for this. Please do everything you can to bring an equally healthy, happy, beautiful little person into this world. PM me anytime you want to talk or ask questions. I wish you the best of luck ;-)
    Osteoarthritis & DDD.
  • My disc ruptured when I was 5 months pregnant with my son. Up to then I had no back pain, so I was not even thinking about that when we decided to try to get pregnant. Once my disc ruptured, there was nothing that they could really do to help me because I was pregnant. It was miserable. Then, as English Girl stated, I delivered my son 6 1/2 weeks early and he spent 10 days in the NICU. I truly believe that he was premature due to the trauma I experienced with my back. By some miracle, I was able to deliver without a c-section, but I can see how that is probably rare. After my son came home from the hospital, I had to have around the clock help (husband in evenings and nurses/sitters during the day) because I physically could not care for him. Even trying to lift him to change a diaper was too painful.

    I'm not trying to scare you, but to let you know some examples of how it affected me. Like others have said, consult with doctors you trust and certainly discuss your situation with your OBGYN. The more you can do to prepare and know what to expect, the better.

    Feel free to PM if you ever want to talk.
  • is not medically necessary or a valid reason for a c-section.......the only viable justifications for delivery of a c-section is danger to the neonate or the mother if a normal delivery is attempted........I had all 4 of my children naturally despite major spine issues.....
    It's hard enough to sort through some of the information out there in cyberspace without telling someone that they will require a c section to deliver a baby if they have a herniation......it's so not true.
  • Very true Sandi. I didn't have a c-section with either of my kids. Given the way my body heals (excessive scar tissue etc) I was told we would only consider that option in an emergency. C-sections can cause their own problems for baby & Mum. I had an epidural & was given the same numbing medications they would normally give with a c-section & it really helped with my pain for the first few days after delivery. We also had a 'Co Sleeper' little bed that attached to my side of our bed so I didn't have to get out of bed for nappy changes & night feeds. There are so many 'gadgets' available for new Mums these days, many made my life so much easier.

    Mums pain & depression can be very dangerous for unborn babies & many of our meds have devastating effects. All expectant mothers should educate themselves & be really careful, you can cause life long problems for your child if you don't!
    Osteoarthritis & DDD.
  • MSGMSG Posts: 296
    edited 03/29/2014 - 9:49 AM
    It's just something to consider & talk with your Dr about. There are certainly pros & cons to it, & it is not without it's risks. My daughter was a c, because she was breach, & I had a very conservative dr who did not believe in trying to turn the baby. My son was a planned c, because the hospital had a policy that you could not try a v-back unless the dr was willing to stay with you the whole time. I was fine with another c, because my first one & the recovery was a breeze. With my son I wouldn't have had a choice anyway, because I started bleeding, & the dr did an emergency one. Thank God, because he had the cord wrapped around his neck 3 times!

    At the time, I had some back issues, but nowhere near like I have today, & everyone else has. But I did feel like it was a blessing to have had c's, because I couldn't imagine that all that pushing wouldn't have seriously aggravated my back. But Sandi, I'm glad for you that all went well for you despite your back issues.

    Trina, ultimately you will have to talk to your Dr's & see what the best plan is for you. Maybe adoption is something you might want to consider. Regardless, I wish you the best of luck.
    We can't always control the cards we are dealt in life, but we can control how we play the hand
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