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Old 10-07-2016, 07:21 PM   #41
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Update: Pain is very manageable. I have to take some Norco at night to sleep, but daytime all I need is a bit of Advil and Tylenol gets me through the day.
The scary part is the weakness in my right leg. PT is working on it. They want me walking as much as I can, and I like to walk, so I'm walking a few times/day, about a mile each time. I use my 8-iron as a cane.

Assuming no big set-backs, will confer with doc in 3 weeks to consider progress, and how to proceed.
Hang in there. Hopefully it will get better.

You know what finally broke me? I couldn't cough or sneeze anymore without crumpling in pain. Actually, sneezing in the car while driving became downright dangerous. I couldn't see straight for about 5 seconds from the pain of a sneeze.

When that didn't resolve and it got worse, I cried uncle.

I hope you don't go there. But do watch your weakness. It needs to be watched. I suggest you start a pain/symptoms diary so you can track things. I helped me, especially when I had episodes that I could refer to much later (like years later). Helps you keep perspective on your improvement or decline.
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Old 11-14-2016, 06:26 PM   #42
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update: pretty much pain free. I haven't taken a hydrocodone in 2 weeks. I do take a 400mg ibuprofen once in a while, maybe 2/week. Strength is returning, although not all the way back...maybe 75% back? Am walking 3 miles/day, have PT 2/week.
The pain doc seemed surprised i was doing as well as I am...for what that's worth.
I feel as if I could swing a golf club, but since the season is just about dead, I might as well wait. I'm not lifting anything very heavy. PT guy is starting to move me from exercises to reduce symptoms to exercises to make me stronger and more injury resistant.
I am pleased, and surprised.
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Old 11-14-2016, 06:54 PM   #43
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That's great news!
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Old 11-14-2016, 07:34 PM   #44
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That's great news!

yes it is.

THANKS!
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Old 11-14-2016, 08:15 PM   #45
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Wow! So great that PT is working so well!
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Old 11-15-2016, 08:40 AM   #46
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Glad to hear you are doing well. Sounds like a great sign that the PT is moving to strength building exercises to prevent future problems.
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Old 01-23-2017, 06:33 PM   #47
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Received a call today from a specialist's office, (about 50 miles from here); following a referral made by our new doctor I have a preliminary appointment this Friday afternoon.
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Old 01-23-2017, 06:54 PM   #48
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Nemo, Got my fingers crossed for you, good luck!
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Old 01-23-2017, 07:36 PM   #49
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Nemo, Got my fingers crossed for you, good luck!
Thank you!
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Old 01-23-2017, 08:23 PM   #50
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Received a call today from a specialist's office, (about 50 miles from here); following a referral made by our new doctor I have a preliminary appointment this Friday afternoon.
So, how have you been doing? I gather not all that great since you are pursuing more treatment? What are your current symptoms?

I was released from PT around Dec.1. I am doing pretty well. Really well compared to when I started this thread. I'm walking a lot, even playing a little winter golf. 9 holes a few times a week, pushing my cart. I tried carrying a bag with half the clubs, but that didn't feel good at all.

Some days I feel quite good, other days it's still a struggle. If I don't do my exercises I feel not that great, but if I overdo it at all, I feel not that great. It's a fine line.
Not taking many drugs. No Norco for months, but I need 400mg ibu now and then, and Neurontin most nights.

Keep us posted, Nemo...wishing you all the best of luck!
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Old 01-23-2017, 11:55 PM   #51
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So, how have you been doing? I gather not all that great since you are pursuing more treatment? What are your current symptoms?
Actually I'm waaaay better than I was when we returned from Spain last Spring....it's just taken me this long to get an appointment with a specialist.

I take one extra strength Tylenol with breakfast for the arthritis in my lower back; this gets me mobile and it's rare that I need to take another one.

Hip pain is vastly improved, (although I do still get moments when my right ankle spasms), and I'm back to doing about 45 minutes a day on the elliptical.

One problem, that may be unrelated, or interrelated, is an anticipated one from when I was knocked down and my left foot was run over by a large truck almost ten years ago.

Although I wear orthotics, my left foot seems to be supinating to a greater degree, which of course throws everything else out of kilter. In fact, after some contemplation, (I didn't want to get new orthotics which would 'solve' the foot rolling outwards, only to have that negatively impact the rest of the skeletal structure), just hours before the surgeon's office called I had finally made an appointment with the podiatrist......which I subsequently postponed until I receive more input.

So...I'm hoping that somebody can look at the interactions between the whole unit rather than 'fixing' individual symptoms.

¿Quién sabe?
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Old 01-24-2017, 05:44 AM   #52
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Well, being run over by a truck has to explain some things. I sometimes tell DW that I feel like I've been run over by a truck, but I speak in hyperbole.
I'm glad to hear you are doing better. Good luck moving forward.
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Old 01-24-2017, 06:02 AM   #53
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Well, being run over by a truck has to explain some things. I sometimes tell DW that I feel like I've been run over by a truck, but I speak in hyperbole.
I'm glad to hear you are doing better. Good luck moving forward.
Here, in deference to the squeamish, is the 'nicest' of the pics of that event:



The paramedics that attended feared I might lose my foot, so they bypassed the closest hospital and headed straight to the trauma unit.

