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Back Again! Back Pain Support Thread

999 replies

PavlovtheCat · 09/04/2014 17:01

Only right I start the new one seeing as I was responsible for the last one ending so abruptly !

This is a support thread for people with back pain (that does not even cover the description of hell that back pain causes). It's for all types of back pain, for long term posters with chronic pain (including those on the upwards journey to recover), short term advice through tough acute episodes and all the in betweens.

We moan, winge, share successes, guide each other and hand hold through the maize of a million medical routes and options, treatments, investigations. We internet shop as a form of pain relief, drink wine, take strong painkillers, eat cake and we go through lots of heat packs!

We don't always have the answers but we do have a lot to say about it all Grin

Here are the links to our previous threads:

www.mumsnet.com/Talk/general_health/1871592-The-Back-Story
www.mumsnet.com/Talk/general_health/1992406-The-Back-Story-Continues
www.mumsnet.com/Talk/general_health/2023274-More-Terrible-Back-Stories

OP posts:
PavlovtheCat · 30/05/2014 10:51

queen no second opinion, I have not spent a lot of time looking. I have needed take myself away from the roller coaster of medical opinions for a little while as it was getting me so down. I have spent a little time 'getting to know' this pain and understanding it and that it is part of me, if I can do that, it doesn't matter so much. Not sure if that makes any sense, but there are no quick fixes whatever routes I take and so I have needed to get into a better mental space. I have let a few things go, namely my career, and there is a very good chance that is over now. Not in terms of having a job, I have that, but there is one last chance to get on the upwards ladder and that has just been pulled from me due to this fucking back problem (long story, but goalposts have been changed) and I need to spend some time thinking about how I am going to manage that, not to mention family life impacts. And, as I have a good run (ok, it's less than a week, but I am going with that as a positive!) I am concentrating on that. I will look at the other options but want to speak to my GP first, and that is 6th June (got a cancellation brought it forward a week).

matilda you know, I have no idea what's going on. I am hopeful it's a sign things are maybe mending, that the vertebrae is not moving for some reason and that this pain is maybe recovery/residual pain? but, reality is I don't know. I spent some time last night 'listening' to the pain, and it's definitely coming from one location in my spine (L5/S1) and moving from there. Whether it is the disc, or the vertebrae and the disc is back where it should be, I don't know, but there is a clear starting point. It's quite weird that I can locate the exact location, I had to think really deeply about it, which I guess is what I mean by 'listening'. I am fully expecting a full on lapse at some point, but for now, it's reasonably ok, even today, I can manage on 50mg SR tramadol, naproxen and paracetamol. So I have not had a post sitting down relapse as I half expected, you know the following day or day after.

I hope everyone is doing ok, has some sun and is having as low pain levels as possible. Thinking of you all Smile

OP posts:
PavlovtheCat · 30/05/2014 10:54

and weirdly, since I had the MRI, I have not been counting the days waiting for the 'due date' of when it should be available. I have put it out of my mind and almost forgot about it until a friend yesterday asked if I have had any results back yet. I think I waited so long for the last lot and got so stressed about it not being looked at that this time I have fully expected it to take that long. Definitely in a different emotional place with it.

I think I am fed up with fighting and want my life back. If that means having to have pain and accept it, ok, it's won, it can stay, but it won't beat me.

OP posts:
QueenChrysalis · 30/05/2014 11:18

Pavlov (and Matilda) I recognise you are further along this journey and it's quite different. I'm still in the chewing my arm off with stress while waiting for an answer.

I'd better go try pick up this report. Might be back if it's more interesting than L4/5 disc herniation. I really feel like the Drs treat us as idiots, I keep threatening to train as a dr after all the research I've done. Apparently universities are very accommodating to students with disabilities. Physio was meant to call last night but didn't so will email again.

