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Crossfitter, Law Enforcement Officer, L5/S1 Bulge Herniation

leogingel5lleogingel5 Posts: 19
Hello all! I will start by saying this forum has helped a lot with my hopes. A little about me. Very very athletic, active, and healthy at 6'5" 32 years, 230 lbs. Competitive Crossfit athlete, swimmer my whole life and in college, kitesurfer, surfer, stand up surfer, etc. I say this to show how active I am and how even with this trial I am going through I will come back strong.

So 17 days ago on 4/3/15, I did a Crossfit workout after a work shift. About 2 hours after, I felt a weird sharp pain in my right thigh when driving. I felt like I had to extend my leg and relieve pressure, as if I was pinching a nerve. I did not know what it was. The next day it started to throb a little more and more. I could sit for more then 5 mins without walking or laying down. It killed. I went to work that eve, had a hard time driving and at one point I got out of my car only to discover my leg and foot was completely numb and heavy. I felt like a gimp.

The next day I went to my primary physician who said I might have a herniated disc. She got me an MRI ASAP that eve magically. She said to go ahead and work my overtime shift that eve and see how I felt. The next day I got a call from her and she said not to work and my disc was protruding a lot. She did not say nor did the report say how many MM. She gave me an oral steroid which helped the pain a lot. My calf and thigh was tight. I was walking with a good limp as well. My heel, and last three toes were pretty much numb. So was the right outer part of my thigh.

It has been 17 days now. My spine doc told me to swim like I know how to do well, workout supporting my back and focus on my core. I did not do a PT session, but am PTing myself because I know how to do so well being as active as I am. Each day for the most part I have been getting stronger and better.

I have all feeling back in my foot and leg. I have no pain in any part of my body. On a scale from 1-10, the occasional pain with a small shooting pain in the mornings in my leg is a 1 or 2 which goes away after I swim, warm up, and workout.

The right 4 and 5 toes on my right foot are the only ones with some slight tingle and my heel barely, not even noticeable. My back again does not hurt one bit. I even kitesurfed (I know not smart) and believe it or not I feel better today! ha.

The only true weakness i have left in my leg is the ability to stand on my right toes without assistance. I do 100 toe raises a day in the pool where I can because the weight is less with water.

So this is my story. I will compete again one day in Crossfit, and I will do all my sports. I even SUP'd a few times but have stopped because I realized I should really focus on healing then proving to myself what I can do still...Type A personality needs humbled.

My main question on this forum is...how do you all think I am doing, and with the weakness in my right toe stand alone is this a huge issue and does it just take time? I have read where people have had similar problems for years and with the micro surgery as last resort the strength comes back. Then I get worried where people say a few weeks can give perm damage to a nerve. It seems like it is a different case for everyone so I can imagine a straight answer is impossible.

Thoughts, compliments, criticisms please.

~G
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13

Comments

  • Doug HellDoug Hell Posts: 332
    edited 04/21/2015 - 5:09 AM
    Please take the time to read this post and refer to it when you have questions

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  • Well, it's tricky. I'm probably one of the people you've read about who had nerve damage and worries you and to that I would say, it's worth being worried. While pain seems like the worst indication of an injury, it seems to me that tingling/numbness/loss of sensation/weakness/inability to perform certain motor functions are actually more of a concern in this case. I wish that I could go back and demand better treatment from some of my doctors. I begged and pleaded for them to listen, but I didn't know enough myself at that point to ask for more specific tests....and now I am paying what may well be a life-long price.

    I had massive, unrelenting, worsening pain along with the tingling and numbness and loss of function (unable to stand on my left side toes, loss of feeling). Now, more than 7 months post lumbar fusion and over a full year past when the tingling/numbness started, I am still dealing with a serious loss of function in my left foot/ankle/calf that may be permanent.

