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AIBU?

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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:
Woodworm2020 · 04/10/2024 19:07

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

So go to A&E then…..

nootcoffee · 04/10/2024 19:07

Does the Osteo actually specialise in treating pregnant women?

nootcoffee · 04/10/2024 19:04

Aandespine · 04/10/2024 19:02

I'm surprised he's agreed to see me!

private presumably

so money OP!

Aandespine · 04/10/2024 19:02

Fantapops · 04/10/2024 18:59

I wouldn't go to A&E but I'd go to your local maternity day assessment/triage.

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

OP posts:
Aandespine · 04/10/2024 19:02

Lougle · 04/10/2024 18:54

I'd be amazed if an Osteopath wanted to touch a woman who is pregnant and has numbness in a leg, tbh. You should go to A&E, as advised by your midwifery team.

I'm surprised he's agreed to see me!

OP posts:
Fantapops · 04/10/2024 18:59

I wouldn't go to A&E but I'd go to your local maternity day assessment/triage.

Edizzler25 · 04/10/2024 18:54

baby 3 weeks old. I had pelvic girdle pain / SPD from 28 weeks which got gradually worse in the third trimester. Was in agony by the end with a 2 year old working FT too. It 90% vanished after delivery and then had some aches and pains for a week after when moving in certain positions in bed (midwife advised things were “knitting” back together) and it’s thankfully gone now.

ended up with gestational diabetes in last few weeks which I partly blame on my reduced activity as I was much more active in my first pregnancy went for a lot of long walks etc but I didn’t suffer with my pelvis with my first son.

so easily dismissed as “not serious” but it is so debilitating.

really feel for you being in this kind of pain quite early on.

Saz12 · 04/10/2024 18:54

Oh, poor you! It sounds awful. It sounds like you're doing all the right things.

Lougle · 04/10/2024 18:54

I'd be amazed if an Osteopath wanted to touch a woman who is pregnant and has numbness in a leg, tbh. You should go to A&E, as advised by your midwifery team.

IVbumble · 04/10/2024 18:48

Liminalstate · 04/10/2024 18:17

I'm not a medical professional but this sounds a bit like spd-symphysis pubis dysfunction. Might be worth calling your midwife team at the hospital first before considering a&e?

This ^^

Aandespine · 04/10/2024 18:43

Thanks so so much for all your responses.

I've managed to book an osteopath appointment for tomorrow can you believe! So thanks to whoever recommended that.

My DH gets home late tonight. I'll see if we're up for sitting in A&E. I'd be happy to withstand the excruciating pain if I know I'd get an MRI/diagnosis at the end of it. If only to know prognosis, recovery time, how best go manage (and avoid going forward).

In so much pain right now. Need to get myself to the bathroom which I am absolutely dreading.

Thank you all again

OP posts:
Aandespine · 04/10/2024 18:38

TomatoSandwiches · 04/10/2024 18:20

I'd be booking to see a reputable osteopath, they really helped me with my SPD.

Does it feel like all your insides will fall out when you take a step?

It doesn't sound like SPD. I cannot bear any weight at all on one leg, and I've had issues a long time ago with my 2 lowest vertebrae so I think it might be something related to that.

OP posts:
Greybeardy · 04/10/2024 18:37

SewingBees · 04/10/2024 18:19

I have had similar symptoms in the past and was taken seriously at A and E and I wasn't pregnant at the time. They'll likely give you an x ray and if that shows nothing then an MRI. I couldn't sit or stand but I did find a bench I could lie on. You'll likely have a long wait on a Friday evening though.

They’ll likely not do an x-ray in someone who’ll have a fetus sat right next to the bit they’d be interested in looking at.

abracadabra1980 · 04/10/2024 18:37

boulevardofbrokendreamss · 04/10/2024 18:25

I had SI issues. It was fucking agony. I saw a physio who was useless and a chiropractor who at least got me semi mobile but I ended up being signed off at 21 weeks. As soon as I had delivered my twins it disappeared. A and e won't do anything.

