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  • Mcnab
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    Post count: 7

    Hello,

    After al these years i still have the same problems. I recently had another mri and i have degenerarive disc and annular tear at l5-s1 and also a major hernia at l4-l5.

    My neurosurgeon told me that in 30% of people the s2 nerve runs through S1 so to answer your question my neurosurgeon says it is possible.

    I also would like to know your opinion dr. corenman.

    I also have very stiff muscles in my lower back and around the back and left front of my ribs wich radiates to the si joint region and my front hip, testicles and causes penile pain when i stretch that region. Can this be related to thoracolumbar junction syndrome wich makes the quadratus lumborum and psoas verry stiff and causes my left pelvis to lock up and cause pudendal nerve symptoms? Or can this be related to my l4 l5 hernia?

    Mcnab
    Participant
    Post count: 7

    Thanks for your explanation dr.
    Maybe i expressed myself incorrect.
    When standing still or sitting down my symptoms get worse, when i stay mobile my symptoms get better. When walking, first i start to get worser pain, but when walking long distances, like let say 10miles, my pains do get better.

    It feels like the pain starts in the l5 s1 region but lets say about half an inch left to the spine. When twisting my torso left and right i get the shooting rectal nerve pain. At first i only had that pain, it is only later the burning feet came round.
    3 days before this pains started i hurt my back by bending backwards trying to get a heavy object of me.

    I will get some tests done for neuropathy and see wat comes out of that.

    Thank you for your time dr.

    Mcnab
    Participant
    Post count: 7

    Thanks again for sharing your expertise with me.
    I totally follow you with the neuropathy explanation. The only thing that bothers me is that after a night of rest i feel 70% better. It is only when i stand up that my symptoms begin again.
    Also when i go swimming i have almost no pain in the mentioned areas. From the moment i get out of the swimming pool and gravity increases i start having more pain again.
    Also when resting and lying down my symptoms get better and i have almost no pain during nightime as you would expect with a neuropathy. It seems like something is wrong at L5 S1 or in that area.

    When talking long walks my symptoms get beter and my pelvic floor starts to itch and i feel the nerve next to my tailbone ‘loosening’.
    Can an si joint cause these problems because i have lots of tenderness over the l5 s1 and the si joint.
    Can the psoas be causing si joint problems or is it the other way around?

    Mcnab
    Participant
    Post count: 7

    Ps: a psoas stretch also causes numbness on the left side of the quadriceps to the knee and pressing the quadratus lumborum causes me front hip pain. Als backward lifting the leg when lying suspine on the floor on my belly causes tingling in the front hip region.

    Mcnab
    Participant
    Post count: 7

    Thank you for your reply dr. Corenman.
    Like mentioned in my first post, i did have a discogram done at l5 s1. When they tried to put pressure in the disc, the fluid was leaking out and i started having lots of groin and bladder burning instantly, so that did flare up my symptoms during the procedure.
    When they did finally succeeded to put pressure on the disc i had a feeling that my back would explode.
    Is it possible that the toxins of the fluid coming out of the annular tear is causing inflamation and thereby causing this burning bladder – groin – pelvic floor pain?
    Is it possible that the tight psoas and iliacus and quadratus lumborum is causing the pelvic nerve pain.
    When i lie on the floor on the left side of my hip, the pain also intensifies in the pelvic and pelvic floor region. Can my pain be caused by hip instability and can this hip instability be caused or be a result of the problems at l5 s1
    Thanks for your answers.

    I must say that before i started having this symptoms i was treated for a chronic inflamation of the patella tendon in the left knee and it happens that all my pain is dominated left side.

    Mcnab
    Participant
    Post count: 7

    In addition to my previous post I would like to add that when my feet and legs start burning so does my pelvic floor-perineum and my bladder start burning. It feels like its all connected. Also when u urinate i can sometimes feel it tingling in my lower back at l5 s1 and when i press the l5 s1 area firmly i feel tingling in my pelvic floor.
    I also had an emg done on the genitofemoral nerve and that gave bad signals so that one seems to be involved to. An mri to track the genitofemoral nerve to see if it is impinged somewhere gave no results. I think the psoas is causing those symptoms.
    I learned that the posterior femorale nerve can also be trapped at l5 s1 and that it can cause perineum pain, but can that same nerve also cause groin and testicle pain?

Viewing 6 posts - 1 through 6 (of 6 total)