    I think it's always worth a second or even third opinion when it comes to your spine/nerves.
    Christina
    Left leg radiculopathy/sciatic pain
    L5/S1 microdiscectomy - May 30, 2014
    L5/S1 microdiscectomy - Aug 14, 2014
    L5/S1 TLIF - Sept. 24, 2014
    Left-side screws/rod removed along with bone fragment Dec. 29, 2014
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  • G,

    Weakness is not a good sign, period! And there could be a finite window of opportunity to correct it, if the disc is compressing your motor nerve.

    This just happened to me. My post is in this forum about weakness in my calf and inability to stand on my toes. The alarm bell was raised for me after going to my very first PT appointment 2 weeks after the weakness began...I totally failed tests standing on my toes and was told "point blank" that I had a short window to correct it. I was totally shocked and had to fight back tears. Like you, I had no back pain whatsoever at this point, although I did previously. My only symptom was limping/weakness walking, which had started during a week of sciatica. Like you, I felt tightness in my calf--almost like it needed to be stretched all the time. My disc problem is also L5-S1. (I could not hold my own weight on my right tip toes if I went up on both tip toes and then picked up my left foot from the floor; my right foot would just collapse).

    If a disc is compressing your motor nerve, a steroid injection might help to reduce the inflammation, but it will not physically take the disc off the nerve.

    I had a really difficult time getting an appointment to a neurosurgeon specializing in spine- I had to first get a referral from my GP. That was one day. Then, I could not get an appointment for months out. Then I tried again with another one, and the same thing. Not one receptionist understood the urgency or seemed to really care. Exasperated, I even physically went into their offices (almost 2 hours away) to see if I could get in sooner...it helped to get an appointment sooner, but still 2 weeks out with one of the neurosurgeons.

    Instead, I went directly to the ER at one of the best hospitals with the best reputations for neurosurgery in our area....two hours away from my home. Had an MRI and was admitted to the neuro floor and then operated on a day later to remove the piece of disc pressing on the motor nerve (micro discectomy). When I arrived on the neuro floor and they evaluated me and looked at the MRI, they totally "got it " and told me what my options were, etc. While I could have opted for conservative treatment first (steroid injection), they recommended surgery, since the disc was compressing the nerve. For me, I chose to be more aggressive, given the situation (possibility of permanent weakness). I only tell you my story if it helps you to handle any beaurocratic roadblocks if you can't get in to see someone right away. I had my surgery at 20 days after the weakness began. Praying it was not too late, but my surgeon was optimistic.

    As a first responder, who sees so many serious emergencies, this may not feel like an emergency medical situation to you, since you are so healthy and active, otherwise. Loss of limb function, however, could be on the line. If this is the case, time is of essence. If you can't get into a specialist for another opinion right away, perhaps ask your primary care physician to make phone calls...be persistent. Since you have already seen a spine guy (orthopedist?), think about a spine neurosurgeon, since they specialize in these nerves and can evaluate it from a different perspective.

    I am not trying to scare you, but please act with urgency. Being in law enforcement, you will need those toes to be strong to balance, move fast, and to run faster than the other guy, etc. If you lose function, you may even have difficulty running. Just get that second or third opinion. Wishing you the very best!



  • leogingel5lleogingel5 Posts: 19
    edited 04/22/2015 - 10:48 AM
    Well I see a neuro surgeon today. Like I said I have no pain whatsoever but a loss of some minor motor skills such as standing on my tip toes but that is it. It seems to day by day get better but very slowly. I will update you all soon...wish my luck.
  • kp1221kkp1221 Posts: 18
    edited 04/22/2015 - 1:19 PM
    Good luck with your appointment...let us know how it goes!

    I also thought perhaps my leg weakness might be getting better. But later was told that our bodies adapt very quickly, so my other leg was actually overcompensating for the lack of motor movement in my right leg. Hate to come across negative but just something to consider!
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  • Well folks. I went to the neurosurgeon and also my ortho. I was really having a hard time on who to go with but I can included both have the same answer for me and suggested that I have the microsurgery.

