Hello, I was wondering if anyone could help as I am struggling to achieve any progress with conservative treatments.
I fell off a horse in September 2012 with a small amount of intermittent back pain until May 2013 when I began to experience extreme sciatica to the point where I could barely walk. At the end of June i had an mri scan showing a prolapsed disc at l5s1 touching the s1 nerve root. I was sent to a chronic pain consultant who did a root block and epidural injection. This did help slightly but at the same time I was given 300 my tramadol, 300 gabapentIn, 50mg nortryptiline and 50mg Diclofenac per day. After this I have had hydrotherapy, physio, acupuncture, hypnotherapy and chiropractic treatment. None of these have really had any effect other than themedication but even with this I still have severe back pain although the leg pain has reduced. I had another mri scan done in june 2014 showing facet joint hypertrophy and again the prolapsed disc although slightly bigger touching the s1 nerve root. Today I saw the pain consultant who told me that there is nothing that can be done other than to continue taking all the painkillers for the rest of my life and that I need to get over it and learn to accept it. I disagree in that I cannot live like this for the rest of my life when I am limited to being able to do only the most basic things and I have no quality of life. I am only 23 and was a rider previously and work with horses although I have not ridden since May 2013. I struggle to do much also because of the side effects of the medication but without all of it I am unable to move due to the severe pain.
Would I be a candidate for surgery? I am hoping to find a neurosurgeon to see what they think but I really don't know what to do any more.
Any ideas, suggestions or thoughts would be massively appreciated. Many thanks in advance :-)