I have pretty severe low back pain return, L5-S1 (MRI confirmed). I've been dealing with it for two months. I'm very frustrated, and curious if anyone has some ideas?
My diagnosis: Discogenic low back pain, Lumbar discogenic pain syndrome, and Thoracic or lumbosacral neuritis or radiculitis, unspecified.
I originally had a problem in 2011, but it went away with prednisone and physical therapy. Two months ago it came back. This time, I don't seem to be responding to prednisone at all.
Here are the steps taken:
1. My doctor wrote Prednisone (6 day course taper pack). Very little improvement
2. Started physical therapy, pain increased to the point where I can't sit for more than 20 minutes.
3. Pain management doctor decided to do epidural steroid injections. Result was minimal in lumbar region, but helped a bit with the leg pain.
4. Pain management doctor wrote a 3 day script for 40mg prednisone, no improvement
5. Pain management doctor decided to do another epidural steroid injection 2 weeks later (today), and a Trigger Point Injection since the muscle area is so sore.
I just got the second set of injections today, and I'm hoping they kick in and give me enough relief to get back into physical therapy. My problem is my pain is so bad that I can't drive to get to therapy, so it's like I need it to clear up a bit in order to treat it. I've been looking for someone who could maybe even meet me at home.
Has my treatment plan so far made sense? What could I look into in the future? Is some of it just time needs to pass for any progress? Is it rare to become worse under treatment or does it commonly go more like a cycle?
Is it extremely rare not to respond at all to prednisone? Before it worked fairly welll....
My worse pain is when I sit, and then I feel sharp pain in my right side as soon as I stand. Any experience with these trigger point injections? How well did they work for you? Is it a temporary thing or do the muscle heal after they've gotten some relief?
Thanks for any advice.