Disc bulging in T-3-T-4, arthritis and mild stenosis C-2 down

Posted by pamela35 @pamela35, Feb 8, 2023

As requested let me introduce myself. I am 56, have been working as an inpatient RN for over 19 years. At age 18 I took a self-defense class which included throwing people and getting thrown to the ground. I started having lower back pain and I remember the instructor saying I probably had a UTI and should drink cranberry juice. So ridiculous as I remember this now. I finished the class, pain increased and I saw a chiropractor's ad and went for my free x-ray and exam. He stated he could help me as I didn't have any disc problems. I had some sessions which was a financial strain but I did not get relief. I went to my Dr and finally got appropriate imaging and advised I had two herniated discs L3, L4 I believe. Of course I was having sciatica. The Dr advised I be admitted for bed rest and traction which would never be done in these days. I remember my friend bringing me chocolate chip cookies as my parents happened to be out of town. 2 or 3 days inpatient which didn't help. I stopped being active and gained weight. I was offered surgery or advised it could resolve on it's own. I declined surgery and started walking more with my corset on and I got better. About 25 years ago my little family was rear-ended. I had neck and lower back pain. Flexeril and narcotics were prescribed. Right after I got my car back from the shop I was hit from the side by someone running a red on the same street as the first accident. Pain got worse and Dr finally ordered PT consult. When I arrived for the appointment she said, you're here because you don't want to go back to work. I was working retail at the time. I had ultrasound to lower back and neck. I got about 80% improvement in lower beck and neck was worse. Off and on my sciatica would act up. My last bad time was around 2015. I remember finally getting a Rx for Norco and sitting in a restaurant and feeling the relief from that first pill. With that go around walking made it feel better and every other position was uncomfortable. I have been getting massages, chiro adjustments for years for neck, shoulder, lower back pain. About 3 years ago I started having left neck pain that came and went with no relief with anything I did. It would spread up over my forehead. I finally tried a chiropractor for this and after 3 visits it was completely gone. This pain was like a spasm. About a month ago that pain started up and increased. The chiro I had gone to is not practicing. Went to one my husband had gone to and after 3 visits the pain was getting worse but his tx really never changed. I went to another from my old church and I got a little relief. A week ago Monday I was very sore and had been when sitting up in my neck, had to support my neck when stretching on my chirp wheel. I had an appointment with physical medicine that day and started to make breakfast. I reached up for a plate and had quite a bit of neck pain. I was getting a skillet ready and looked down and had the scariest, most intense spasm like pain in my neck. I cried out and continued to experience seconds-long terrible spasm when I moved my neck in any direction. I had my husband heat up my beaded neck wrap. I tried to put it on and got another spasm. He took me to my appointment. Dr. stopped the exam when I cried out after I took off the wrap causing a spasm while he was touching my shoulder. I told him it wasn't from the touch but he said then my reaction was too delayed. He ordered radiology tests, flexeril and neurontin. I found out later he ordered urine drug screen too. The nicest x-ray tech was the only compassionate person I encountered that day and that is the facility I work at. That young lady helped me with everything and I had another spasm while doing the standing x-ray. I popped a flexeril as soon as we got in the car and we headed to the nearby chiro to see if he could help. I had a spasm lying face down on the table, but he was able to press on my upper back. I had so much trouble getting up and had to support my head. He could not turn my head without setting off a spasm. He applied kinesiology tape and by the time I left I was able to look down a little. I took an old Valium I had at home and went to sleep. Next day, the spasm was just short, quick pain with movement. Took flexeril only 3 x a day and movement in all directions improved. Next day MRI. Disc bulging in T-3-T-4. Arthritis and mild stenosis C-2 down. My husband took me to a massage therapist a friend suggested. He massaged a trigger point and asked for $80. He only spoke Spanish and I was in a daze. I started accupuncture last Friday and had more movement the next day. I seemed to have regressed yesterday with more pain in the left more anterior neck muscles. I had to hold my head last night lying down and turning. Took just 1/2 a flexeril last night. I have a PT appointment next week, pain management Friday on the phone. I am now waiting to hear back from Dr on whether I should be on modified duty, full or be off. I'm due back on Thursday. We aren't supposed to lift more than 25 pounds at work, but we do. I helped turn a heavy patient at the end of January and felt tightness immediately in the back of my neck. I had also done some light overhead free weights at the end of January. My mind keeps going back to the trauma of that Monday and trying not to as it makes me stiffen up. I was able to drive two days ago. Ok, there's my lovely history.

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Hello @pamela35 and welcome to Mayo Clinic Connect. You have had quite the long journey with your back pain and I can only imagine how this must be wearing on you.

With all that has happened, how can other members best support you and/or what are you hoping to achieve for your health and spine care going forward? Is it to find a doctor that you feel supported by? Or maybe just some relief by way of some new treatments you haven't yet considered or been offered?

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@amandajro

Hello @pamela35 and welcome to Mayo Clinic Connect. You have had quite the long journey with your back pain and I can only imagine how this must be wearing on you.

With all that has happened, how can other members best support you and/or what are you hoping to achieve for your health and spine care going forward? Is it to find a doctor that you feel supported by? Or maybe just some relief by way of some new treatments you haven't yet considered or been offered?

