I've been diagnosed via MRI with an L5-S1 foraminal stenosis secondary to a foraminal disc bulge and grade 1
retrolithesis of L5 on S1. I had mild sciatica for several months on the left, only came on when
standing or walking for more than a few minutes, sitting was fine.
My pain dr gave me a traditional epidural (foraminal path) and I saw slight improvement for a few days, then it returned to normal.
Suddenly a few weeks after the ESI, It has escalated to the point where pain down the entire length of my leg from glute to ankle comes on within minutes. This is absolutely the most overwhelming pain I have felt.
My pain dr was overwhelming and was had a mediocre (IMO) bedside manner.
My GP has started me on Gralise, and I am on day 5 900mg working up to 1800mg. Yesterday she started me on a 15 day round of prednisone to hopefully help the inflammation while the gralise works up.
In the meantime I am taking dilaudid to ease the pain, though it mostly just dopes me up and makes it easier to get through ye day. It does not reduce the nerve pain for me.
1. Has anybody here tried Gralise for this type of back pain? Gabapentin sounds like a "gold standard" for this type of pain so I am optimistic. I did not want to try plain gabapentin because I must be "sharp" for work.
2. Is there a common point on the dose curve where this medication becomes effective? Or does it have to reach the max and stay there a while to see results?
Many thanks. It is getting lonely dealing with this issue and pain.