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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Should I go to A&E?

242 replies

Aandespine · 04/10/2024 18:07

I'm 5mo pregnant. Woke up yesterday morning with excruciating back pain. I cannot walk unaided (thankfully have a pair of crutches at home I've been using to shuffle to the bathroom and back), cannot sit, even on the toilet seat I'm having to lean to one side, cannot bend over. I'm struggling to lift myself up from the toilet seat, cannot turn over in bed. I'm climbing the stairs on all fours then I take a while at the top (in a lot of pain) to stand up straight again. My lower back is numb and I'm getting tingling pain under my belly, and shooting pains down one leg. One leg feels heavy and weak.

Have been to see the GP. They can't tell me what the issue is, no advice re recovery time or prognosis. They've just prescribed dihydrocodiene. No other advice besides to go to A&E if I experience incontinence or numbness down below. I pleaded with them for an MRI which they say they'll try to request without any guarantees/it will be at the discretion of the radiographer who will decide if there's an indication for it.

Now I've had sciatica in the past and the pain was in no way near this. I'm in tears numerous times a day and the pain is literally exhausting me. I dred going to the toilet. I'm bed bound. I have a family member taking care of my 2 young children.

I haven't yet been to A&E because I cannot sit and wait there for hours to be told the same thing (pain meds and no further diagnostics).

Please tell me what to do

OP posts:
Caele · 04/10/2024 19:38

Don't take my word for it, but I had read that ibuprofen is only a problem during the first and third trimesters. Which might be why you were told to take it.

Emptyandsad · 04/10/2024 19:38

I'm not a doctor or a physio, but I have had a bulging disc which gave me similar pain and immobility. What helped me was a TENS machine and hot baths (not at the same time, obvs) and kneeling on the floor curled up into a foetal position. Various drugs prescribed didn't even touch the pain.

Good luck, OP

Foxxo · 04/10/2024 19:37

SewingBees · 04/10/2024 19:34

That's not true. I've had two MRIs for back pain via A and E

depends on the area, they won't where i am unless its an absolute emergency, i had to wait 18mo and go through the MSK team for mine.

Jaffaisitacakeorbiscuit · 04/10/2024 19:37

This info may be helpful in deciding whether to go to A&E or not.

www.plymouthhospitals.nhs.uk/display-pil/pil-back-pain-6069/

SewingBees · 04/10/2024 19:34

Differentstarts · 04/10/2024 19:12

You won't get an mri through a&e they only offer xray and ct which would be unlikely to be given due to the risks when pregnant. I know it must be so painful but unless you lose bladder control/incontinence they won't be concerned and will only give pain relief which your gp has already done.

Edited

That's not true. I've had two MRIs for back pain via A and E

nootcoffee · 04/10/2024 19:32

does the osteo specialise in pregnancy?

Have you been to this one before?

Foxxo · 04/10/2024 19:32

WillowTit · 04/10/2024 19:27

i think pain relief is more important than a diagnosis and an mri

the problem is with sciatica that the type of pain relief required for nerve pain is limited, and has some nasty side effects.

Most pain relief won't work and if anti-inflammatories WILL help, they're often not recommended in pregnancy.

I take gabapentin and naproxen to keep mine ay bay, and some days it still doesn't touch it.. hence me using crutches/wheelchair at 43.

WillowTit · 04/10/2024 19:27

i think pain relief is more important than a diagnosis and an mri

SedentaryCat · 04/10/2024 19:26

Go to A&E OP.

I had a slipped disc earlier this year, very similar symptoms to you (although I wasn't pregnant). I contacted 111 who arranged for me to have an appointment in A&E (might be something to consider).

I did have a bit of a wait but ultimately ended up with an MRI to rule out cauda equina (I had a weakness in one of my legs and couldn't stand on it). That's how they diagnosed the slipped disc - gave me codeine (60mg 4x day for the first 3 days, then dropped to 30mg 4 x day) and I eventually left 14 hours after I'd arrived.

The pain is the worst I have ever had - worse than either toothache, neuralgia, childbirth, or migraine.

Alifemoreordinary123 · 04/10/2024 19:25

I get all the people saying go to ED, and yes you should go as advised, but I would absolutely be prepared for them not to do anything. Even if they can identify what’s wrong, it’s unlikely they’ll do anything other than physio whilst you’re pregnant. If the osteopath will see you, then hopefully that helps. I had something similar when pregnant and it was solved by swimming. Wasn’t the same or as constant as what you describe but excruciating pain in certain positions. Something had popped out of place and was put back by the leg motion of breaststroke.

