Sciatica pain

This pain is unbearable. Before last night I could sleep on my bad side but now I can't. This ******* sucks.
It will get better with time, but it can take a long time. Daily walks will definitely help you. Trust me, I've dealt with a completely blown lumbar disc. Hang in there. I walked as far as I could every day on country roads with my dog tagging along for moral support. I gradually improved every week.
 
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My wife bought one of those vibration plates. I had lower back pain and just sat on it and ran a 10 minute program. Really seemed to help. Pretty easy to stand there on it and run a program on it and alleviate foot pain and quad cramps
 
If I go to ER would they prescribe meds. I'm thinking they won't go it's probably not worth the trip.
 
If I go to ER would they prescribe meds. I'm thinking they won't go it's probably not worth the trip.
You gotta make that ER decision for yourself. Don't rely on us. However, they did give me a shot of morphine and some pain meds in the ER when my disc blew, but that was quite a few years ago and I have no idea if your condition is the same as mine was. Best wishes Rulzzz.
 
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If I go to ER would they prescribe meds. I'm thinking they won't go it's probably not worth the trip.
If you go to the ED they will help you manage the pain but you will also get labs and imaging to make sure there isn’t something else going on.

If the labs and scans all come back without exposing an additional underlying concern then the script you get for pain management post ED care will be minimal in most instances and you will be referred to a primary or specialist.

If there is an additional concern then you will be in the right place for additional care.

With the pain changing from one type to another and from one location to another it’s worth checking out with your pain at its stated level. While I wouldn’t want you to dismiss your pain don’t say 11/10 to the intake nurse.

All of this could still very easily be sciatica related and you aggravated something by doing PT you aren’t used to could be making the inflammation worse. However it’s also possible that their could be a vascular issue or if you have diabetes possible neuropathy based on what you have described.

Either way pain to the degree you are reporting needs to be addressed if nothing you have done at home has worked. You will be asked for details on what you have tried and the more you explain here the more seriously your reporting of pain will be taken.

Last note of caution is that unless your vitals are off during intake you will be triaged towards the bottom of the wait (based on what you have said) so you might be there for awhile depending on how busy the ED is. If that’s also the case do not eat while you are waiting.

Hope this helps, if you have questions let me know.
 
If you go to the ED they will help you manage the pain but you will also get labs and imaging to make sure there isn’t something else going on.

If the labs and scans all come back without exposing an additional underlying concern then the script you get for pain management post ED care will be minimal in most instances and you will be referred to a primary or specialist.

If there is an additional concern then you will be in the right place for additional care.

With the pain changing from one type to another and from one location to another it’s worth checking out with your pain at its stated level. While I wouldn’t want you to dismiss your pain don’t say 11/10 to the intake nurse.

All of this could still very easily be sciatica related and you aggravated something by doing PT you aren’t used to could be making the inflammation worse. However it’s also possible that their could be a vascular issue or if you have diabetes possible neuropathy based on what you have described.

Either way pain to the degree you are reporting needs to be addressed if nothing you have done at home has worked. You will be asked for details on what you have tried and the more you explain here the more seriously your reporting of pain will be taken.

Last note of caution is that unless your vitals are off during intake you will be triaged towards the bottom of the wait (based on what you have said) so you might be there for awhile depending on how busy the ED is. If that’s also the case do not eat while you are waiting.

Hope this helps, if you have questions let me know.

I didn't end up going. When I go for pt Monday I plan on scheduling a Dr appointment.
 
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I didn't end up going. When I go for pt Monday I plan on scheduling a Dr appointment.
You also need to let PT know what is going on and when it happened during the PT process.

I’m also gonna ask something and please don’t be offended but are you relaying your pain on here the way you would to your medical team? I’m asking because as an Emergency Physician if I hear someone has 11/10 pain while not being able to sleep that doesn’t usually match up with being willing to wait for care for as long as you have.

If it’s some other reason related to cost, insurance, transportation then I totally get it but when you wait this long it sends a message to the medical team and often might not be taken as seriously as it potentially should.
 
You also need to let PT know what is going on and when it happened during the PT process.

I’m also gonna ask something and please don’t be offended but are you relaying your pain on here the way you would to your medical team? I’m asking because as an Emergency Physician if I hear someone has 11/10 pain while not being able to sleep that doesn’t usually match up with being willing to wait for care for as long as you have.

If it’s some other reason related to cost, insurance, transportation then I totally get it but when you wait this long it sends a message to the medical team and often might not be taken as seriously as it potentially should.

Yes. This new stuff has literally happened in last couple of days since my last pt appointment.
 
Yes. This new stuff has literally happened in last couple of days since my last pt appointment.
No I get that, but Monday is 36 hours away and the appointment will be even later than that once you make it. That’s just a long time to wait with 11/10 pain that has been going on for a few days.

Zero judgement just trying to give you some insight into what your providers will be thinking.
 
It’s off label but not unusual to have that script written for sciatica. A bit surprised that was the only script written but don’t know what else the H/PE revealed.
I’ll take a stab of what the MRI will say:

L4-L5 or L5-S1 posterior disc herniation indenting the thecal sac and narrowing of one or both of the neural foramina causing nerve root compression.

At this point anything that reduces pain and inflammation. Also very important anything that helps with decompression of the affected disc(s).

Rulzzz, good luck brother and keep me posted.
 
Looks like you have a discectomy in your near future. I have had this procedure twice and the relief was amazing. But... follow the post op rules stringently!
My wife is scheduling one December 8th. It will be her second. Went in in a wheel chair and walked to the car 12 years ago.
 
Looks like you have a discectomy in your near future. I have had this procedure twice and the relief was amazing. But... follow the post op rules stringently!
100%. When you think you're better, you're not. When you think you're done with PT, your not.