mid-august of this year, laid down in bed and rolled awkwardly towards my gf, and immediately felt my left quad tense up and feel like i strained it. felt similar to a hamstring pull which i had plenty of in hs sports, etc. used a foam roller and tried to work it out, but got nowhere with it. took nsaids and got a little relief, but nothing long term. went to a friend who does massage at a chiropractic/massage clinic and had her work some stuff out. felt a lot better, but still not 100%. the pain then seemed to shift to my left glute, and was a very deep pain. i woke up several days in a row with extremely tight, painful muscles, and any time i sat for more than about 10 minutes, when i stood up, nearly all the muscles in my hip flexor region would spasm for about 10 seconds, nearly doubling me over in pain, and then slowly let up. decided to see the chiropractor and he felt that my pelvis was out of alignment, and so he did an adjustment, then recommended i come back for pt. did 8 sessions of pt over 4 weeks, which consisted of ultrasound, soft tissue massage, e-stim, and at-home exercises. felt decent for about 2 hours after each appt, but never 100%.
finally decided to go to pcp in october, but had to see his np instead. she did a few mobility tests, said it wasn't a disc issue, and said to continue pt for at least 2-3 weeks but gave me an rx for vicodin, zanaflex and diclofenac as an anti-inflammatory. i started taking the vicodin at night, due to driving for work, and after the first night, i woke up and had no pain whatsoever, full range of mobility, and was elated to be done with the pain. i then went on a 5 day hunting trip and did 10+ miles a day, and the only time i experienced pain was a slight twinge in my lower back when i was standing still. came back and continued the meds and did pt 2 more times, but i then ran out of the vicodin and during this timeframe the pain then came back full force and started moving down my left leg as well as in the glute still.
i did a bunch of my own research and found that i was likely dealing with a nerve issue in the l5 area. after continued pt with no improvement and some more movement all the way down to the ankle area, i went back to my pcp's np and she said he still didn't think it was a disc issue, so she gave me an rx for tramadol (as she didn't want to keep me on an opiate for too long) and sent me on my way. tramadol once again made me feel like i had conquered the problem, but alas, 15 days later i once again ran out and was back to regular pain levels.
i finally had an appt with my actual pcp and after discussing the specific locations of the pain, the type of pain, and the fact i had already been seen for some degenerative disc disease approximately 4 years ago, he finally discussed an mri. he did do one corticosteroid injection because he felt there was some bursitis on my hip which may be pressing on the nerve as well, but told me that after 4-5 days, if i didn't feel a difference, that i needed the mri. no change, so mri happened last week.
i just got the call today from my pcp's nurse that he evaluated my mri and found an extrusion in l5 that is impinging on the nerve root, and that they wanted to schedule me for a surgery consult. i agreed, and will talk to the surgeon, but i am really hoping to get more information regarding the potential for alternative treatments, such as actual epidural injections that are targeted to this specific nerve and area. i have actually had 4-5 days of feeling very good lately with very little pain other than when i wake up, and would like to avoid surgery if possible, but don't want to risk prolonged or permanent nerve damage. unfortunately, i just recently signed up for short-term disability through work as well, so it will not cover a pre-existing condition for 1 year. i would like to hear any experiences with the epidurals working. i think if i could do 3-4 of those over the next year, and then plan for surgery, it would be a much better situation for me physically and financially.
thanks for any and all help. i have been reading quite a few of the stories and progress reports on here, and so many are very encouraging, but there are also a few that have me worried. i work as an animal control officer for our local police department, which is a somewhat physical job that requires lifting regularly, so it is really a fine line at this point for me. never had any surgeries before, so it's overwhelming to say the least. thanks again!****************************************************************************************************** welcome to spine-health
while you may have provided us with some information, there is always more to provide.
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 . acupuncture . 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? . results
- 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- tips on how to create your avatar (your picture), posting images, etc- 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 : 12/22/15 12:12 est