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Your thoughts please....but hurry...have to make decision.

AnonymousUserAAnonymousUser Posts: 49,322

Hello, I am new to this site. So here it goes.

I have on a scale of 1 to 10...a pain level of a 7 on my Right Butt, down the right hamstring and a little numbness in hamstring as well.

I had MRI. L5/S1 Disc Herniation. Pain setteled down in about 3 months. Could get by with some Advil for day to day, and was able to sit and drive car with pain level of a 2.

In the last 2 weeks I have had this Pain of an 8 to 9 return to my Right Butt and will not go away. No Pain meds or muscle relaxers make a dent.

I have no lower back pain. I have no loss of strength, I can walk on tip toes, hamstring curls, everything.

Just can't stand for more than 2 minutes or sit for more than 2 minutes. No position gets releif. Laying down is the best on my back...pain drops to a 2.

Going to discuss Surgery with Doc on Thurs. and Friday this week.

Really want to stay away from surgery if at all possible, Especially after readying all the stories on here where people dont seem to be getting better, except the first two weeks after surgery...must be that little bit of steroid they place on the nerve when they are finishing up the operation.

Let's here everyone's thoughts and see what you guys think. After all, expericence is the best teacher and guide I believe.

NCBACKPAIN.
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13

Comments

  • The question you need to ask yourself is "can I live with this pain?" When you have your answer, you will know what to do. That being said, there are lots of conservative, non-surgical options that will usually be offered to you before you are at the point where it's surgery or nothing. Good luck!
  • Yes I have answered that question which at the moment is No. I cannot go through life like this. I can't drive, I can't sit, I can't cook my own food, cause I can't stand for a period of time.

    I have done meds, I have done PT ( 3 weeks ) I have done Chriopactor with decompression...Seemed to aggrivate it more. I have done rest.

    That's why I am down to the surgery section of this...but I don't want it.
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  • From my researching, chiro is not recommended for disc problems and my pain doc advised me to seek physical therapy over chiro. I also had five sessions of chiro which made the pain worse.

    I agree with Jeq about asking yourself, '"Can you live with this pain?" If your quality of life has diminished significantly, I would have the surgery.

    yes, surgery has its risks. And sometimes surgery can be successful, but during the recovery phase you can undo the work of your surgeon. I just had my 2nd microdiscecomy because of series hard sneezing. This time around I am ready.

    In my case, I might be need fusion, but not because I had surgery. I have degenerative disc disease.
  • ESIs are usually the last non-surgical option. I think the odds are about 50% that they will work well enough to allow you to get around surgery. They didn't work for me, but it's worth a try. Check with your doctor.
    Fusion surgery is major, but a microdiscectomy is not too bad. Again, that didn't work for me either, but it has at least a 90% success rate. Do you know what kind of surgery they want to do for you?
  • Does the "NC" mean you're in North Carolina? I am, which is why I ask.
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  • Yes Charlotte NC.

    Meeting with OrthoCarolina on Thursday

    Meeting with Total Spine Specialist on Friday

    Any opinions on either ?
  • you may require some surgical intervention .make sure that you find a competent surgeon and should you go down the surgical route give yourself plenty of recovery time {12 months} you will be told that you will recover in 3 months ...you wont.. any spinal surgery should not be undertaken lightly as it is a life changing decision .even if you have a good result {IE your leg pain has gone through a decompression} your back will be weaker and you will always have some level of back pain and a risk of further disc problems and arthritis..meanwhile try a TENS and use ice and try a recliner to take the weight from your lower back .. if you want to email me for anymore advice please do on tony.beer1@googlemail.com
    STRAKER
  • dilaurodilauro ConnecticutPosts: 13,288
    Based on your MRI findings what actions does your doctor recommend?
    I strongly believe in trying all the conservative treatments first before looking at surgery.
    - Physical Therapy
    - Aqua Therapy
    - Ultrasound
    - Heat/Ice Therapy
    - Passive Traction
    - Acupuncture
    - ESI (Spinal Injections)
    - etc
    The times when surgery is recommended soon is when the disc is impinging on a nerve root causing the nerve pain down the leg, (ie sciatica). From what you have described, it does seem like nerve pain. You can have a herniated disc but do not feel any lower back pain. Instead its the tingling, numbing and pain down your leg. But what is more curious is that you seem to have the strength in your foot, toes, etc. Many times, those are weak when associated with nerve pain.

    Bottom line, discuss all of this with your doctor. Talk about the pros and cons regarding surgery. What happens if you DONT have surgery? Will it get worse?, and discuss
    having the surgery, what kind?, how long is the recovery period, etc?

    When there is a disc involved, I would stay away from chiropractors. The standard manipulations done there could be more harmful to your condition.

    Many people are frightened regarding spinal surgeries. Yes, you can read many stories here and on other sites that talk about problems after surgery and other nightmares.
    Spinal surgeries have been more and more common, and you can be assured that there are MANY successful outcomes.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • I had one ESI and it did not phase me that I know of. I was still in the same pain 2 hours after leaving the hospital. They said it would sometimes take up to 10 days for the medicine to be soaked into the injured area and bring releif.

    I just did another steroid pack last week...no help.

    Today, I feel good. I sleep at night fully with no pain. As long as I lay down, I am ok. But when I stand up or sit...the pain hits like a ton of bricks in my butt and hamstring.

    Was thinking it might be Piriformis Syndrom, and if I could get a Botox shot in that muscle I would know for sure if it is the muscle causing the pain or the disc....

    What are your thoughts on this ?


  • Hey NC!
    I'm in Atlanta, so we're kind of neighbors! I herniated my L5-S1 in July of '08. I had 5 ESIs which really didn't help much, but I have a good friend who had enormous relief with the injections and hasn't had a problem for over a year now. We're all different. I had an lam/disc on 3/2/09. Prior to the surgery I had very little loss of strength, maybe just a bit in my big toe. No numbness, no tingling, just excruciating pain. Today I feel much better - I don't know yet about tomorrow as I'm taking it one day at a time. The others are right about your quality of life...that is the indicator, but I'm sure you'll be offered the more conservative treatments before anyone speaks of surgery. I know how you feel, nerve pain sucks! There are a lot of treatments available and I'm sure you'll find relief. Good luck and keep us posted...
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