Sciatica pain

Posted by junebug15 @junebug15, May 1, 2017

Am dealing with pain on my left side radiating down my leg with numbness and tingling, diagnosed as sciatica. MRI showed two bulging discs and spinal stenosis. Ironically, I question whether the sciatica is from the above, but may involve my piriformis muscle. I had this problem in 2009 and my neurologist injected a steroid into the prirformis and I had relief for all of this time. After taking steroids with no relief I asked for a shot in the piriformis (rather than an epidural) and this has helped a little. Am due for another shot soon. I am now also having severe muscle cramping in my groin and thigh upon standing and walking, which is very painful. Would appreciate anyone’s input. I am going to look into PT and ART (active release technique). Thanks for your input.

Liked by gina54

@JustinMcClanahan

Hello @junebug15, I am sorry to hear of your recent diagnoses.

I would like to invite @blindeyepug, @goodtime376, @pat3316, @jeriliz, and @jjwest to this discussion as they have all discussed having spinal stenosis as well and may be able to offer some insight regarding your concerns with treatment options and epidurals.

@junebug15, did your physician(s) mention or talk about how long the shots would take to start having an affect?

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Hey goodtimes. Had my second shot today but I really have some negative feelings about its effect. Will do like the first time and give it 24 to 48 hours, but that also did not seem to help. Do not think I will go for a third. Started physical therapy and am interested in Active Release therapy which I will discuss with my PT. Contacted the Mayo Clinic, as I’m looking for a really good neurologist to discuss this condition with, especially before I would have an epidural. I want to make sure I get a second opinion on a diagnosis before I do anything further. (And yes, I do question my dr. And his treatment regimen). It’s quite discouraging but I’ll keep plugging away. thanks for your input, sending hugs and best wishes.

@JustinMcClanahan

Hello @junebug15, I am sorry to hear of your recent diagnoses.

I would like to invite @blindeyepug, @goodtime376, @pat3316, @jeriliz, and @jjwest to this discussion as they have all discussed having spinal stenosis as well and may be able to offer some insight regarding your concerns with treatment options and epidurals.

@junebug15, did your physician(s) mention or talk about how long the shots would take to start having an affect?

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Hi Pat. So glad you were able to get relief from your pain. I had my second steroid injection today into the piriformis but don’t have very high hopes regarding the pain reduction. I had this condition before, and like you, had a piriformis injection and received very quick relief. That is why I choose again to have a piriformis injection rather than an epidural. I started PT and hopefully this will give me some relief. I’m also interested in Active Release therapy and need to find a really good massage therapist that does this. I’m hopeful that eventually I will get some relief as you did. Take care and stay well.

@sandytoes14

@junebug I recently read an informative article from another site about piriformis syndrome I will attach here : http://bit.ly/2pHeHuj
I certainly understand your reluctance in getting an epidural. I have had several in my cervical spine due to stenosis and disc bulge. I will only have them done by a specialist, usually an anesthesiologist, under a fluro scope. That way the doctor sees exactly where the catheter is positioned. As I recall, it wasn’t until my third injection until I felt significant relief. I hope you get some relief with the piriformis injection.

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Thanks sandytoes. Am reading articles like yours and finf some good info in them. Am also looking into ART therapy. Started PT and am hoping for the best outcome. Thanks again.

@junebug15

Thanks Justin. Would love to hear what @predictable has to say about ART. Stay well.

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Hey predictable. Thanks for the interesting and informative info on ART. Got a second shot today so we’ll see what happens. Am going tp PT and will definitely try ART. I think ART can help get to the root of your problems by releasing your muscle spasms and breaking us the scar tissue. Will keep you posted. Take care.

@junebug15

Thanks Justin. Would love to hear what @predictable has to say about ART. Stay well.

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You’re welcome @junebug15. Perhaps my personal experience with a problem similar to yours will be useful to you. I was treated by PT for a diagnosis of inflamed nerves from spinal arthritis, then the spinal surgeon pointed me toward steroid injections to reduce the inflammation. I turned that down because it appeared to be a bridge to major spinal surgery.

