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  • jmadzula1
    Member
    Post count: 3

    Hello,

    I have been experiencing terrible back pain for approximently 5 months now. I have not been involved in any sort of traumatic injury, and the only thing I can think of what is causing this is that I sit for long-periods of time at my job, working a 12 hour shift.

    I had seen 5 doctors before anyone would give me an MRI, it seemed that they all were thinking I wasn’t old enough to have any sort of herniated disc or anything like that. I am 22 years old.

    The one doctor that finally did arrange for me to have an MRI done, however, he only requested an MRI of my lumbar, not cervical, and hasn’t even looked at the films. He is confident that the radiologists report is correct, and refuses to look at the films. I don’t have the radiologists report with me at this time, but I am looking for advice on what to do next.

    I started out by having just the back pain with a little bit of neck stiffness. Now, the neck pain and stiffness has increased, giving me constant headaches, as well as the back pain. A few weeks ago the back pain started radiating down my right leg, and more recently into my right buttock and down to my toes, in addition to having “pins & needles/tingling feelings” in my right leg and foot.

    The doctor put me on a depo medrol pack (prednisone) for 1 week, however that did not reduce any of the pain. The doctor also gave me lyrica when I presented the leg numbness/pain to him (which doesn’t seem to help either). I did get an ESI (which I believe was cortisone) and after 1 week of having that, it isn’t helping. I called the doctor to tell them that the ESI wasn’t helping, and they gave me another dep medrol pack (prednisone) even though I explained to them that it didn’t help the first time. I had to call the doctors office daily to see what they recomend I do, because ice, heat, a TENS unit, etc… weren’t working. Not even the pain pills he was prescribing. I am a little fed up with this doctor and his clinical staff (saying to me that I am “too young” to receive the “heavy duty” medications and accusing me of making up the pain), and am looking to replace him with someone who has a speciality in the spine (I am assuming a neurosurgeon would be my best bet?)

    One part of the MRI report that I do re-call is that L5-S1 presents a “mild” bulge. (I believe they used more technical terms than I just did, however, when I get home and find the MRI report, I will be glad to post it here).

    I hope I am taking the correct course of action. This has honeslty limited my ability to live life to the fullest. I have taken many many days of sick leave from work, and the most saddening part of this whole thing, is that I have a 5 month old, and I can’t hold him for too long because my pain will increase.

    I am just looking for whatever relief is possible, however, it seems that everything I read about people having back pain, they run into problems with one doctor or another.

    Thank you for your help in reveiwing my post, and I hope to hear from you soon.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8408

    To summarize your complaints, you are a 22 year old female with severe lower back pain and right buttocks pain that started radiating to your foot with paresthesias (pins and needles) over the last couple weeks. This back pain has been present for five months and is increasing in intensity. There was no trauma or single event that caused your pain. You are now starting to have neck pain and headaches.

    You have already tried oral steroids, an epidural injection, what sounds to be physical therapy and have had an MRI of the lumbar spine which notes a “mild bulge”.

    Some questions. Is the leg pain present with walking and standing or with sitting or does it make a difference? Is the back pain worse with sitting vs. standing vs. lifting or?? Did the epidural give you relief for three hours immediately after the injection or do you not remember?
    Have you had a workup for other problems that can cause these symptoms such as lyme disease or a rheumatological disorder?

    As you can see, more information is needed.

    Dr. Corenman

    PLEASE 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.
    jmadzula1
    Member
    Post count: 3

    Hello.

    All the info is correct. Except that I am a male.

    I had a blood test done for lymes and rheumetoid with negative results for both. After thr esi I experienced short relief followed by “a heavy asleep feeling in both of my legs for one or two days after the injection. The leg pain and numbness is present while walking sittong and laying. There seems to be no difference in the pain when sitting or standing.

    Thank you doctor

    Donald Corenman, MD, DC
    Moderator
    Post count: 8408

    Sorry about the gender misconception.

    The short relief after the epidural is a good sign as an epidural contains an anesthetic like novacaine that temporarily shuts off pain nerves. A 2-3 hour window of pain relief could mean that your L5-S1 disc is causing most of the pain.

    Have you had a good and thorough rehabilitation program? An intense program with pilates and core strengthening would be important to reduce the stress on the spine. Chiropractic treatment can also give relief and a trial should be considered. Finally, if nothing works and you have continued pain, a consult with a spine surgeon should be considered. Sometimes, there may be a diagnosis that has not yet been revealed.

    Dr. Corenman

    PLEASE 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.
    jmadzula1
    Member
    Post count: 3

    Dr,

    I have not seen setup a rehabilitation program for this yet, because I have not received a 100% definite diagnosis. 3 different clinical staff told me 3 different diagnosis’ and the doctor never looked at the actual films, just the report from the radiologist.

    I have setup an appt to see a neurosurgeon on Wednesday, and this will hopefully be the last time I have to find a doctor to properly diagnose me. I have heard horror stories about chriopractors and physical therapy.

    Thanks for your help thus far!

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