Sciatica, it's crippling me: Who to turn to?

Posted by denman55 @denman55, Oct 10, 2023

I have just recently been hit with sided sciatica. The pain down my butt and leg are making it impossible to sit, stand or walk. It's come on quite suddenly. Normally my sciatica is on my side - that has calmed down. What can I do at home to relieve the horrible symptoms?

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@justclintdavis Hello and welcome to Connect. You are correct that sciatica can be caused by spinal cord compression in the neck. I am a cervical fusion patient and prior to surgery, I had pain all over my body that was being caused by spinal cord compression. Part of that was sciatica, and my pain would change locations when I changed neck positions. Having surgery that decompressed my spinal cord fixed all of that. I found literature that sometimes sciatica is the symptom that leads to the discovery of spinal cord compression. I will share some literature here and you may want to discuss this with your surgeon in case you want to change course and address the issues in the cervical spine. Many surgeons miss this and all the surgeons I saw before coming to Mayo also missed it. All of these articles describe phenomenon called "funicular pain" and there is no diagnostic test for it except that decompression surgery fixes it which proves the diagnosis.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3111492/
https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-020-03299-x
https://journals.lww.com/spinejournal/Abstract/1999/06150/Sciatica_Caused_by_Cervical_and_Thoracic_Spinal.17.aspx
I have not had a spinal cord simulator and don't need one because my c5/c6 fusion took care of all the symptoms. If your surgeon does not want to consider this as a possible diagnosis, you will need to get another opinion and put this literature on the table at the start. I found myself in that position of having been dismissed by a surgeon, and then finding this, and no doctors who knew me would help me address it with the surgeon who missed it. I suggest asking it as a question by asking if your case is like these cases in literature that you found. Let the doctor take the information and get back to you after having time to look at it and think about it. You don't want to put him on the spot and embarrass him if he has not heard of this. They must find a relationship between the imaging and your symptoms to justify surgery and the spinal simulator is because you have pain with an unknown source. I had my surgery at Mayo and the surgeon was familiar with this type of symptom.

Good luck in your quest!

Jennifer

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@jenniferhunter or anyone else that has a comment. I just discovered I have this pain. I do have a magnesium deficiency but have been on it for sometime now twice. Last time I went to the doctor, they always ask if there is any pain. Normally I say no and most of the aches and pains are age related. This time I said that I have a pain in my ass and it’s not you. Nothing more was said about it probably because of how I said it. At that point it was just a pain in the ass and it was manageable. Lately the pain goes down the leg and the foot is numb. It comes on so fast and I can not walk. I actually started crying today due to the pain. I have been exercising to no avail. I see a Doc tomorrow. Any suggestions on what to do? Does a cane help? I cannot get on my knees anymore. Is this the golden years? Hurt the person who came up with that saying

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Dear Fellow Sufferer. ... I don't believe anyone can understand the unrelenting pain
of sciatica unless they have been troubled by it The pain from the buttocks down
the leg is unforgiving. The electric shock that you feel in the heel of the foot when
you 'try' to stand is a 'gevalt'. That's a Yiddish word that describes it well. When
pain is really intolerable ... I put an 'oy' in front of it. Of course, ice pack when
sitting 'can' help and afterwards try a heating pad. Eventually, hopefully, the
pain will subside. Try to be patient with yourself. I pray your/my pain will
disappear one day. Till then, I'll keep saying ..."Oy gevalt". It's better than crying.
Good wishes to all in the Chronic Pain Sufferers Club.

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Try looking up the Department of Defense pain scale. It's from 0 - 10, but it gives it in terms that any human can understand. I've always rated my pain as around a 3, but on this pain scale, I learned that it's actually a 7.5-8 most days, sometimes reaching 9.

I just had surgery a few weeks ago, so the pain level isn't near that most days anymore.

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Profile picture for darn32859 @darn32859

@jenniferhunter or anyone else that has a comment. I just discovered I have this pain. I do have a magnesium deficiency but have been on it for sometime now twice. Last time I went to the doctor, they always ask if there is any pain. Normally I say no and most of the aches and pains are age related. This time I said that I have a pain in my ass and it’s not you. Nothing more was said about it probably because of how I said it. At that point it was just a pain in the ass and it was manageable. Lately the pain goes down the leg and the foot is numb. It comes on so fast and I can not walk. I actually started crying today due to the pain. I have been exercising to no avail. I see a Doc tomorrow. Any suggestions on what to do? Does a cane help? I cannot get on my knees anymore. Is this the golden years? Hurt the person who came up with that saying

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@darn32859
something is compressing the sciatic nerve. You may need imaging to find what the trouble is.
It could be piriformis syndrome, where the muscle is pinching the nerve, then you could stretch the piriformis muscle. A lumbar MRI might reveal disc or ligament problems. You might call the doctor and ask for an MRI as the pain has become more intense.
I think a chiropractor would be helpful. They would have a good idea where the pain is coming from, and you usually don't have to wait for long to see them. I'd still want the MRI.

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Profile picture for darn32859 @darn32859

@jenniferhunter or anyone else that has a comment. I just discovered I have this pain. I do have a magnesium deficiency but have been on it for sometime now twice. Last time I went to the doctor, they always ask if there is any pain. Normally I say no and most of the aches and pains are age related. This time I said that I have a pain in my ass and it’s not you. Nothing more was said about it probably because of how I said it. At that point it was just a pain in the ass and it was manageable. Lately the pain goes down the leg and the foot is numb. It comes on so fast and I can not walk. I actually started crying today due to the pain. I have been exercising to no avail. I see a Doc tomorrow. Any suggestions on what to do? Does a cane help? I cannot get on my knees anymore. Is this the golden years? Hurt the person who came up with that saying

Jump to this post

I have a heating pad in my car, at my kitchen table and when I eat. It’s either on my but or back. I only take 100 mg of neurontin and 100 mg of Celebrex every am. I stretch and keep going. I think the heat has helped me. You can also throw in a little covered soft ice packs to the back, but etc on and off for a few minutes. I have severe lumbar arthropathy, arthritis and some nerve compression. I also take magnesium, fish oils and osteo biflex. The heat has helped me the most.

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Profile picture for darn32859 @darn32859

@jenniferhunter or anyone else that has a comment. I just discovered I have this pain. I do have a magnesium deficiency but have been on it for sometime now twice. Last time I went to the doctor, they always ask if there is any pain. Normally I say no and most of the aches and pains are age related. This time I said that I have a pain in my ass and it’s not you. Nothing more was said about it probably because of how I said it. At that point it was just a pain in the ass and it was manageable. Lately the pain goes down the leg and the foot is numb. It comes on so fast and I can not walk. I actually started crying today due to the pain. I have been exercising to no avail. I see a Doc tomorrow. Any suggestions on what to do? Does a cane help? I cannot get on my knees anymore. Is this the golden years? Hurt the person who came up with that saying

Jump to this post

@darn32859 Are you having muscle cramps due to a magnesium deficiency? Cramps can also happen with dehydration I have heard. Have you discussed muscle cramps as a possibility? Sure, there can be other factors too, but I know muscle cramps are extremely painful and come on very suddenly as you described.

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