QueenChrysalis · 30/05/2014 12:36

Just booked in physio - she's only round the corner and coming to my house next week. Also got the lovely (hopefully) sports massage next week. Still digesting the report when she called but she's happy to support me with advice on handling the kids and getting in the best shape whether I end up with or without surgery. It also gives me the opportunity to get a better idea of my symptoms in medical terminology for when is see the surgeon. Plus a second, non surgical, opinion.

As for the report. The herniation is central - which I expected due to the fear of CES. It's 1cm in size and compressing the CE and the L5 nerves but L4 nerves are fine. There is a loss of hydration in the disc "with intense inflammatory end plate change". The disc is contained by the ligament - which I presume is opposed to when bits break off. I have a loss of lumbar lordosis caused by muscle spasm. All the other lumbar discs are fine, as are the facet joints, cord, conus and bone marrow. So hopefully that means it is just a one centimetre bit of me causing all the pain.

LoonvanBoon · 30/05/2014 14:03

Queen, glad you've got to see the report at last. You are down to see a surgeon, aren't you? Sounds like no wonder at all you've been in so much pain - but yes, it is weird when you think how such relatively small bits of us can do such damage!

Not fully up to date with the thread but it sounds like your GP is being an arsehole - no reason at all to say you're unlikely to be offered surgery. I'd have thought quite the opposite on the basis of that MRI report.

Good to hear your wider pain has been a bit better, pavlov. Think I know what you mean about the contrast between the very specific "pure" discogenic pain & the more widespread shit. Feeling almost nostalgic about the days when I was just getting right leg nerve pain, savage though it was (& still is) as I seem to have some generalized muscle spasm going up to my shoulder blades now as well as the left leg still feeling uncomfortable.

Saw my lovely GP this morning to review pain relief. Am having separate codeine & paracetamol now so I can make sure I get the benefits of the full paracetamol dose, & then I can add in the codeine when I need it.

She also wants me to try pregabalin, which I'm less sure about, but now I have some anyway. And I can't sodding remember who else is on it & whether it's the one that can cause weight gain (am avoiding looking at listed side-effects at the moment). Not starting today as taking diazepam in an attempt to get this awful, awful muscle tightness to let go. The mid / upper back pain is almost worse than the leg at the moment.

Matildathecat · 30/05/2014 15:06

I've just got back from a fabulous massage. My upper and mid back were also having a huge spasm which she was working on a lot. It helps as did a swim and jacuzzi.

I'm on gabapentin, Loon, which is the poor mans version of pregablin. My main side effect is memory loss and speech problems. I haven't really gained weight though I did gain a bit last year which I acted on and got it off again. None of these drugs actually cause you to gain weight per se but can make you hungry I guess. So being aware and keeping temptation away is key. Peanut butter has been banned from Chez Matilda Grin.

I'm another one who is totally fed up with medical appointments and discussions. I'm starting Alexander Technique next week via my Pain Clinic and though I requested it and feel lucky to be getting it free one bit of me really can't be bothered. I will go, though.

I suppose eventually I will be discharged from all these services and then I will be dealing with this alone. Gps can't help, just offer drugs and a sorry face.

Matildathecat · 30/05/2014 15:15

How's this for good service...just called surgery for a non urgent appointment as need yet another sickness certificate.

Offered appointment for 4.10, less than an hour away!

This is usual for my practice for good availability but think they've surpassed themselves this time.Smile

LoonvanBoon · 30/05/2014 17:05

That is impressive, matilda! My surgery's not bad - 'phoned at 8am today & got appointment with GP of my choice at 10.50am. If you don't get on the 'phone at 8am, though, you're doomed...

I need to find someone who can do a good massage. I'm sure it would really help with the upper back. Are your mid to upper back problems mainly muscular, matilda, or do you have nerve damage in that region too?

GP did mention gabapentin too, & said that all these drugs have massive lists of side-effects but that pregabalin was "purer" - whatever that means. We shall see. I suspect I won't get on with it at all anyway.

