i cant find many articles on dramatic pain changes with sciatica, so hoping someone can help me.
(skip to the last 3 paragraphs to skip the back story!)
im 23, I have a herniated L5/S1 - herniation is 1cm and crushing my sciatic nerve.
it all started the last week of May, when i threw my back out from sleeping crooked (a usual thing that happens a few times a year due to a netball injury). usually the pain goes away in about a week but this got worse and worse until the pain started pulsating down my right leg. this was pain like i have never experienced before.i would never wish this pain upon anyone. i was crying all day every day, the pain seemed to come in waves and it was just excrutiating. i couldnt sleep, walk, sit, stand, laying down was the only position with the least amount of pain and even then it was just rediculous. going to the bathroom was a massive effort and i pretty muched lived in my bath to relax all my back muscles. i had been living on my lounge, sleeping in a bed was impossible because my legs had to be elevated all the time, so for pretty much 7 weeks straight day and night i was on the lounge. very depressing.
about 2 weeks into that, i got an appointment with a orthopedic surgeon who told me to chill for 2 weeks, and if the pain didnt subside to get an MRI. 2 weeks came and went. within those 2 weeks i read and reaserched every article i could find. all of them saying surgery is hardly needed and a last resort.i got the MRI and went back to see him. He straight up said the i needed surgery and referred me to a surgeon who specialises in spines. a week went by and my pain got a bit more manageble to a point where i could manage to walk about 50m without stopping and stand for about 30secs and could sit upright for a decent amount of time - i was on voltaren 25 and Panadine forte (paracetamol 500mg and codine 30mg) - as soon as my new surgeon saw the MRI he said that i need surgery asap and that he was amazed to see me moving around with the ease i was considering the results of the MRI. The spine surgeon said if i dont get surgery to fix the problemo, i will have pernament nerve damage and be in pain for the rest of my life (no thanks)
since i have no health insurance (and no 11grand lying around to pay for the surgery myself) , i am on the waiting list for surgery through medicare. the waiting list is 3 months and i got on it a few days ago.
in the last week, i have added the med Endep 10mg and 750mg Naproxen instead of the voltaren to my daily line up of pills, and within that week my excrutiating pain that has been driving insane has pretty much ceased, only with mild discomfort when i have been sleeping in the same position for too long.
and now brings me to the point of my post, the pain has been replaced with pins and needles. not all the time, usually when im lying down and walking.
i was able to go out to lunch yesterday (outside!!!) i was able to walk about 100m before starting to walk with a limp, then a little pain started to set in down my leg, but instead of getting worse to the point of me collapsing, it sort of stayed at a manageable point, then pins and needles started to set in, which again hurt but manageble. by the time i walked to the cafe (about 500m) i was definitely ready to sit down and couldnt go further.
is it normal for the pain to change so dramatically? within 2 or 3 days it went from wanting to cutting my leg off to being able to walk outside. It could be the Endep, but it is the lowest possible dose and apparently people who are prescribed Endep for nerve pain are on a dose of about 75mg, but im only on 10mg, and i know my metabalism for pain medications is pretty fast because the panadine fort only just halved my pain, so im a bit apprehensive to believe 10mg of Endep was able to almost erradicate my pain.
im hoping someone will tell me that i should get an MRI again and see that i could do what both surgeons said couldnt be done - heal myself and become a medical marvel!
i read somewhere that if pain changes to pins and needles it is more of a neurological thing and needs to be looked at asap but i only read this once out of the hundreds of articles i have read so i dont really believe it.