Posts Tagged ‘s1’

Whats your Exp with Epidural steroid injections?

Monday, September 12th, 2011

I got hit by a semi-truck back in December.Thanks to driving a Chevy avalanche; I walked away no broken bones, however I have horrible sciatica when ever im sit on anything soft.(which is almost everything) My Pain management doctor wants to do ESI and maybe even some micro surgery to relive pressure, remove debris.

Although I have tattoos all over my body, i have never enjoyed the thought of a needle entering my arachnoid space. Any one out their have any exp. with ESI….?

These are gonna be Low epidural steroid injections…like L5/S1. for constant sciatica..

I am also 26 years old, and I have already tried chiropractic care,massage therapy, physical therapy, and acupuncture…and still no relief…
I have also tried pain medication and being on pain medication is also not an option, since I am a medical professional and cannot be high (well it wouldnt be ethical) while at work.

More options for lessening pain with spondylolsisthesis 25% slip and bulged disc between L5 and S1?

Monday, March 7th, 2011

I have a Grade II Spondylolisthesis forward slip of my L5 over my S1. I’ve had symptoms since October 9th, 2009 although the doctors I have seen believe it is an older slip than that. My back started hurting during morning workouts for basketball. (I play at a Division II school and we are active all year round.) The pain was very intense for the entire weekend. After a few visits to the training room, they got it feeling a little better, but it was still a 5 on a 1-10 pain scale. Season started a few days later and I played the entire season as a back up center. I was a freshman. I’ve been doing physical therapy ever since it began hurting and ice at least once a day if not more. Heat does not affect my pain level, neither does muscle stimulation and I have tried both several times. I have visited the chiropractor frequently since it started hurting but it didn’t change my pain levels. For the last year and a half, my pain has never been below a three, most of the time it is around a five. I found out my diagnosis of spondylolisthesis in May of 2010. I visited several specialists and did no physical activity other than physical therapy as prescribed by an orthopedic surgeon for three months.
My pain level did not change so they decided to let me deal with it as I wanted and I chose to resume conditioning and practicing for basketball. I am redshirting this year (just practicing, and not playing in games) and my pain level is about a constant four. I have had two Cortisone epidural injections, one at S1, the second at L5. The first one hurt for the first four weeks and then felt better for ten days, after which my pain went back to a four. Before the first injection, the orthopedic surgeon I saw prescribed me Traumadol to attempt to relieve my pain, it did not help. Two months after the first injection, I received a second one, which increased my pain to a 6 for a week, and then went back to a four. During that week they prescribed me a generic brand of Vicodin, which did not help. I don’t know what other options I have left until surgery. I can deal with my pain, but I don’t want to live the rest of my life in pain. I am 6’2" and 170 lbs, not overweight, just muscular, I am an athlete. Losing weight isn’t going to change my pain level, please don’t suggest it. I do not have any radicular pain stemming from my back, the doctors I have seen do not believe I have any nerve damage. Although a CT Scan in November showed I have a bulged disc. I have had numerous X-rays showing the slippage. What options do I have left to decrease my pain?
I have tried
1) Over the counter medication daily
2) Prescription drugs
3) Muscle stimulation
4) Ultrasound
5) Heat
6) Ice
7) Rest
8) Rest with physical therapy
9) Chiropractic manipulation
10) Physical therapy with regular activity
11) Water workouts
12) Cortisone epidural injections
13) Corset brace
14) Back binder (Velcro straps that wrap around from back, attached to spandex shorts)

Nothing I have tried has given me relief from pain. What are my other options? I want to avoid surgery and will not consider it until I am done with basketball. I will probably avoid it even then. I want to continue playing basketball, but if there is an option that will decrease my pain but necessitates rest and let me return to basketball in the future (before October 15th, 2011) I would love to hear it. Thanks for reading all of this and for all of your help!

Slipped/herniated lower lumbar discs. Options?

Thursday, February 24th, 2011

Hey all…I am needing some information in regards to my condition.

I initially injured my back in 1997 (was 23) and slipped 2 discs.

Since that time the discs have continued to degenerate, and I have sought out chiropractic help for decompression and also steroid shots in my back (which do help but they started helping less as time went on).

I cannot have the typical surgery involving fusion, because I am EXTREMELY allergic to all the metals they have options for using for the implants. The only metal I can wear is sterling silver (.925), and when they put 3 different screws on my arm (taped them to me), they all were broken out within 24 hours.

The disc below the injury, the S1, I think, naturally fused and compromised my back, so when I apparently landed wrong in the swimming pool, and felt part of my back go left and the other right, the pain management doctor said that’s why I had such an injury.

It was weird, I didn’t hit bottom or the sides of the pool, it was right as I broke the water. WEIRD. I just simply jumped in the pool.

So, what are some possible, non-surgical at best, options that I may have?

I abuse an extremely high pain tolerance because I refuse to take pain medications that might have an addictive affect, so I’m seriously in a catch 22 here.

