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Little Nilan 11-18-2007 02:40 PM

My latest back/leg injury
 
So I have a sciatic nerve injury(leg pain, comes from back injury) and I'm wondering if anyone here's ever had one. It pretty much prevents me from playing hockey. Bégin had the exact same thing last year, he sprained his back training and he developped exactly the same injury.

The worst part of the injury I would say is when I wake up, it's the time of day where the pain can be unbearable. Anyone who went through this have any tips how to make the morning pain more bearable? I was thinking putting heat on it. I'm doing physio tommorow though, so I might get answers and If I do, I'll post them here.

nni 11-18-2007 03:38 PM

i herniated a dsc in my back which caused sciatic pain. it took time an traction.

MikeD 11-18-2007 06:22 PM

shooting or constant pain down the leg and into the calf, numbness in the lower leg, shooting pain from the lower back that wraps around and into the groin area? Kind of feels like getting kicked right in the crotch...been there.

got pinned to a machine by a forktruck backing thru a doorway. Ended up with herniated L3,4 and 5 as well as at the S1. I was very fortunate that the injury was "minor" in comparison to what could have happened.

If you have not had x-ray, at the very least, to determine any impingement, therapies would be ill advised. IF there is swelling in the lower lumbar region that flattens the lumbar curve, impingement at the s1 level can be increased. Some physios will attempt to turn the shoulders while keeping the hips neutral. IF your not physically ready for this, your condition could be much worsened.

After seeing an orthopedic who specialized in spinal injury, rest and anti-inflammatory were the prescription for the first 4 months. Mind you I went from paralyzed from the waist down for 10 days to a full recovery a bit less than a year and a half later.

Once I was able to, chiropractic and pilates:balanced body(recommended by the spinal specialist: Timothy Cowan:ECMC spinal care unit) I have been pain free since.
The chiropractic was to keep alignment while the pilates built my core strength to be able to hold it all together. After about 20 hours of the pilates, chiropractic was ended. This is not the mat work pilates you come across at the Y or other gyms. You would have to locate a pilates center near you, if there is one.

It is very normal to have pain that decreases as you get moving in the morning. I take it that the pain decreases as you become active and loosen up? IF idle for a time such as at lunch, do you stiffen back up and have the reaccurance of pain? I was in that boat about 6 months into my recovery. That is about when chiropractices and Pilates began. Walking was also a great part of the recovery process. Avoid impact type activities such as jogging until cleared.

IF there is swelling of the lower lumbar region, ice 15 minutes on, 15 minutes off. If not you can add moist heat as much as you like. A damp towel microwaved and then wrapped in a dry towel is a great way to do this cheaply. With swelling present, increased blood flow from heat can increase pressure on and pain from the sciatic. The iceyhot patches will also help. Talk to your doctor about KETOPROPHEN, an outstanding anti-inflammatory, pain killer that used to be sold OTC under the name ORUDIS KT. IT worked better for me than any of the pain killers or relaxants prescribed.

my morning routine would be a hot soak and gentle stretching along with the ketoprophen just before bed.

Little Nilan 11-18-2007 08:00 PM

Quote:

Originally Posted by MikeD (Post 11262694)
shooting or constant pain down the leg and into the calf, numbness in the lower leg, shooting pain from the lower back that wraps around and into the groin area? Kind of feels like getting kicked right in the crotch...been there.

got pinned to a machine by a forktruck backing thru a doorway. Ended up with herniated L3,4 and 5 as well as at the S1. I was very fortunate that the injury was "minor" in comparison to what could have happened.

If you have not had x-ray, at the very least, to determine any impingement, therapies would be ill advised. IF there is swelling in the lower lumbar region that flattens the lumbar curve, impingement at the s1 level can be increased. Some physios will attempt to turn the shoulders while keeping the hips neutral. IF your not physically ready for this, your condition could be much worsened.

After seeing an orthopedic who specialized in spinal injury, rest and anti-inflammatory were the prescription for the first 4 months. Mind you I went from paralyzed from the waist down for 10 days to a full recovery a bit less than a year and a half later.

Once I was able to, chiropractic and pilates:balanced body(recommended by the spinal specialist: Timothy Cowan:ECMC spinal care unit) I have been pain free since.
The chiropractic was to keep alignment while the pilates built my core strength to be able to hold it all together. After about 20 hours of the pilates, chiropractic was ended. This is not the mat work pilates you come across at the Y or other gyms. You would have to locate a pilates center near you, if there is one.