UnsureOfOutcome · 30/05/2014 18:05

... can I join? Am new to the world of back pain, and in sore (ha ha) need of advice!

My story: woke up in the middle of the night about two months ago with back in spasm, between shoulder blades. Have seen various chiros, physios, GP etc etc and so far no reduction in pain. Been signed off work as can't sit at my desk (lying down is the best position; sitting the worst) and worried as to how long that can go on for before I lose my job. Currently seeing a sacro occipital chiro woman who says the problem is my pelvis is out of line, and sorting that will sort the upper back pain, but after two sessions (second was this am) no help as yet. Pain is sometimes in the middle, sometimes in my shoulder blades, sometimes on the sides ...

Complicating factor: I'm 13 weeks pg - so would've been about 6 weeks when it all kicked off. I don't know if I can blame pg for back pain or if they're totally unrelated; either way, I'm terrified of the prospect of having to care for a baby while in this much . I also can't really take any drugs beyond paracetamol (partly because of pg, but also because of some serious-ish stomach issues dating back about four years).

Sorry for epic post - I guess I was just wondering whether anyone had any experience or words of wisdom? I feel totally at a loss and fairly distraught about the whole thing - just don't know where to turn. Considering seeing an osteopath if this woman can't help me - do they work?! Thanks so much for any thoughts xx

QueenChrysalis · 30/05/2014 18:26

Unsure - If you can handle codeine it is safe in pregnancy. I'm not sure about diazepam but that's the usual for muscle spasm and worth looking into or for a safe alternative. I'm not convinced on chiros and osteopaths, I've had some help but they aren't as properly medical as as physio. It may be time for investigation but you may need to jump through the hoops of a physio course first. And yes pregnancy can cause things like this or make existing things worse, it happened to me.

UnsureOfOutcome · 30/05/2014 18:43

thanks so much for responding! Flowers So good to hear from someone who's not just a sympathetic relative (lovely as they are!). Alas, codeine and diazepam both out for me - I've a chronic health condition called interstitial cystitis, which I've brought under control over the course of four years through diet, probiotics and avoiding everything that strips out your gut flora (so antibiotics and anti-inflammatories, primarily). It was AWFUL and took a helluva lot of work/research/etc etc. Part of the reason this back thing feels so scary, I think, is being back in the zone of 'wtf IS this?' again ...

Really interesting about pregnancy. I've had a sort of tight upper back for ages, but it's only just flared up with the pg, so it does sort of feel sensible that it's connected. Can I ask what your issues were, and if they improved after you had your DC?

QueenChrysalis · 30/05/2014 19:49

interstitial cystitis - is that the constant cystitis thing? I've had a few bouts of cystitis and even saw a urologist and it turns out frequent bladder infections can be a symptom of lumbar disc herniations - which is what I have. I think it's because the disc pushes on the bladder nerves and it's more difficult to empty. Luckily not diet related. I wonder if patches would be better and safe - I take butrans patches which is an opiate. The pharmacist may be a good bet for what is safe and howthe drugs react inside the body.

I probably had a smaller disc herniation (slipped disc) in 2006 when I had some very mild pain. I suffered pelvic pain in both pregnancies but second time never recovered. The MRI technician told me pregnancy and breastfeeding does make herniated discs worse due to the relaxin hormone plus I guess the posture change and extra weight.

I do have a neck injury from a drunken night as an archaeology student. I had physio and it's ok, I could work except during pregnancy - sitting in front of a computer isn't good at all. It's never been investigated but physio helps and heat patches and wheat bags. Oh and hot showers. Physio will give you stretches to ease the spasm. I know it's awful and hopefully time, heat and gentle stretching will get you back to being ok soon.

LoonvanBoon · 30/05/2014 20:11

Hi Unsure - sorry you're suffering. I'd second what Queen says about heat, wheat bags & the like. You can get stick-on heat pads that you put on clothes - eg. a vest / underwear - & you could stick one on vertically so it sits between the shoulder blades. That might help the muscle spasms a bit.