Thanks for any advice you can offer!

BTW: I have constant problems with sciatic nerve pain, and today, I had to visit my chiropractor after months of not, because I have new pain, a little higher than normal, and going down the left side of my "butt cheek" toward the center of my butt. This is not the normal, down the leg, weak leg on the right side like I’ve had for 14 years, so I’m scared I’m getting worse.

HELP PLEASE!

herniated discs! c1 c2 c3 c4 c5 c6 c7 T1 L5 S1…my doc refused to increase meds! what the hell!?

Tuesday, January 4th, 2011

hello, 18mos ago i was told i had 2 herniated discs, L5 S1, i have a high tolerance for pain from being in the marines, wrestling, being a cop for 14yrs until i went out on a med disability etc. i can take some pain and i dont go to my pain mgt. doctor buggin for pain meds etc. for the whole 18months i knew there was something more going on! i advised the doc like hey man, uh i have shooting pain down my arms, legs, and ungodly amounts of stiffness in my joints, back, neck etc. then i asked for stronger pain meds, something more than 15mgs of percocet 6x daily etc. he blew me off, in fact he didnt even ask what how i was feeling! oh but dont miss your copay man, THEN YOU VE GOT THEIR ATTENTION! well, the mri results i asked for finally came back, after them losing them etc, yea, just like i thought, all of the discs in my are herniated, the thoracic T1, L5, S1 and all C! through %7 are spurred/herniated and then this pain doctor still would not increase the pain meds! he apologized too me and said i know your are a legitimate patient and your symptoms are valid based on the mri, then he walked out saying too me that i should work hard for the next 10yrs as i may be in a wheelchair etc. he mentioned a laminectomy back procedure and said i’ d be in bed for 6 mos, i dont believe it! this guy just makes wisecracks about my conidition and bitches that he has too many patients on oxycontin etc. im thinking yea jackass becasue half of those idiots are abusing them and dont need them, now that im legit, i get screwed and sterotyped as a seeker i guess cuz he keeps lying to me about meds etc. i refused methadone, i refused oxycontin but now my back has decompensated to the point with arthritis, multiple discs hernations that im scared for my health. i think now that oxycontin ie. a long acting opoid may be necessary. my current doc. is 83yrs and doesnt gitve shit, so im leaving to another doc! anyone have any opinions on meds, procedures, how to proceed on this? is chiropractic bad at this point? everybody wants to beat up on my insurance card man, its crazy. now hes talking surgery, but when i ask for some meds stronger than 15mgs he blows me off! ive refused methadone, fentanyl patches, oxycontin, and now i need to do somthing, it hurts tremendously. my doc is 83yrs old and walks around bitching that he works 7 days a week, and the whole office is loaded with hillbilly patients that all look like junkies. im thinking that this is the element that they like as im clean clut, aggressive, i want answers, not necessarily just meds, i want options, i dont think they like this. but hell men i talk to the patients around me and they go in and get meed that help them, they say the doctor gives it too them, my conditions is worse that those i have talk too etc. i dont get it! advise!

Which doctor is best for back injuries?

Monday, December 13th, 2010

I have a back injury related to an elevator accident. I have a herniated disc in L5 S1. It’s worker’s comp related & they did NOT approve epidural injections that my pain management doc suggested nor did they approve physical therapy.

I decided to get a lawyer involved and have the shots anyways despite pros/cons & since workers comp takes too long to approve anything. Its now been a year and nothings done. They gave me a choice of doctors (by the time they approve stuff, I will already have had the shots).

Which speciality is best (I chose relevant ones on their list) ? Keep in mind that I will already have had shots and that they "randomly" select THREE docs in that specialty so I cant go to my "own."

(1) Orthopaedic Surgery
(2) Pain Management – Anesthesiology
(3) Pain Management – Pain Medicine
(4) Physical Medicine & Rehab
(5) Acupuncture
(6) Chiropractic – Orthopaedic
(7) Chiropractic – Sports Medicine
(8) Chiropractic – Rehab

Which doctor is best for back injuries?

Wednesday, December 1st, 2010

I have a back injury related to an elevator accident. I have a herniated disc in L5 S1. It’s worker’s comp related & they did NOT approve epidural injections that my pain management doc suggested nor did they approve physical therapy.

I decided to get a lawyer involved and have the shots anyways despite pros/cons & since workers comp takes too long to approve anything. Its now been a year and nothings done. They gave me a choice of doctors (by the time they approve stuff, I will already have had the shots).

Which speciality is best (I chose relevant ones on their list) ? Keep in mind that I will already have had shots and that they "randomly" select THREE docs in that specialty so I cant go to my "own."

(1) Orthopaedic Surgery
(2) Pain Management – Anesthesiology
(3) Pain Management – Pain Medicine
(4) Physical Medicine & Rehab
(5) Acupuncture
(6) Chiropractic – Orthopaedic
(7) Chiropractic – Sports Medicine
(8) Chiropractic – Rehab