Same here - but my SI issues never really went away. 12 years down the line I'm not in too much pain but it's a jiggle that's one movement away from 'going' if that makes sense.
It's despicable pain that needs to be taken seriously as some people suffering with it become suicidal. I was so low with it I was questioning my own life. Absolutely awful.

FromCuddleLand · 04/10/2024 18:37

Also they are very very unlikely to x-ray the lumbar spine if a pregnant woman if there is no traumatic injury. It won't show cauda equina and there would be no point and a dose of radiation to the baby.

Aandespine · 04/10/2024 18:37

Greybeardy · 04/10/2024 18:34

Ibuprofen is generally avoided in pregnancy.

The GP (a trainee) actually recommended I take Ibuprofen today. I am aware that it's contraindicated I'm pregnancy so won't of course.

OP posts:
Mostlyoblivious · 04/10/2024 18:35

This sounds awful, I’m sorry, Your Midwife isn’t going to tell you to go to A & E unless they mean it so I would get yourself to A&E - best of luck

abracadabra1980 · 04/10/2024 18:34

Sorry to hear you are in so much distress. It's bloody awful having back pain. I've been utterly devastated by it at times but I wasn't pregnant so I took Tramadol and Naproxen (or sometimes Codeine 30mg - but that constipated everyone without exception) which helped me enormously.
I also saw an Osteopath who was fantastic. They are far more helpful with back pain than a GP. I'm not sure whether you can find one that specialises in pregnancy - or maybe they all do. A TENS machine may help.
My MRI I had didn't show anything in the end - they said with back pain it's sometimes like looking for a needle in a haystack. I do believe it is a sacroiliac joint/facet joint issue though, which an Osteo fully understands.
Pilates was a Godsend for me (my Osteo ran her own classes). For months I felt like my back was going to snap but I. Her classes I knew if it went into spasm she could help me out of it. At the worst point I couldn't walk without a stick and had to beg borrow and steal friends to keep my business was going.
It WILL get better - but that pain can make grown men cry - it's as bad as childbirth. If you need stronger painkillers call the out of hours Drs or call 111 and ask for an ambulance to attend. You shouldn't be left in this kind of excruciating pain. Good luck.

Greybeardy · 04/10/2024 18:34

Serencwtch · 04/10/2024 18:19

They can't do much for back pain in a&e so yes you will be sitting there in pain for many hours & prob given the same advice as your GP

If you get numbness or incontinence then definitely go straight to a&e

Are you taking ibuprofen as well as the codeine. I found that combination helped

Acute back pain/sciatica can be one of the worst pain there is. I had it from a slipped disc & far worse than child birth, dental pain, broken bones & a deep burn.

Ibuprofen is generally avoided in pregnancy.

boulevardofbrokendreamss · 04/10/2024 18:25

I had SI issues. It was fucking agony. I saw a physio who was useless and a chiropractor who at least got me semi mobile but I ended up being signed off at 21 weeks. As soon as I had delivered my twins it disappeared. A and e won't do anything.

Elzzup · 04/10/2024 18:22

Aandespine · 04/10/2024 18:17

Yes saw the GP today.

Sorry I meant that I don't want to go to A&E just to be told the same thing - painkillers and no MRI/diagnosis.

Edited

Problem is, if you got an mri and diagnosis nothing further would happen after that for just now anyway. I've been there so know how awful it is, it is nothing you can begin to imagine pain wise. I just can't see A& helping unless you have loss of bladdee/bowel control or numbness in thar area

FromCuddleLand · 04/10/2024 18:22

I think they would be very unlikely to undertake an MRI scan unless there was indications of cauda equina where the spinal cord is compressed. Which is why they have asked you to watch out for numbness and incontinence. But for peace of mind and perhaps help with pain management A and E might be an option if you don't feel able to wait to access a walk in appointment etc. however, sitting for hours in a chair in a and e on a Friday night would not be my preferred option

Liminalstate · 04/10/2024 18:21

Sorry cross post I see the midwife team have said to go to A&E.

LIZS · 04/10/2024 18:21

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

IDontLoveTheWayYouLie · 04/10/2024 18:20

Can you ring 111? Saves you sitting for hours in a+e and they might be able to send you somewhere better?

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