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Please Help

So many issues from neck on down due to an accident this winter + unknown degenerative issues.

One of my chief complaints has been weakness in my left quad and into the inside of the knee. I often feel like I have run a marathon, even if I have done nothing. I can't walk down stairs without holding onto railings, because my leg/knee are so shaky. This is not necessarily painful, but uncomfortable and debilitating. I've been doing pool therapy for all of my issues (multiple herniated and bulging discs/nerve compression) since Mid April. I've been doing "land" therapy for about two months. My left leg/knee continues to shake and appear unstable. In fact, it is just this week that the stationary bike actually registered that I was peddling. UG! There is a bit of atrophy in that leg as well. My right knee swelled twice+ the size of the other one in early July after having to stand for almost 8hrs. i assume due to favoring it? I'm a very active person. Despite that, I have taken time away from my "sports" due to life or other injuries. Never. And I mean, NEVER have I experienced such random and great weakness in any part of my body.

I saw the neurologist today. I don't have classic nerve damage signs with foot drop or poor reflexes. My strength tests (pushing against his hands) were ok, for the most part. The one that showed weakness he thought was due to guarding pain in my lower back. Most (if not all) of the compression/impingements are on the right side of my spine. My entire left side is what is messed up, though (neck, hand tingling, sciatica, leg weakness). He is not understanding how my left leg is the one being affected. I don't either?!?!

I asked for the EMG (eval for L4 Radiculapathy), because I can't wait anymore. It's not getting better and I'm not ok waiting another 3 months to see if it does. I will be patient with the rest of the pain/injuries. He told me it would not likely show anything. If it did, that means the original images (mri's) might not be accurate, or something has changed and they would need to do more imaging to find the cause.

I guess what I mainly need is understanding and affirmation that asking for this test was appropriate. I just need to know the reason for this weakness. If it's nerve damage, how do we fix it? If I'm being lazy (doubtful), what more can I do? Let's fix it so I can get back to my life. The other question is why would all of my symptoms be on the left side, when all of the diagnostics show my right side is the one affected?

Maybe one more question...Lyrica...could it help with the weakness?

Thanks for any feedback or support. I could really use it!



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Comments

  • Hi liz,
    I'm confused about the links you posted and the relevance to my questions.

    Did I not post according to the rules?
    I'm unclear how the link to degenerative neck conditions is related to my leg.

    Can you clarify?

    I was really hoping for better understanding of my symptoms aand support.
    My life has been completely turned upsidedown. :(
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  • LizLiz Posts: 8,835
    The first link is showing how to navigate the site and search for information.

    You mentioned you had many issues from your neck down, this link deals with both neck and lumber, reading your post it was the only link I could find as you give no specific diagnosis, I thought it might be of some help as we are not qualified doctors.

    If you use the search box you can find more relevant information suited to your issues.

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • so , no, it will not help with weakness. An EMG test is done to check for nerve damage, however, doing the test too soon may give a false negative, meaning that it won't show if there is nerve damage if done too soon. The damage must be present for at least three months, and even then it may not show the damage if done too early.
    Since you don't have weakness in muscular strength and aren't showing classic signs of nerve compression, doing the test at this stage may not be the best option.
    Have you had any imaging done? Who diagnosed you with degeneration and impingement?

    http://www.spine-health.com/treatment/diagnostic-tests/getting-accurate-back-pain-diagnosis

    http://www.spine-health.com/forum/pain/chronic-pain/chronic-pain-treatment-step-step
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