Don't know anything about interstitial cystitis, but diazepam is a muscle relaxant, not an anti-inflammatory, & doesn't tend to have many effects on the digestive system. If you're having major muscle spasms a few days on this could be just the thing - but I don't actually know if it's recommended during pregnancy. Worth discussing with your GP, though?

Matildathecat · 30/05/2014 20:58

Hello Unsure, so sorry you are suffering. I agree with all of the above. A short course of diazepam, say a week, could be helpful and is safe in pg. that with lots of lying down rest and heat.

I have heard very, very good things about turmeric as a natural anti inflammatory. Might be worth investigating as a supplement or simply adding to your food.

And a really good massage and the exact right exercises could be fantastic. My physio does both of these. I wish everyone on this thread could see her. She's a marvel. Having said that she's not magic and can't cure me.

Wishing you well. Do you have other dc to look after, too? As for your job, not sure what you do or how long but you do have rights both as you are pregnant and as an employee. Unfortunately I did lose my job but that was after eleven months' sickness.xx

Matildathecat · 30/05/2014 21:01

Ps sorry should have said that although my primary injury is lumber spine I get all sorts of weird pains. This week my upper spine spasmed massively and the massage and exercises I did today really helped.

Maiziemonkey · 31/05/2014 00:26

hello to the newbies, sorry have not posted much lately as I was getting last assignments done for uni- all done now hurrah!
unsure has anyone screened you for possible spd/pgp- look out for any pelvic pain but anyway doesnt hurt to get an opinion since it is a pg condition and my first symptom was diffuse low baclk pain- didnt get it diagnosed for months as i thought was just normal back pain. It involves hormonal changes in your blood that would start to kick in when the pg hormones increase- which could happen as early as 6 weeks- diff in everyone. Ask Gp about it and if they dont know what you are talking about ask to be referred to seomeone who does.
glad your pain is getting a little better pavlov - you are really analysing aren't you? I know what u mean about listening- I often feel like I'm not sure where it's coming from. You are not beaten, never think that, even if somtimes you have to retreat to rest on a bad day or not do things you are still the strong you inside your mind, the flesh may be weak sometimes but your "esprit" is still there humming! My ds is also starting school this september. he has made huge progress this year but your post made me realise the difference still there between him and a typical boy. He doesn't have any friends yet, and he doesn't know about school coming up- well silver lining there is that he cant worry about it I suppose. We should probably start telling him about it as he does understand alot of what we say. He has a bit of a thing for running off lately (it doesn't mix well with a bad back).
loon that is so much better to have the paracetamol separete, my gp did that too/ does that, so you can be in control of it. I have been trying to have a few just paracetamol doses through the day to get the benefit of that but the two docs ive seen recently completely differ on whether that is worth it or not. Are you still taking the paracetamol and codeine at the same time?
have been trying to keep up with you queen - sounds like they are being awful with you. It is horrible to feel like your docs/ health people aren't being honest with you, tht they don't have your best interests at heart. Have been in that situation briefly with a certain doc peeps on this thread named something like "Dr Arse" and i think yours deserves the same moniker Smile, hope you can find your way through the bullshit.
Hope you are still feeling a bit better matilda - and that was deff amazing service from your docs, you wouldnt gt that in south london!

hope you are all having a good night's sleep Grin

PavlovtheCat · 31/05/2014 08:40

queen It's not too long since I have been where you are, in the thick of the stress of it, trying desperately to get the hcp to talk together and to listen and do the right thing. I was very fortunate that i had some amazing hands to hold mine through it on MN, and that is why I love this thread, as I had so many threads going 'ARGH!' and many of the same people coming and giving me the best advice. I swear I would never have got through it without just being left without the drive of others' experiences to get me through it. It's strange this new feeling of mine, I think honestly my brain, my rational thoughts and my emotions just simply could not/cannot cope with the treacle any more. After going to the neuro who said 'go away' and the pain clinic who said 'go away' and my GP who said 'they are wrong, we need to review this' and it meant going back and in effect starting again, I just could not face it. Maybe it's a good thing as I feel better for it. Maybe it's even contributing to a lower pain level? Who knows.

