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DakincaidDDakincaid Posts: 21
Ok so in January I had my first MRI for pinched nerve pain in my lower back. All was normal. I had an epidural injection and did pt for 3 wks before it wore off. The pain came back worse :(. Pain behind my knee, groin, foot, and low back. Dr said it was my si joint. We then did an si cortisone injection that put me in the hospital unable to walk with an infection. They did 2 more mri's that were normal. Bowel and bladder are working funny but I have control. Did a myleogram and of course that's normal too!! Now the sciatic pain feels like I'm ripping open burns all down my leg with every step. Been referred to pain clinic. What could this be????


  • ivymiivym Posts: 278
    edited 05/21/2015 - 3:44 PM
    speak of annular tears here that MRI or other testig was normal and the cause was finally found to be that. I am not up on how they find them although the modrators have told me I cannot remember exactly.

    Moderators...can you help?
  • SavageSavage United StatesPosts: 5,476
    Sorry for all you are dealing with now....and dealing with infection and hospitalization. You must be exhausted!

    My referral to pain management, years ago now and I still go monthly.....best decision for me. He is also neurologist so seeing PM specialist is great idea. He began my pain management immediately.

    My PM doc ordered variety of tests. One was EMG. That test proved most revealing for me and to doctor. It indicated issues with my spine that I never even gave voice to.

    Have you told doctor about bowel and bladder feeling different than before?

    Doctors should know all your symptoms, as something you might not bring up....for ex the bowel and bladder since you are still continent.....it may a clue for doctor on area of your spine to exam. I tell my PM doc everything and then the other doctors I have assembled as my team. :) so they all have general idea of what is happening with me.

    Doctor may have answer for new feeling in that area and explain it to your satisfaction. If not, next visit, I would remind him the issue continues.....and of course notify soon if it worsens.
    If you have not already done so, definitely notify primary of your bowel and bladder feeling while waiting for appointment with PM doc. A doctor should know about it.

    The very best to you! Please keep us posted on how you are doing
    Spine-Health Moderator
    Please read my medical history at: Medical History

  • Threw all of this it's been 4 er visits :(. One was specifically cause of bowel and bladder. @ivym.... What is moderater??? I'll try anything!! @savage.. I'm hoping for emg test really. I'm physically and mentally exhausted!! Only 33 and have days I just want to give up!! In my circle of Drs.... Prim, ortho, 2 spine surg, and haven't seen pm yet (June 3rd). Who do I tell? My primary is new, I have only seen her once and that was follow up after hospital.
  • Moderators review our posts before they are accepted so was just an idea. Sounds like you are going down the right path. So sorry you are going through this. I know it is crappy and you are afraid. Maybe EMG will reveal more. I have gotten the most help from a neurosurgeon...not sure if you have one. Please keep us posted.

  • PaininpaPPaininpa Posts: 21
    edited 05/27/2015 - 11:47 AM
    I have same exact symptoms and went thru everything you did. Told mri was normal, told mylogram was normal, had 2 si joint injections with no relief. I myself also made several trips to ER due to severe pain, sciatica. Went thru this for months. Low and behold I found out I have an annular tear in l4 after second opinion.
  • I see a new pain manegment dr for consult on wed and will be asking about annular tears and Piriformis stuff. I'm hoping that whatever went wrong with the si injection wears off soon and is just a major hurdle in the road. I'll keep posted as to what is found :)
  • A doctor Michael Brown wrote a very good piece on l4 annular tears. If you google it, it should come up. It's titled annular tears the great masquerader. It was literally my symptoms to a " T". Also, there's a website chirogeek.com. He explains annular tears very well and shows what they look like on MRI. That way maybe if the doctor pulls up your MRI you will know what you are looking for. Good luck and keep us posted.
  • So I just got back from pm dr. He says my si injection somehow was blocked mid joint and the cortisone spilled out instead of helping. He is checking my hip to see if it's not referred si joint pain from my hip cause he sees a perfect spine (good I guess :) ). Am starting gabapentin, tramadol and Vicodin.
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