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Old 07-22-2016, 11:02 AM   #41
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Ian S: Thanks for the input....will address the possibility of lumbar injections with our GP when we meet next month. I'll presume that, if he can't administer them personally, he might refer to a neurologist.
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Old 07-22-2016, 11:05 AM   #42
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We contacted said surgeon's office this a.m. 10 month wait for a consultation, then, if surgery is considered, another 4 month wait for that! Plus, since we're not resident in the immediate area, he may not even see us at all!
Is this for back surgery or surgery for the aneurysm ?
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Old 07-22-2016, 11:20 AM   #43
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Is this for back surgery or surgery for the aneurysm ?
This would be to establish whether or not surgery on the back would be warranted for the sciatica.

(The ops for thoratic aortic arch aneurysms are a last resort, the procedure takes around 8-10 hours, and for a portion of that time the patient is clinically dead...and some stay that way.

It's something that apparently is not undertaken until the dimensions of the aneurysm are such that it poses a greater threat than does the op.)
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Old 07-22-2016, 06:09 PM   #44
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Ian S: Thanks for the input....will address the possibility of lumbar injections with our GP when we meet next month. I'll presume that, if he can't administer them personally, he might refer to a neurologist.
I doubt a GP would do lumbar injections and even if they do, I'd want a specialist doing it. My lumbar injections were done without sedation in a neurologist's office but I know others have had them done as out-patients and were sedated for the procedure. Pain specialists also do the lumbar injections. Again, they seem to be hit or miss but they worked well for my flareup six years ago. They did not work when I tried them 35 years ago but I suspect the technique has improved vastly over those decades.

I'd also recommend special exercises for the lower back. Your GP should be able to advise on that or look on the internet. He should also be able to advise activity to stay in shape in the meantime that won't worsen your sciatica. Even after surgery, a good back exercise routine will be needed to reduce the chances of more problems down the road. TBH, I've been a bit of a slacker in that respect.

Surgery or not, be very careful of lifting anything. No furniture moving! Lifting with my back is the one thing almost guaranteed to make my sciatica flare up. That said, you ought to be able to be very active after the surgery/recuperation period.
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Old 07-23-2016, 12:22 PM   #45
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Maybe this can help?

https://www.thesun.co.uk/news/148935...ure-back-pain/

Researchers found a daily dose of the anti-impotence drug speeded recovery. Taking it for a month also healed damaged nerves and boosted movement.

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Old 07-23-2016, 12:25 PM   #46
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Maybe this can help?

https://www.thesun.co.uk/news/148935...ure-back-pain/

Researchers found a daily dose of the anti-impotence drug speeded recovery. Taking it for a month also healed damaged nerves and boosted movement.
The cost would be high.....but it might impress the folks down at the pharmacy.
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Old 07-23-2016, 12:31 PM   #47
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The cost would be high.....but it might impress the folks down at the pharmacy.
Yes it would make for interesting conversation behind the counter at the pharmacy!

"This guy is 73 and he is getting 30 pills for a 30 day supply" 😱

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Old 07-23-2016, 03:17 PM   #48
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Yes it would make for interesting conversation behind the counter at the pharmacy!

"This guy is 73 and he is getting 30 pills for a 30 day supply" 😱
"Cutting back this month Mr. Nemo? Some of them gone on vacation?"
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Old 07-24-2016, 11:36 AM   #49
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I say this, in no way boastfully, (I always figured, if I could do it, anyone could do it), but simply to illustrate how easily & quickly everything can go sour.....with the back, sciatica, and now the specter of an aneurysm, it all seems like a house of cards after a ceiling fan has been activated.
Love the analogy!
Luckily my plight is less severe but I can feel the breeze from that ceiling fan!

Left leg: plantar fasciitis, spider bite led to 8 days in the hospital (cellulitis and phlebitis), then small broken bone then stretched tendons.
Right leg: stretched tendons

So my walking days are suspended. Major change in exercise regime. Fortunately I can still bike. Just completed a bike/barge trip down The Moselle.
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Old 07-24-2016, 05:48 PM   #50
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Just thought I'd throw this out there too, as I'd never heard of it before...

I started walking/jogging after I FIREd. I went from couch potato sedentary (desk job and then home to the couch and then bed) to doing 5 miles a day walking and riding my bike an additional couple of miles. In retrospect I was doing way too much too soon, but I was REALLY psyched and didn't want to waste the enthusiasm.

I developed a pretty bad shooting pain down my hip on one side, that extended from the top/side of my hip, through the buttock area, and down the thigh to my calf area. It was terrible - I would stiffen up within an hour of exercise and hobble like I was 100 years old (I'm early 40s). I bought new shoes, did the foam rolling, but none helped, and was starting to think it was going to be a doctor visit with shots.