But, for now, you are still in the midst of it, and I hate to hear that lots of hcp just don't follow the simple routes of treatment. But keep persevering. I would say it may be worth complaining, but that very much depends on what you want to get from it. And maybe it's worth waiting to complain until you have got to see the neuro, just because it adds another layer of stress to the whole thing. I think there are time limits for formal complaints but they are quite long. Might be worth thinking of changing GP surgery if you don't get the support you need there? You really do need your GP onside to help you through this, they need to be your advocate as they are your access routes to other treatment options. My GP was very reticent about support for a long time, and even when he realised I had a prolapse he was much more tea and sympathy than practical ideas and I had to guide him, but he is very onboard now, it took time though, and lots of tears, for him to see how much this affects me. He is very keen for me to have a fusion, he thinks this is the logical route for my personal issue and as such as keen to ensure I seek the second opinion, but even with his support it's not that easy as he has not gone through the correct route of referral.

RE: central prolapse. I had a central prolapse of L5/S1 and yes, that little bit of disc can, unbelievably cause a huge amount of pain. I didn't know about the increased risk of CE, but did know that a central prolapse means you are much more likely to get bilateral nerve pain as it can affect both left and right sciatic nerve routes. My surgeon had trouble accessing the whole of the prolapse due to the centralness of it, as they often have to do a laminectomy (remove a piece of the lamina) to access it. He swept from the left into the central, but was unable to get to the right side. He didn't want to do a laminectomy on both sides as he said it would make the whole area too unstable and would likely need fusing, but I am sure that is because there was/is already an instability in the vertebrae. I am not sure, but think the lamina grows back in time? Might be worth asking the surgeon if he plans to complete a laminectomy as I didn't know until the day of surgery that this was going to happen.

maizie funnily my boss in my final supervision (he departs for higher echelons now) said that one of my strengths was my analytical skills, that I don't just seek 'what/when' but also 'why/how' and 'what can be done?', something I never really knew! Your DS's school is now on board with supporting your DS aren't they? That's now sorted and he can stay in mainstream school? Are there going to be additional provisions in class to support him? In DDs school there are a few children with a variety of SN, some with learning needs, some have physical needs, two have a mixture of both, and they are extremely supportive and family like in their support, teachers, children, parents. I went to DSs parents evening this week, to have a meeting about September and the Head was very keen to empart that school is not just about numbers and letters, they re important but it's about the whole aspect of life, socialisation skills, wanting to learn, enjoying learning, caring for others, acceptance, and they place huge emphasis and praise/certificates for nurturing others, and as such they don't mind (and nor do I) not being 'outstanding' - they didn't achieve outstanding as they didn't have strong enough provisions for KS1 SATS exams - I like that about the school. I hope he gets that kind of support in his school.

OP posts:
PavlovtheCat · 31/05/2014 08:46

and, well done maizie for finishing uni until September!! Yay! Wine (for later, seeing as it's not quite 9 o'clock)

Has anyone heard of en.wikipedia.org/wiki/Arachnoiditis ? I have heard of it, but not paid too much attention, but it's really interesting to read about, as it's something difficult to diagnose, and to treat, but seems that it may be relatively common for those who have disc/vertebra problems, especially when there has been injury and/or surgery or disease. It is difficult to treat, and interesting that injections can not only not work, but can make things worse, as it is a potential cause of inflammation/increased inflammation of the arachnoid lining (thinking of you matilda in particular as you have had surgery and problems with some injections. It is not diagnosed via MRI etc, it seems, but by a myelogram, which I might ask for, just so they can refuse, you know, but I might ask (goodness knows who I ask...) (link is basic, there is loads more on spinal health website etc).

