Ok well sorry for the long post, I want you guys to know my whole situation.
I'm a 28yr old male, from Canada, a Heavy equipment operator. Christmas morning 2013 I bent over to pick up some wrapping paper off the floor and had extremely sharp pain in the lower back, which lasted for a few days, before it got a little better. From that point on I had lower back pain, but avoided going to the doctor.
Oct 2014 I finally had enough, and saw my family doctor about it. He thought I might have pulled something, gave me anti inflammatories and ordered an X-ray, which turned up nothing. The anti inflammatories did nothing. After going back to him every few weeks he had me get a CT scan which showed a mild L4-l5 disc bulge, with no pinching of the nerve. He told me this may be able to be helped with therapy, or it may get worse and require surgery. He sent a referral to the pain management clinic, where I was placed on the wait list for epidural steroid injections.
More anti inflammatories and Dr visits and the end of dec 2015 he had me see a physical therapist. I saw the physical therapist twice a week for 10-12 weeks where I she would give me exercises to do daily, hook me up to a tens machine and then ultrasound machine. The day after seeing the therapist I would have worse pain in my lower back, numbness in buttocks, and pain down the right leg to the knee, which was excruciating when putting any weight on the leg.
At this point my family Dr advised me stop seeing the physical therapist and started me on ketorelac pills for pain. A month or so later with no relief he started giving me different pain meds ( ketorelac, torodol, tramacet) which helped none. At this point (April 2015) I'm having moderate constant lower back pain and numbness of both buttox. He puts me on Tylenol 4's (60mg codeine/325mg acetaminophen), 1-2 tablets every 8 hours as needed. No changes, pills have very little relief. Saw family Dr several times between April and July where he would increase my dosage of Tylenol 4's, and gave me cyclobenzaprine to help me sleep.
In late July I went again to the family Dr and he said it would be best to get surgery ASAP, as I was still waiting for the ESI and told me I should lose weight (I'm 5'11" and 267lbs) to help with the recovery from surgery. He also increased my T4 dosage again, and sent my files and referral to a surgeon. The surgeon looked over my files and determined I did not need surgery, family Dr said there was nothing more he could do because the CT didn't show any pinched nerve, and sent my referral to the pain management clinic again.
Fast forward to mid October 2015. I'm now having severe pain in the lower back. Numbness in buttox and upper thighs, dull pain in both hips and knees, and stabbing shooting pain the length of my right leg. I'm taking 8-10 Tylenol 4's a day, which barely take the edge off. The pain is so severe I have trouble just concentrating. I'm down to 235lbs and still losing weight. My family DR sent me for another CT scan thinking the disc bulge has gotten worse and is now pinching the nerve root. He sent me to a chiropractor which I've seen 5 times in the last 3 weeks, and it's definetly making things worse.
The results of the CT scan was sent to my Dr friday past, and I saw him yesterday. The report showed it was now a mild to moderate disc bulge at l4/l5 with no nerve pinched. He says that my symptoms are not consistent of those with nerve damage/pinched nerve and there was no explanation for my leg pain. He said according to the CT scan I should have only discomfort in my lower back, and rarely any pain there. He did say he would call the Pain Management clinic and try to get me in ASAP for ESI's, but He refused to give me anything else for my pain until they could figure out why I was in pain. He directed me to go back to my chiropractor next week and if it didn't help he would send me for acupuncture.
I'm heartbroken. I'm frustrated with the doctor and I'm frustrated with pain. It takes most of my energy to just cope with the pain on a daily basis, and I feel like the doctor thinks I'm making this up.
Should I find another family doctor? Get a second opinion from another surgeon? I'm not sure if this post is aiming for some insight, some past experiences of folks in similar situations, or mostly just to vent. Either way I appreciate your time.****************************************************************************************************** Welcome to Spine-Health
One of the most important things that members can do is to provide the rest of the community with as much information about themselves as possible. It is so very difficult for anyone to respond when we do not have enough information to go on. This is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.
So many times we read about members who have different tests and they all come back negative. The more clues and information you provide, the better chances in finding out what is wrong, The fact that your test results are negative does not mean that you are fine and without any concerns. Many times it takes several diagnostic tests and procedures to isolate a specific condition.
Here are some questions that you should answer:
- When did this first start?
. Year, Your age, etc
- Was it the result of an accident or trauma?
- Are there others in your family with similar medication conditions?
- What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)
. Which doctor did you start with? Ie Primary Care Physician
. Who are you currently seeing?
- What Conservative treatments have you had? Which ones?
. Physical Therapy
. Ultrasound / Tens unit
. Spinal Injections
. Massage Therapy
- What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)
. Summarize the results, please do not post all details, we cannot analyze them
. How many different tests have you had over the years? Similar results?
- What medications are you currently using? (details, dosage, frequency, etc)
. Name of Medication
. How long have you been using this?
- Has surgery been discussed as an option? (If so, what kind)
- Is there any nerve pain/damage associated?
- What is your doctor’s action plan for treating you?
Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.
Please take a look at our forum rules: Forum Rules
I also strongly suggest that you take a look at our FAQ (Frequently Asked Questions) which can be found at the top of the forum menu tab or by going to FAQ
There you will find much information that will
- Help you better utilize the Spine-Health system
- Provide pointers on how to make your threads / posts
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- General pieces of valuable information
Please remember that no one at Spine-Health is a formally trained medical professional.
Everything that is posted here is based on personal experiences and perhaps additional research.
As such, no member is permitted to provide
- Analysis or interpretation of any diagnostic test (ie MRI, CTscan, Xray, etc)
- Medical advice of any kind
- Recommendations in terms of Medications, Treatments, Exercises, etc
What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.
It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have areI’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?
Diagnosing spinal problems can be very difficult. In many ways it’s like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then it’s up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.Specific comments :Personal Opinion, not medical advice :
--- Ron DiLauro, Spine-Health System Moderator : 11/15/15 20:53 est