Thought it was sciatica, but after doing more reading, learned about periformis syndrome and started doing yoga and other exercises specifically to target the nerves in that area, and making sure I had rest days as well. The pain is pretty much gone, just have occasional stiffness and mild soreness when I overdo it, but I'm keeping up with the stretches (the yoga and then the hip abduction ones like the clamshell, side leg lifts, etc. from the link below)


https://runnersconnect.net/running-i...drome-running/
Sounds very similar to my wife's situation. Last year she had an L4-L5 fusion to correct nerve pain in her lower leg. It was keeping her from doing any kind of prolonged standing or walking. Did well with recovery through the Fall last year, then we joined a gym in January. We both started being much more active, especially so for my wife who was a true couch potato in her working life and then once she retired (due to the leg pain). Long story short, she developed hip pain a few months ago. Got a shot of cortisone, but it did nothing. Referred to a physiatrist who diagnosed it as "dead butt syndrome", probably caused by too much activity too soon. She's now in PT twice a week and starting to see relief, but it's a slow process. Her PT said to limit walking for now, so when she goes to the gym she warms up on a stationary bike before doing strength training. She'll get there, but it's been discouraging after what had been a hopeful period following her surgery.
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Old 07-25-2016, 06:59 AM   #51
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Thought it was sciatica, but after doing more reading, learned about periformis syndrome and started doing yoga and other exercises specifically to target the nerves in that area, and making sure I had rest days as well. The pain is pretty much gone, just have occasional stiffness and mild soreness when I overdo it, but I'm keeping up with the stretches (the yoga and then the hip abduction ones like the clamshell, side leg lifts, etc. from the link below)


https://runnersconnect.net/running-i...drome-running/
You were getting sciatic pain caused by your performis muscle pressing on your sciatic nerve. I had the same thing and got MAT treatments and exercises that got rid of it in about a month. Sciatic pain is usually caused by some muscle or tendon that presses on the sciatic nerve, and the performis is a common culprit.
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Old 08-26-2016, 06:09 AM   #52
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As I've noted before...our healthcare system is great.....if there's nothing wrong with you.

(This in no way reflects upon the medical personnel themselves, they do a damn good job......but, they're swamped.)
So...I got up during the night and my left (usually it's my right) ankle spasmed.... a first. This Wednesday I had dropped off a 'Patient Questionnaire' at a 'Pain Clinic' (a sort of clearing house to redirect sufferers to a variety of doctors/resources), wherein I had indicated that the spasms were confined to one leg only.

We contacted them with this update first thing this a.m. The response was to "Contact the hospital emergency or your doctor" - both of whom had referred me to the clinic and would likely refer me back to them! (Where's Yossarian when you need him?) And even then it could take months before they could see me.

Sciatica Symptoms

Quote:
Sciatica Symptoms Needing Immediate Medical Attention

When Should I See a Doctor for Treatment?
Watch: When to See a Doctor for Back Pain Video
Rarely, sciatica symptoms that worsen quickly may require immediate surgery. The following symptoms indicate a need for immediate medical care:

Symptoms that continue to get worse rather than improve, which may indicate possible nerve damage, especially if the progressive symptoms are neurological (such as leg weakness).
Symptoms that occur in both legs (called bilateral sciatica)or that cause bladder or bowel incontinence or dysfunction or altered sensation in the genital area or "saddle area"—may indicate cauda equina syndrome. Cauda equina syndrome is an acute compression of one or several nerve roots that occurs relatively rarely (in approximately 2% of herniated lumbar disc cases) and can cause paralysis.
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Old 08-26-2016, 09:25 AM   #53
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Complicating the issue is the fact that a very few people without serious issues also get sciatica in both legs at once. Well, that's based only on my own observations and I am not a doctor. But earlier this year I had sciatica in both legs. Wow, was that miserable! I have almost no back issues at all so I attribute that experience entirely to excessively bad luck. I didn't see a doctor or chiropractor and in a few days the problems disappeared.

In your case, since you have other issues going on I think it's smart to have it checked out. But I don't envy the hassle with bureaucracy that you will have to endure in order to do that.
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Old 08-26-2016, 11:05 AM   #54
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...with the back, sciatica, and now the specter of an aneurysm, it all seems like a house of cards after a ceiling fan has been activated.
Yes the compounding effects of multiple problems seems to test our resolve and upset our exercise regime. It also puts stress on our slow referrals system for specialists.
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Love the analogy!
Luckily my plight is less severe but I can feel the breeze from that ceiling fan!