OP posts:
Maiziemonkey · 31/05/2014 10:52

Yes, pavlov, the school system have ok-d him to go to "resource base" school- which is an in between type but basically a mainstream school that has a dept/building where they go some of the time to have lessons that give higher support or are sensory etc, than rest of time in the mainstream bit but yes with someone with him- all the time if he needs it. sorry i thought i had posted they hd sorted it out but i kinda forgot who i had let know and who not. We will se how it goes and be hopeful about him getting a good level of support but obviously just have to keep an eye out for if it is too much and i'm not totally opposed to special schools, just think from what i've read/ know my ds he doesn't need that higher level and it is similar to the nursery structure- and he has made massive progress there. And sometimes that progress has come from the other children without any SEN approaching him to include them in their play etc- last week he has been hugging a few other kids as he is getting to know them all and feel sefe with them
That arachnoiditus looks interesting, I deff think you should ask about it.
thanks for the Wine but I think I had already started before 9- my dh greeted me with a glass when i got home at 7! Feels good to have some time without responsibilities for a bit.

Maiziemonkey · 31/05/2014 11:22

have gone back to bed today in the name of indulgence and feeling a bit achey from the long time sitting typing yesterday. What is everyone else up to this weekend?
might go out later with the kids and dh, dd's birthday soon, few things to get or maybe just to the park if the sun pops out

LoonvanBoon · 31/05/2014 12:02

Morning all. Pavlov, I recently read about arachnoiditis - it came up when I was googling about rare side-effects of steroid injections. Scared the shit out of me & I note there's lots of controversy as to why arachnoiditis in the lumbar spine is on the increase - with some suggesting that epidural injections are a possible factor, as well as back surgery, intrathecal haemorrhage & infection.

As far as I understood, though, it can be diagnosed by MRI - there is a distinctive appearance with thickened, clumped nerve roots. Myelograms have been implicated as a causative factor - something to do with the contrast dye injected.

Just remembered too that there was all that stuff in the papers ages ago - before I had my problems, so I just skimmed it, I think - about low-grade infection being an issue in persistent back pain & specifically in some cases of failed back surgery.

The articles mentioned long courses of antibiotics as potentially helpful: but no idea what stage the research was at. Is this something that anyone has discussed with consultants? I'm guessing that low-grade infection could certainly happen with surgery & possibly remain undiagnosed - but I suppose over time that would lead to scarring & damage that wouldn't just be undone by antibiotics, surely?

Anyway - congratulations on finishing the assignments, maizie - that's brilliant! Hope you get a bit of a rest. I'm off out in a minute to take the boys for their eye check-ups - unfortunately they've inherited DH's shit eyesight & keep needing stronger glasses each time.

Matildathecat · 31/05/2014 12:26

Bloody hell, Pavlov that is such an accurate description of my symptoms. I've never heard of it.

But since there is no cure maybe there's not much point in pushing for more investigations and more waiting, waiting to see specialists. It's never been mentioned, I guess because there is no cure.

I will keep it in mind though. I'm seeing Dr Pain on 9th to review all the injections etc. I'm pretty sure I don't want any more. They haven't helped much or at all and I can't believe it's good for me. My main priority is to get him to write the letter supporting my ill health retirement.

Sunny here so into the garden to catch some rays. Nice GP yesterday has agreed to do vit D and calcium bloods afer remark from chiro about my old looking bones.

PavlovtheCat · 31/05/2014 13:11

loon oh I must have misread the MRi/Myelogram stuff, I did wonder why they would use mylelogram to diagnose if it was a potential causal factor! I have read a little bit about the antibiotics for potential infection, and one of the MNers who posted a little in earlier threads (on my insistence due to having tried the AB route) went on it, a 3 month course I think, she had some but not huge amounts of success I think, worked for a little while, unclear if this was coincidental or not. I have not discussed it with anyone as the surgeon won't discuss anything other than surgical options and no one else seems to be able to tell me who else does diagnosis of any kind.