Onwards & Upwards.
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Old 01-24-2017, 06:05 AM   #54
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My wife has been under the care of pain management about 15 years. She's had surgery for spinal stenosis, a number of steroid shots (under flouroscope) and a couple of double nerve ablasions. Our observations:

1. Every person with back problems is going thru Physical Therapy--a number of times.
2. We're somewhat afraid of some chiropractor techniques are doing more damage than good.
3. We'd rather use a neurosurgeon than a orthopaedic surgeon.
4. Only accept steroid injections under a flouroscope. Otherwise, the doctor's just guessing where the canal is, and that's not the way to do it.
5. Steroid injections must be done in series of three--a month apart. That's quicker than Medicare wants to pay for. Often, it's the third shot that puts you over the top.
6. If controlled substances are required to relieve your pain, take them exactly as prescribed. Many get relief and don't take their whole prescriptions--bad. Take'em all.
7. Don't worry about getting addicted to the pain medicine. Your main concern should be to get yourself back into society. The meds can very often keep you from being an invalid.
8. If you continue in pain, get yourself to a pain management clinic that's run by an anestesioligist with a fellowship in pain management. They're real deal--not a regular M.D. claiming to be a pain specialist that gives shots.
9. If the pain management is just shots only and no medicine management, go to another clinic. It takes both to get pain relief.

Unfortunately, state regulations are getting tougher because of physicians that are "candy men" prescribing pain meds to those without physical ailments. We're now required to pickup written prescriptions for controlled substances in person, and Medicare is billed about $360 per month for the office visit AND a $120 mental health analysis. And many of our local pharmacies don't even stock controlled substances, and we have to chase around to find the meds.
Under a great pain management M.D., my wife's back is not causing any problems. But as in so many arthritis situations, problems are moving elsewhere--this time to the top of her feet. There's a joint on top of your feet, and she has no cartlidge in it. She's barely able to wear shoes. So far, she's had to have orthodic inserts in her shoes, and the shoes (for women) are Alegra brand with "rocking bottoms."

Medically, she's using Volteran Gel which is a pain reliever and minimizes swelling. It's a Godsend for any pain--including backs. And she's using across the counter lydacaine cream.

Last week, I ordered a Quell device. It's electronic and kind of like a TENS device stimulating the nerves to the brain to stop pain in the back and legs and feet. So far, she says it's improving her level of pain. Quell has just been on the market a couple of years, and it's getting great ratings on Amazon.com for non-medical pain relief.
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Old 01-24-2017, 10:00 AM   #55
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Nemo, you are lucky to have a foot at the end of your leg, after an accident like that! Whew, that was terrible. It's a miracle that you can even walk at all. Kudos to your doctors.
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Old 01-24-2017, 10:38 AM   #56
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Under a great pain management M.D., my wife's back is not causing any problems. But as in so many arthritis situations, problems are moving elsewhere--this time to the top of her feet. There's a joint on top of your feet, and she has no cartlidge in it. She's barely able to wear shoes. So far, she's had to have orthodic inserts in her shoes, and the shoes (for women) are Alegra brand with "rocking bottoms."
Ouch...that sounds terrible, I hope there's something that can be done to alleviate the situation?

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Medically, she's using Volteran Gel which is a pain reliever and minimizes swelling. It's a Godsend for any pain--including backs. And she's using across the counter lydacaine cream.
Both of us us Voltaren once in a while for temporary relief.

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Last week, I ordered a Quell device. It's electronic and kind of like a TENS device stimulating the nerves to the brain to stop pain in the back and legs and feet. So far, she says it's improving her level of pain. Quell has just been on the market a couple of years, and it's getting great ratings on Amazon.com for non-medical pain relief.
Last transatlantic we spent some time with a South African couple who currently live in Panama and they were big proponents of this item.
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Old 01-24-2017, 10:42 AM   #57
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Nemo, you are lucky to have a foot at the end of your leg, after an accident like that! Whew, that was terrible. It's a miracle that you can even walk at all. Kudos to your doctors.
Shortly after the accident I mentioned to one of the doctors in Ottawa that the bone on the top of the foot didn't appear to be aligned properly. He replied that as long as it healed they didn't care about alignment.

To which I replied "If it was your foot I wouldn't care either".
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Old 02-03-2017, 03:59 PM   #58
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Have you looked into working with a Chiro ...

I'm partial to gonstead Chiros because they try to find the root of the problem and correct it .. rather than just relieve pain ..

Here is where you go to find one in your area
Home - Gonstead Clinical Studies Society

You should still vet him .read reviews .. make sure he's a good one.. One good sign is that he takes an Xray before he gives you a plan.
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