    I made the decision yesterday to make it happen. I am on the books for surgery and that should happen within a week or so.

    I had a very close friend with me who is a nurse in the ER at the same hospital and took into consideration the risks, pros, cons. I really do not see anything negative with the surgery and decided if I wait that could be the worst thing but I could do.

    The surgery definitely outweighs the risk of losing those motor nerves and the strength in my right leg. Overall, I don't think my situation is as terrible as some of you. I think I am very lucky and fortunate and hopefully the surgery will resolve the issue and I'll be back to my normal life with proper physical training and healing. I definitely will make sure that I do it right.

    Maybe I missed it, but if there's anyone that had the microsurgery done who was an athlete I would love to hear the reply in their recovery time. I heard from two separate doctors that it is a six-week period of no physical training but after three months I will be back full duty at work and be able to resume all of my normal life activities. So I am guessing that the six week mark is when I start my physical training meaning stretching with a trainer slowly getting back into everything.

    Frankly, I am kind of excited especially to get my strength and feeling back in my foot. I just want to be normal again and more Importantly I miss my job more than ever.

    I will keep you guys posted on my surgery before and after as this is a pretty crazy road I am traveling. I've never had injuries before this is definitely new to me and I happen so quickly.
  • So you are in good company. Microsurgery seems to do generally well and since you are very fit to start you are a step ahead. I will be having fairly major surgery in June and NS is telling me 6 weeks so we will see. let us know how you are getting along. Sending healing thoughts and prayers your way Leo.
  • I'm glad that you've gotten some good advice from your doctors and your friend. Definitely follow the post surgery rules to the letter, but as someone else said, being in good shape prior to surgery puts you ahead of the game, recovery-wise. I think you'll find the microsurgery to be pretty simple to recover from, the biggest challenge will be to not over-do-it because you will feel better. Best wishes and definitely keep us posted!
    Christina
    Left leg radiculopathy/sciatic pain
    L5/S1 microdiscectomy - May 30, 2014
    L5/S1 microdiscectomy - Aug 14, 2014
    L5/S1 TLIF - Sept. 24, 2014
    Left-side screws/rod removed along with bone fragment Dec. 29, 2014
  • I just had micro-d 10 days ago and doing well. Would be happy to share my experience with you. I am not an athlete by any stretch, but a mom of two very active toddlers. I was told no swimming or even PT for 8 weeks. No lifting more than 5-10 pounds for 8 weeks.

    I am so glad you sought specialist opinions quickly and have decided to act and not risk losing motor function. My better half is a deputy sheriff, so I am very aware of the impact something like this might have on your career. For me, personally, I could not imagine not being able to run quickly if my little ones were ever in in harms way. It was a no-brainer to have the surgery. As said above, just follow everything they tell you, even if you feel you can do more.

    Wishing you the best.
  • leogingel5lleogingel5 Posts: 19
    edited 04/25/2015 - 12:07 PM
    KP yes tell me about yours? I don't have any pain with all this, but my 4th and 5th toe have pins and needles and I can't stand alone on my right toes...my foot drops to the ground if I isolate it. With that, I decided to do the quick surgery based on the good recovery rates and positive results to resume life. What were your symptoms and what did you feel or suffer from? What was the relief after surgery?

    I look at this two ways. I could be screwed for life with a pinched nerve that dies, or I could suffer 6 weeks without working out and rebuild to do everything I did. I am not worried about not doing anything for 6 weeks. It is a small small price to pay then loose motor function with a limb on my body.

    I am doing it with SeaSpine out of Encinitas in San Diego. They seem like the top of their game from reviews and other people who have used them.

    I would wait, but with my job, I would rather get well NOW then wait and risk the nerve damage another 4 weeks...plus it was off duty which doesn't help me with being off longer then I need to.

    Yes, I am in great shape, but will be vigilant with recovery and eat my veggies to stay strong during the no workout time...ha!

    Will keep you updated.
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