I would be interested to find out what the 'changes' my surgeon spoke of in a letter he sent to me, as he would not elaborate on that. If it were something like this that would really piss me off as I never heard of it as a potential risk from surgery etc. And it makes me more cautious of injections. Not that they will give me those anyway. Although I do have an appt with the pain clinic consultant in June for him to 'explain why I can't have them'.

OP posts:
QueenChrysalis · 31/05/2014 14:01

Morning,

I'm another with a school starter. She is a bit of a crazy lady and sometimes she's happy about school and other times she has a screaming fit at the mention of it. Her school is outstanding and top SATs in the area, in fact they are top in London depending on which league table you use. All sounds fab but I'm not convinced it's best for her. The two nearest school have on site SEN provision and are just a bit more laid back. I'm hoping she changes and chills out in time for Yr1. I did visit the local Steiner school and loved it, no mention of the weird philosophies, but it is an option is main stream isn't working, a few parents visited who have ASD kids. I think I would've enjoyed the school myself - lots of asking questions and analysing things, not just accepting what you are told. And treating the kids as equals not as little shits who get shouted at irrespective of the reason why - yep my school experience. But I'm terrible at this parenting stuff right now, DD1 is suffering as she is so high needs and I need space to work stuff out and deal with pain. DD2 isn't so bad as she enjoys cuddles and I can do that.

Maize - well done on the assignment. You are inspiring me to get back to study.

Pavlov - I had already changed GPs to this one but plenty of GPs so easy to avoid one. Actually it's all rather over their heads now and they are out of their depth. The junior GP may be helpful in letting me guide her more so than the more experienced and arrogant GPs. I probably know more about my condition than she does, they don't have time to research it after all. I've seen arachnoiditis mentioned while researching my report. I'll go look more now.

I'm hoping that my back is super simple with everything being at the L4/5 level but did start researching the 'intense inflammation of the end plates' - I can't figure out what the cause of the inflammation is and what it really means. I know inflammation is connected to arthritis but being so localised it can't be that. Or can the inflammation be the causes the herniation? Google isn't helping. So a question for the surgeon I suppose.

More info against injections - I did have an epidural in my first labour and it was fab but it does make you wonder, I'm sure it was fine. I almost recovered from that pregnancy/birth anyway.

Oh and Pavolv - Was your pain on the left mostly so they went in on that side because of that? Mine is right sided dominant, it was when I was 16 too but no MRI to show it's position.

The physio said the central position explains why the pain isn't typical sciatica - that is more likely when it's not central. She also confirmed the disc at this level and at l5/s1 can cause SI joint dysfunction symptoms as that is where it refers to. I don't feel any pain in the spine, it's the SI joint with pain down the leg and spasm in the lower back and up into the waist.

Ooo and (sorry I have done a lot of reading) the NICE guidelines for lower back pain - over 6 weeks under a year - states that MRI referral should only be sought after physio and psychological therapy. How can therapy cure a slipped disc? Although I recall feeling that some HCPs felt it was stress related. Perhaps it was fortunate I was already in therapy.

Another thing I came across, perhaps due to them being Americans and surgery being more likely with private health services, a few seemed to have fusions instead of just discectomies. The belief being that the herniated disc is dehydrated and so will fuse over time anyway. No idea if this is true but it's a different culture over there.

Anyway I have no comprehension of a refusal to allow me a Discetomy considering the impact it's having on me and the impact of the drugs (I slept from 10pm to 11:30am - DH is at his parents with the kids). As long as I don't suffer damage, infection or scar tissue.

Sorry long post. Have a great weekend.

QueenChrysalis · 31/05/2014 14:05

Oh and I still have a bloody cold and cough (productive) which hurts around the area of the disc if I cough while standing. I suspect this is another risk factor.