Wednesday, August 5, 2009

Please help?

i hurt my back 3 weeks ago they said it was a slipped dic so my physio put it back in .now my back has gone again but it feels different i have pain on the side and pain down my bottom and legs could i have trapped a nerve?
Answer:
Hi Julia,
I'm a bit concerned that your physio is using the terminology 'Slipped disc' and I hope they didn't tell you that they 'put it back in'.
I'd love to learn that technique as I'm of the opinion it's a physical impossibility!Its entirely possible that your leg and buttock pain is caused by irritation in the sacro-illiac joints in the pelvis. Commonly this causes pain in the base of the low back and pelvis radiating into the buttocks and round into the groin and possibly into the front of the thigh above the knee.
The pain sometimes radiates down the back of the thigh above the knee. Less commonly this affects both sides at the same time.Nerve entrapment can occur when: 1) Dics bulges / herniated discs or 'Slipped discs' as they used to be called occurs when the shock absorbing cushion / structure between 2 back bones becomes damaged. the outer layerers are strong fibres and the centre is fluid filled. If the outer fibres tear slightly (or more completely) the fluid bulges from the centre. This 'bulge' can press on a nerve root as it exits the Lumbar spine so often symptoms of radiating pain occur.
The most common disc bulge is in L5 hitting the L5 or S1 nerve root which form part of the sciatic nerve. Commonly the symptoms include radiating pain from the low back into the buttock and down the back or side of the leg and can go all the way into the foot.
Pins %26 Needles, numbness and altered sensation are also common symptoms.Disc bulges are not common in people under 40.2) Facet irritation can also cause pain in the legs or illio-lumbar ligament sprain can also cause it. more commonly the pain is confined to the site of injury. The facets (joints between the back bones) become irritated and the spinal muscles spasm to protect it. the joint stiffens and the surrounding tissues can become swollen and irritated. This less commonly can press on the nerve root causing sciatica symptoms. Inflamation of the illio-lumbar ligament can have a similar effect although, again, the pain is usually in the low back only.3) Piriformis Syndrome occurs.
This is a muscle in the buttock which the sciatic nerve either sits behind or runs through. If this muscle becomes too tight it can squeeze the sciatic nerve and give symptoms of leg pain.
There are less common causes of low back and leg pain if there was some kind of mechanical injury you are likely to be suffering from one of the above conditions.A suitably trained manual therapist will be able to do provocative tests to isolate exactly which tissues are causing your symptoms and treat you accordingly.
Personally I'd recommend the osteopathic model.
go to the doctor
Sciatica %26 Leg PainSciatica affects about five percent of adults in the U.S. and is one of the most common causes of chronic disability.The sciatic nerves are the largest nerves of the body (about the size of your thumb in diameter) and run down the back of each leg. Sciatica is a severe pain in the leg caused by compression, irritation, or inflammation of the sciatic nerve. Often the pain will come and go. It can sometimes be a dull ache or numbness in the upper leg or it may be an intense “shooting pain” down the leg into the foot and toes.CausesSciatica can be caused by prolonged sitting, working out or running, or just basic movements such as walking, bending, or lifting. Any twisting motion can cause sciatica to flare up. Back pain may occur prior to sciatica itself. One of the most common causes of sciatic leg pain is a vertebral subluxation. It can be accompanied by the bulging or herniation of the soft, pulpy discs that separate each spinal bone. This can irritate or put pressure on the sciatic nerve roots as they leave the spinal cord, which can result in intense pain shooting down either or both legs. TreatmentSciatica, like other health problems that can be traced to the spine, often responds dramatically to the restoration of normal spinal function through chiropractic care.
sounds like Sciacthia ,back to the physio with you
go to the doctor in the morning ...
or if it realy bad go to the hosp..
take care ..x
Tell your guy he's doing you over too hard... it's obviously causing you alot of pain!,, Seriously you should try doing some stretches,,, slowly lift your shoulders up, then bring your arms out all the way round and stretch up as high as you can, do this 2 or 3 a times every 5 mins... i had the same problem once.
sounds like the sciatic nerve. you need to see your GP. he will offer pain killers, anti inflammatory and physio.
Sounds like the sciatic nerve. Go see your PCP for muscle relaxer and get a good massage/or Chiropractor who can temporarily help your pain. Take it easy on you back :)
I had the same thing happen to me a sciatic nerve and the doc put a shot of cortisone in my spine and ha vent had trouble since .. this was '94.
You have a trapped or pinched sciatic nerve. In the good old days they would have given traction for this ailment which involved stretching your spine to try to allow the nerve to free itself but I am not sure what they do now. It is a very painful complaint and I do feel for you. Unfortunately once you have injured your back it is then vulnerable to future problems. Anti inflammatory medication may ease the pain but go to see your doctor or physio or osteopath as soon as you can. Good Luck.
Most likely the sciatic nerve is trapped.Try to keep off your feet for a few days, apply heat with a hot water bottle or an electric heat pad or microwave pad.Anti-inflammatories such as ibuprofen or voltarol may help but their side effects include stomach cramps. Normulen is a coated anti-inflammatory that may be less harsh on your stomach but just as effective.It is painful but you learn to deal with it by not bending over as much as before. I've had back pain for 10 years now and still I get a sharp pain when the sciatic nerve becomes trapped after I have been working hard in the garden or doing a lot of lifting.

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