Left leg: plantar fasciitis, spider bite led to 8 days in the hospital (cellulitis and phlebitis), then small broken bone then stretched tendons.
Right leg: stretched tendons

So my walking days are suspended. Major change in exercise regime. Fortunately I can still bike. Just completed a bike/barge trip down The Moselle.
The biking restored my fitness if not my mobility. A trip to the Sports Medicine Clinic at the university got me into an exercise regime to strengthen my tendons. I am now able to walk without pain.

My days of hiking 320 metre high mountains is over for now. It is the angina and COPD that makes that unwise. But biking and level walking is back on.

My dentist thinks a bone graft from my hip will help to restore my upper left mandible. It has the hardness not available from cadaver or artificial bone transplants. I just hope there are no hip-related side effects.

My eye surgeon is not optimistic that he can correct the damage he inflicted on my right retina during the artificial lens securing procedure.

My cardiologist is pleased that my condition seems to be stable, with tachycardia only occurring at high level of physical stress.

My mole man says I am keeping sun exposure at the right level.

My GP is investigating my kidneys.
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In your case, since you have other issues going on I think it's smart to have it checked out. But I don't envy the hassle with bureaucracy that you will have to endure in order to do that.
The bureaucracy does work. It just takes time. So if you can survive long enough and can endure the suffering, you eventually get all the referrals that you need. I think Nemo is troubled more because he is living in a small town. When my son lived in Belleville, he went to Toronto for specialist work, most recently for testicular cancer (76% chance of survival). That referral was handled immediately. IOW death gets priority over pain.
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Old 08-26-2016, 03:18 PM   #55
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Boy, Keith, you make me seem like the picture of health! Hope your son does well with the testicular cancer......perhaps he can buy Lance Armstrong's old bike, follow his lead and do the Tour de France!

After sitting in Emerg for 5-6 hours, saw a very thorough young doctor* who did a bunch of reflex/strength tests, etc, and couldn't find anything that required immediate attention, although he understood the concern about bilateral sciatica.

Said to contact our Dr. on Monday and try and hustle the Pain Clinic along somewhat, so that I could, (with luck), get some specialist attention.

(*As I've noted previously, I have nothing but praise for the health care personnel......the system...well.....)
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Old 08-26-2016, 04:25 PM   #56
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When you finally get fed up with doctors joint me. I had a knee pain so bad I went for help got a cortisone injection and though I was fixed a few months later it came back with my knee pain and also one shoulder. This went on until I had both shoulders’ and both hips and one knee all in pain could barley move. The last specialist was a surgeon who told me we need to operate on the shoulder I ask how is that going to fix the knee and he said we will operate on that later I told him he did have no idea of the problem as all are related. After walking out of the office fuming at his ignorance I went home and started to hunt for the answer. First I checked out the medical websites and fond basically the same as they were saying. Then I moved to alternative that was a little more challenging trying to separate the good information from the snake oil salesman. I finally found the answer and it was in nutrition it was not a fast fix because I had many years of eating bad to make up for even in that there was many who claimed that this and that were healthy to eat I found they were wrong. I am now 74 and can run uphill without getting out of breath 70bls lighter and have no pain at all. My doctor says I have the blood pressure of a 15 year old and I joke with him and say yes and I am not giving it back. I will give you a clue the doctor I like is a veterinarian.
I am not going to tell you what to do but pray you will consider checking out good nutrition and surprise yourself. Good Luck
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Old 08-26-2016, 04:49 PM   #57
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pray you will consider checking out good nutrition and surprise yourself.
I'm 74 a month from tomorrow.......diet is pretty good, a lot of vegetables/fruit, not a great deal of meat, (especially red), very limited, almost zero, (although an ice cold beer on a very hot day does taste good), alcohol, no pop, no potato chips or related crap.

Now I'm wondering how bad I'd be if I had a lousy diet.
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Old 08-26-2016, 04:51 PM   #58
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I'm 74 a month from tomorrow.......diet is pretty good, a lot of vegetables/fruit, not a great deal of meat, (especially red), very limited, almost zero, (although an ice cold beer on a very hot day does taste good), alcohol, no pop, no potato chips or related crap.

Now I'm wondering how bad I'd be if I had a lousy diet.
I suspect your problem is your primary doctor isn't a veterinarian. Bark once if you agree, twice if you don't.
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Old 08-26-2016, 04:53 PM   #59
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I suspect your problem is your primary doctor isn't a veterinarian. Bark once if you agree, twice if you don't.
Doc says I'm 518 in dog years.
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Old 08-26-2016, 05:33 PM   #60
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Doc says I'm 518 in dog years.
Still on hard food yet or have you switched to canned soft food?
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