After years of nigglng low grade sciatic then a really debilitating acute episode during the pandemic I am now sciatica-free. However I do have chronic lower back and hip pain now which is due to being on hormone blockers post breast cancer. If I wasn’t aware of the side effects I’m sure it would be diagnosed as fibromyalgia which leads me to conclude that fibromyalgia is actually another side effect of the menopause.
The hormone blockers have shrunk the fibroids which the consultant decided was the cause of my acute severe sciatica.
My younger DSis died last year, her first symptoms of problems was sciatica and initially it was thought to be Piriformis syndrome. After a few weeks of physio and deterioration rather than improvement she ended up up in A&E with uncontrollable pain. It turned out she had a very large mass in her abdomen that was eventually diagnosed as secondary pancreatic cancer. She died 6 weeks later.
Im not suggesting that all sciatica has a suspicious cause but most women develop fibroids as they age and it is often undiagnosed as a cause of sciatica. Also after my DS’s experience I feel that all patients with sciatica that is not responding to physio should be scanned for other underlying causes. I was lucky that I noticed the fibroids and was referred very quickly for investigation, but generally sciatica is seen as a disc problem and not a secondary symptom of abdomen mal masses.
Currently making suffering from old age. I can’t remember the name of the condition but prolonged sitting down tends to make it worse. The hormone blockers have fast tracked me into the body of an 80 yr old. It’s not really lack of core strength but more the effect of menopause on the musculoskeletal system.
I work one day a week and I have to sit for prolonged periods it’s always worse after a day at work.
I take a low dose of antispasmodic drugs to help with back spasms that triggered the sciatica in the past. I can take a higher dose if I twinge my back. I do find that the more active I am the better it feels. But then when I stop and sit down I stiffen up and really struggle to walk. I’m hoping that when I come off the hormone blockers things improve.
I am currently making a big effort to lose weight. I’m now 11kg lighter and starting to notice improvements. I still get pain but it doesn’t last as long. Hopefully if I reach target weight it will improve further.
I can’t believe that after 20yrs of chronic sciatica that I no longer have that pain anymore. The low grade lower back pain is so much easier to deal with since simply doing a few stretches then lying down alleviates it and I have no need for painkillers. I’m still cautious about exercise ( weights or Pilates) although happily walk for miles.