It is very normal to have pain that decreases as you get moving in the morning. I take it that the pain decreases as you become active and loosen up? IF idle for a time such as at lunch, do you stiffen back up and have the reaccurance of pain? I was in that boat about 6 months into my recovery. That is about when chiropractices and Pilates began. Walking was also a great part of the recovery process. Avoid impact type activities such as jogging until cleared.

IF there is swelling of the lower lumbar region, ice 15 minutes on, 15 minutes off. If not you can add moist heat as much as you like. A damp towel microwaved and then wrapped in a dry towel is a great way to do this cheaply. With swelling present, increased blood flow from heat can increase pressure on and pain from the sciatic. The iceyhot patches will also help. Talk to your doctor about KETOPROPHEN, an outstanding anti-inflammatory, pain killer that used to be sold OTC under the name ORUDIS KT. IT worked better for me than any of the pain killers or relaxants prescribed.

my morning routine would be a hot soak and gentle stretching along with the ketoprophen just before bed.

Thanks for the detailed reply. I went to 2 different doctors who didn't mention anything about herniated discs. I sprained my back this summer so the swelling has been gone for a couple of months now. The pain just started for no apparent reason a few days ago.

The anti-inflammatory I use is Naproxen. As for moving the shoulders while keeping the hips neutral, my doctor asked me to do this twice a day. I'm getting a bit confused though if this isn't a herniated disc, both doctors didn't ask me to get x-rays. I'll ask tommorow.

Also, the pain does reccur when I stand idle for too long. I have to move regularly and stay active or else I'm in a world of hurt.

MikeD 11-19-2007 10:12 PM

How are you doing the stretch? Like sitting in a chair and turning the shoulders to kind of crack the back? if so, I have been told by my specialists and chiropractor to NOT do that. Same thing in regards to turning to retrieve an item from the back seat of the car.

You may have a herniation. many many people do and its not a problem. Do you recall lifting or turning and getting a quick short sharp pain that went away quickly? You may have just kind of tweaked the sciatic. It can take a while for it to mellow out.

I would urge you to seek a chiropractor. IF one will work on you with out x-rays in hand or ordering them, do not use them. What they did with me was a move refered to as "side posture tharapy". you can try a mellower version of it at home by youself.It should be PAIN FREE. IF your chiro causes you pain, find a new one....

I hope the description I give is good enough....

lay on a long couch facing the backrest or into the couch. bend the bottom leg at the knee until your ankle is at your upper legs knee or slightly above. basically a fig. 4 keeping the upper leg straight. take your lower arm and bend up across your chest, gently tucking your hand under the upper arm at the arm pit. Try to keep that arm relaxed.

lower meaning the side your laying on.......

now the tricky part.....

with the upper arm, slip your hand down between the seat and back rest of the couch. feeling inside to the framing you should be able to find a place to get a decent grip with the hand. Like looking for a lost item inside the couch, if that helps.....

now gently allow your body weight to slide off the front of the couch so that the pressure is applied to your bent knee as your chest rotates to face down on the couch.

try to relax everything except your hand gripped on the couch frame. Let your weight do the work. SLOWLY....you dont want a sharp fast motion. Do not allow yourself to flop into a chair or seat. This type of impact can also increase the pain. You might find the stretch best done after coming home from work. IF you have a long commute or sit at a desk, take a short 15 minute walk and then try the stretch. This is not a morning stretch.

also check out http://back.com/ for more stretches and daily excercises.

shorre 11-22-2007 07:22 AM

i have suffered from sciatic for many years .besides kidney stones its the worse pain ive had.i wont get into all symptoms or what causes it , but for me after years of tryin everything from pilates to heat and cold i finally have found relief.

it has always came and went for me and i got it bad about 8 mths ago so i was off to chiro again.so when i was able to move again i tried these balls out they r called the miracle balls.i use them everyday with daily stretching, iceing when theres some discomfort and usin these balls i havent felt this good since i was in my teens.

they are inexpensive but worth a try.

triggrman 11-22-2007 11:38 AM

I have 2 ruptured disc and now use an inversion table, no pain whatsoever

Little Nilan 11-24-2007 02:53 PM

Quote:

Originally Posted by shorre (Post 11309245)
i have suffered from sciatic for many years .besides kidney stones its the worse pain ive had.

Same here, I've suffered from many injuries, but this one takes the cake. I've even went under the knife with no anastetic(very small procedure) and that was nothing compared to this.


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