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Back pain with sciatica and genital sensation.

jgoodma3jjgoodma3 Posts: 6
Hello. This is my first post to spine health, I'm looking for some help understanding my injury, hopefully I've provided you with enough of a backround. I'm a fit 29 year old male. I injured my back around 3 months ago lifting something heavy. Since then I've had constant lower back pain which is stiff when bending backwards, the pain is slighly more to the right. Along with this I've had sciatica running from my right buttock, down the back of my right leg, all the way to my foot, which is making walking difficult. I also have a little sciatica down the back of my left leg, but not as bad as the right. Also I've got parathesia in my perineum area, and the tip of my penis. The sciatica is made worse when sitting, especially driving which is near impossible for me. I've had an MRI which my physio looked at, and it shows no herniated disks in my spine, and he said he has no idea what's causing my pain, and that he cannot help me and I have to live with the pain. I wondered if anyone has suffered anything similar? I'm really at a loss about what to do next, my doctors have basically written me off and it's really affecting my mood.

Many thanks.


  • LizLiz Posts: 7,832

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Do you have a copy of your MRI & the summary sheet? Does it basically say everything's fine? What doctors have you seen & what do they think is wrong? Muscular? But your physio says there's nothing wrong & he can't do anything for you? Sorry for all the questions. It just seems odd that your doctors sent you to a physio but none of them think anythings wrong. You're clearly in pain so SOMETHING is wrong. Sometimes we have to push to get the correct diagnosis. I'd ask for more diagnostics. If I were you I'd make sure I have a copy of that MRI & summary. If its just the computer disc I'd get a spine specialist to read it & not just a physio. I hope you dont mind me asking, which country are you in?
    Osteoarthritis & DDD.
  • Thanks for your reply.
    I'm from the uk. The man I'm seeing is suposedly the senior physio in the hospital. He ordered the mri, the notes on the mri said that all looked OK, and the physio also said it looked ok. He said he simply doesn't know what's causing the pain, and that we should work through a strengthening regime, which I've been doing for 2 weeks now, and it's actually making my symptoms worse. He said that regardless of what the injury is, we need to approach it same way, with physio work based around building strength. With my specific symptoms I've expressed my worries about conditions such as cauda equina, or SI joint problems, but he's very fast to dismiss them, and tell me to stop looking on the internet for answers! I find this worrying; I'm no doctor, but prescribing any fitness regime without a proper diagnosis sounds wrong.
    I haven't got my MRI on disk, I didn't know I was allowed to request that, but it'd sure be helpful to have!
    I'm going to ask my GP if I can be referred to a neurosurgeon, or someone similar. Perhaps I'll be able to get a CT to help in the diagnosis.
    I do find that getting help from the NHS is like getting blood from a stone sometimes!

  • I got my CT scan, and 3d modelled it. Looks like Bertolotti's syndrome http://imgur.com/uafZp1d
  • SavageSavage United StatesPosts: 5,427
    ...no one here is allowed to comment on or try to interpret any of your testing.

    Any symptoms you have or any questions or concerns must be directed to your doctor.
    He is in best position to assess you, guide you, and or reassure you.
    Spine-Health Moderator
    Please read my medical history at: Medical History

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