Ptb1230ParticipantFebruary 10, 2019 at 1:52 pmPost count: 4
Thanks for your previous response. I am aware I have asked lots of questions and hopefully this will be my last. In response to your reply, I have had the nerve block an additional injection into the lumbar region which both have failed in the last 24 months. My current situation is that I am unable do any form of physical activity without being in considerable pain (4/5 out of 10 on a good day and 7 upwards on a bad day which is most days), sitting down continues to bring on the buttock pain within minutes of driving and standing still for more than a minute brings on pins and needles within the thigh and foot. Additional to these existing issues I have now began to experience hip pain(left side once again) which radiates occasionally into the groin (left side, from original pain) expecially when walking. I am awaiting an appointment with my consultant in which I know he will arrange another MRI SCAN, but my concern is that this will show only a minor bulge to the L5 S1 region again and he ends up suggesting that it is not worth surgery.
Your advice has been very informative and I look forward to your response.
Pete.Donald Corenman, MD, DCModeratorFebruary 10, 2019 at 10:18 pmPost count: 6631
Nerve blocks don’t have to yield long term relief to be a success. It would obviously be better if nerve blocks would have long term relief but their value is also in diagnosis. A nerve block that yields pain relief for the first three hours is diagnostic. That is, the structure that is anesthetized and gives relief of your typical pain is the pain generator.
Buttocks pain is the “grey zone” that can be generated from the disc or from the nerve, depending upon symmetry, unilaterality and triggering activity.Hip dysfunction can induce groin pain and even occasionally buttocks pain. Hopefully this surgeon will not only use MRI scans but will use motion X-rays to determine if instability or collapse is present.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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