Foxxo · 04/10/2024 19:25

not pregnant but i do have a messed up lower back and sciatica. (my l5/s1 is gone)

small tip that might help, do not sit straight up from your bed, you will put more pressure on the disks and sciatic nerve.

lay on your side on the edge of the bed, let your legs drop off the bed and at the same time use that momentum and the help of your arm to lever yourself up sideways.

If its issues weight bearing on one leg, its quite likely its your SI joint on that side, they can get 'stuck' and there isn't much you can do other than wait for it to unstick..

I recently had to start using crutches rather than a walking stick to try and level out my gait as i walk with a limp because of referred pain and joint issues and my SI joints joined the party...

I do know exercises for helping release the SI, but i'm not sure they're safe in pregnancy so won't pass them on.. and the downside if you CAN do them, is they irritate the sciatic nerve... that was a fun week for pain, not. But on the upside, my SI joint 'unstuck' after 4/5 days.

Good luck, i hope it resolves for you.

Aandespine · 04/10/2024 19:23

Differentstarts · 04/10/2024 19:12

You won't get an mri through a&e they only offer xray and ct which would be unlikely to be given due to the risks when pregnant. I know it must be so painful but unless you lose bladder control/incontinence they won't be concerned and will only give pain relief which your gp has already done.

Edited

For people asking me why I'm not rushing to A&E, here is the reason ^

My husband is back from work around 11pm. I will see if we can get to A&E then.

Re medical advice, it was 1 young midwife on the phone who was advising on soemthing she freely admitted was outside the remit of what she can advise on/manage. The GP (who was a trainee and had another doctor check everything so 2 GPs) could have referred me to A&E or further tests and they didn't.

OP posts:
Greybeardy · 04/10/2024 19:22

Differentstarts · 04/10/2024 19:19

Yes if they admit her they can but they won't do an mri for anyone just waiting in a&e

….unless they have features suggestive of cauda equina syndrome and then they just might…before deciding to admit/transfer. HTH.

Differentstarts · 04/10/2024 19:19

bergamotorange · 04/10/2024 19:17

This is not correct, if they are concerned they may admit and then an MRI could be done.

Yes if they admit her they can but they won't do an mri for anyone just waiting in a&e

maverickfox · 04/10/2024 19:17

LIZS · 04/10/2024 18:21

GP do not normally commission mris, it is normally by referral.

My GP told me they are not allowed to refer for MRIs, has to be done through the consultant/clinic you are referred to.

bergamotorange · 04/10/2024 19:17

Differentstarts · 04/10/2024 19:12

You won't get an mri through a&e they only offer xray and ct which would be unlikely to be given due to the risks when pregnant. I know it must be so painful but unless you lose bladder control/incontinence they won't be concerned and will only give pain relief which your gp has already done.

Edited

This is not correct, if they are concerned they may admit and then an MRI could be done.

Mirabai · 04/10/2024 19:16

I think you’re doing this the wrong way round OP. Go to A&E first. If you get the all clear from them or better feedback as to the cause, you can go to an osteopath afterwards for some practical relief if necessary/appropriate.

nootcoffee · 04/10/2024 19:16

This is utterly bizarre

You have been explicitly advised by medics to go to A&E

But you’re booking in with Osteos (presumably you’ll have to get to him too?) and mumsnetting

when i was pregnant, i followed whatever my midwife / doc suggested!

bergamotorange · 04/10/2024 19:15

Aandespine · 04/10/2024 18:17

I called them after I got back from the GP and they told me to go to A&E

They told you to go to A&E.

Go to A&E.

LadyInDecline · 04/10/2024 19:13

Why are you messing about making osteopath appointments and posting on here when your midwife has told you to go to A&E?

GO TO A&E

bryceQ · 04/10/2024 19:12

if professionals are telling you to go to A&E, I think you have to go now before it gets too mad on a Friday night

Differentstarts · 04/10/2024 19:12

You won't get an mri through a&e they only offer xray and ct which would be unlikely to be given due to the risks when pregnant. I know it must be so painful but unless you lose bladder control/incontinence they won't be concerned and will only give pain relief which your gp has already done.

Aligirlbear · 04/10/2024 19:09

Aandespine · 04/10/2024 19:02

I tried them already and they've said they cannot see me and I should go to A&E.

So you have been told by health professionals to go to A&E and you are asking Mumsnet ? You know what you should be doing 🙂

RosieFlamingo · 04/10/2024 19:08

So your midwife team have told you to go to a&e and the gp have told you to go if things get worse, but your questioning whether you should go?

BlueMum16 · 04/10/2024 19:08

Aandespine · 04/10/2024 19:02

I tried them already and they've said they cannot see me and I should go to A&E.

The medical professionals are telling you to go to A&E. Why haven't you gone yet?