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Hi, I would like to learn from others what has helped them. I had a telephone appointment with the pain medicine Dr today and I really like what I hear, liked her manner. I went to work yesterday as my note had expired and couldn't get any response from the original Dr who saw me. I was feeling pretty good after accupuncture on Wednesday. At the start of my shift I have to look up info on the computer and write it down. The looking up and down was not good. I was in mild/annoying pain all day. I told my charge I would not be lifting anyone. At lunch I saw the Dr had written a note for me to be on modified duty until 4/9. I finished my shift and turned in my note. I will have a trigger point injection next Thursday- no cortisone. I agreed with her that least invasive is what I wanted to try.

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I’m kind of in shock that you continued to work as a nurse with your back issues. My 1st wife injured her back rupturing L3, L4, L5 discs putting a Foley catheter in a women with rather large legs. She was on Workers Comp until she developed a severe cardiac illness (prinzmetals variant angina) which disabled her permanently. The docs thought the stress from the injury was a contributing factor.
Once I injured my back, not from nursing although that was my profession too, I could not go back to doing medical record auditing and sitting all day or do floor nursing either after my fusion and 2 years of disability.
I guess it depends on how much pain you’re willing to tolerate with a screws up back and hopefully you don’t continue to deteriorate until you make a decision.

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@jenatsky

I’m kind of in shock that you continued to work as a nurse with your back issues. My 1st wife injured her back rupturing L3, L4, L5 discs putting a Foley catheter in a women with rather large legs. She was on Workers Comp until she developed a severe cardiac illness (prinzmetals variant angina) which disabled her permanently. The docs thought the stress from the injury was a contributing factor.
Once I injured my back, not from nursing although that was my profession too, I could not go back to doing medical record auditing and sitting all day or do floor nursing either after my fusion and 2 years of disability.
I guess it depends on how much pain you’re willing to tolerate with a screws up back and hopefully you don’t continue to deteriorate until you make a decision.

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The lower back and sciatica has come and gone over 25 years. The neck spasm was mild and annoying until that fateful Monday when it was a nightmare. I was very uncomfortable after looking up and down repeatedly the one day I went back, but had felt ok. I really don't know what my future will be, just thankful I'm able to take some time off. I believe I will get better. I am looking forward to PT. I don't know the therapist personally, but some are quite bright so I look forward to hearing their input.

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A little update: I had trigger point injection to 3 areas on both sides of my neck into muscle with two numbing agents and she said she was doing a little dry needling, though not dry. I had read about dry needling for trigger points years ago for myosfascial pain and couldn't find anyone to do it. I had taken a flexeril the night before so my neck was feeling pretty good today. The day before not so good with no flexeril the previous night and some sinus pain also. My right lower back is really bothering me the last few days and lack of exercise is probably not helping. I have injection site pain mostly in one site and have used a cold pack 3x. I had some heat, dizziness, mild nausea right after injection and just laid my head down on a pillow on the side of the bed until it past. Surface of my neck was quite numb and that dissipated. If this gives some relief I am going to ask for a referral to work on the other lumps of pain. My PT appt is next week and I really want to know what set off that horrible spasm so I can avoid it ever happening again.

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@pamela35

The lower back and sciatica has come and gone over 25 years. The neck spasm was mild and annoying until that fateful Monday when it was a nightmare. I was very uncomfortable after looking up and down repeatedly the one day I went back, but had felt ok. I really don't know what my future will be, just thankful I'm able to take some time off. I believe I will get better. I am looking forward to PT. I don't know the therapist personally, but some are quite bright so I look forward to hearing their input.

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PT will keep you going and once you get a good home exercise program (HEP) stick with it and don’t ever stop. I fx my L5 lamina in a fall in a small earthquake in Ca in 1988. The more you work injured the more you are negatively effecting your spine. Good luck but don’t wait too long. I switched from floor nursing to auditing records for missed charges. I eventually became a medical coder too. Your medical knowledge can take you many places less hazardous to your back.

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Sorry to hear your story. I fell in a restaurant in 2011. Slipped on grapes and water. don't eat at ruby tuesdays. Now yrs later I hear I need a spinal fusion at l 4/5. Grade 1 spondolethesis. Drs are Leary of giving me pain ex as I have been taking benzodiazepines for 30 yrs. My old drs in NYC had me on oxy contain or the like in conjunction with dilauds or other type meds. I get numb in my toes at times.
I am afraid to do this op anyone out there with suggestions?
Thks Dreams

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@amandajro

Hello @pamela35 and welcome to Mayo Clinic Connect. You have had quite the long journey with your back pain and I can only imagine how this must be wearing on you.

With all that has happened, how can other members best support you and/or what are you hoping to achieve for your health and spine care going forward? Is it to find a doctor that you feel supported by? Or maybe just some relief by way of some new treatments you haven't yet considered or been offered?

Jump to this post

I have osteoporosis of the spine and a compressed disk, but the main idea is that my spine has degenerated over the years. I am 75 years old and without pain.
I continue to engage in swimming, road bicycling, mountain biking, weight-lifting, and even snow skiing in the winter months.
My long-term exercise program over the past ten years has been the reason for my correct posture and absence of pain. I have made it a priority for my health.
But if you decide to strengthen your back, I recommend a trainer. I belong to Life Time Fitness.
There is hope. Patricia

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