I asked about the possibility of Piriformis Syndrome, which didn’t interest the surgeon. Instead he had the physical therapist put me on a spinal stretching table, theorizing that would relieve any bone pinches on nerves coming out of the spine. The stretch made things worse! It apparently aggravated one or both of my Sacroilliac Joints, causing continuing and exaggerated pain where the spine attaches to the pelvis.

Discussing next steps with my primary care physician, she knew about cases of Sacroilliac Joint dysfunction; the SJ is the spinal joint closest to where the Piriformis attaches to the Illium mound of the pelvis. SJ pain is treated with an injection into the joint. If the pain stops, that confirms the SJ diagnosis. I got the shot, the pain ended, and it hasn’t returned in three years. My wrongly diagnosed spinal arthritis, as well as suggested Sciatica, haven’t bothered me since.

@junebug15

Thanks Justin. Would love to hear what @predictable has to say about ART. Stay well.

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Very interesting predictable. I think half the battle is getting the rigjt diagnosis. If this second shot doesn’t work I think I will find a good neurologist for a second opinion.

I have had very good success with PT( when I do the exercises) & Shiatsu massage working on the piriformis muscle . I have also found that a 3-4 mi walk also helps. I just need to start slow & pick up my speed. At about the half way mark my sciatica has improved.

@junebug15 regarding sciatica, I have read many posts regarding this. I’ve had two epidurals and several steroid with lidocaine shots just above my buttock. All seemed to work, but the streoid shots were very short term 1-2 days for pain. I have all the spinal problems that begin with an ‘S. Saw my PT twice last week, who does manual massage to move muscles off offended nerves,( would this be the ART?@ ultrasound heat instrument and followed by electrical stim. In the past all my treatments have been fairly successful, but the latest pain seems to be my sciatica nerve coupled with with a bulging disc and the pain meds don’t seem to do much for the sciatic nerve. I take ,1 advil plus 1 7.5 Norco upon awaking and sit against heating pad. Thought of going back to pain doctor whose basic method is an epidural or nerve abilation. Problem is my husband has been asked to retire and we must move out of our mobile home that still has mortgage, but first clean up the clutter that has accumulated, have the house thoroughly cleaned and then start packing up but my main concern is with an epidural or steroid shot, you are supposed to take it easy for awhile which no one ever told me before and I started doing household chores only to lose the benefits of the cortizone. A church organization called Love ,Inc. is waiting to come help me clean, once the house has been decluttered and my pain meds are no longer as effective… especially the sciatica. So what really works the best for sciatica? So sorry to be so lenghy. Have not had time to look up social agencies recommended by
A fellow poster whose name starts with a “J” all medical complaints aside, it seems as though decluttering is priority # 1 and then groups will be able to help. I,m so tired. Medical co pays are piling up. I need to get some lab work done for my PC but Medicare and secondary supplement
Is no longer paying for much of this. Poster J with social agencies, I will get back to you soon. Victorious 69.

My sciatica was caused by a synovial cyst that pushed on the nerve. I had surgery to remove the cyst and was without pain. 6 months later I formed another cyst that also pushed on the sciatica nerve and so I had surgery a second time. That was 12 years ago and I’ve had no more problem. I think this is rare but thought I’d throw in another cause for people seeking a cause.

@virtuous69

@junebug15 regarding sciatica, I have read many posts regarding this. I’ve had two epidurals and several steroid with lidocaine shots just above my buttock. All seemed to work, but the streoid shots were very short term 1-2 days for pain. I have all the spinal problems that begin with an ‘S. Saw my PT twice last week, who does manual massage to move muscles off offended nerves,( would this be the ART?@ ultrasound heat instrument and followed by electrical stim. In the past all my treatments have been fairly successful, but the latest pain seems to be my sciatica nerve coupled with with a bulging disc and the pain meds don’t seem to do much for the sciatic nerve. I take ,1 advil plus 1 7.5 Norco upon awaking and sit against heating pad. Thought of going back to pain doctor whose basic method is an epidural or nerve abilation. Problem is my husband has been asked to retire and we must move out of our mobile home that still has mortgage, but first clean up the clutter that has accumulated, have the house thoroughly cleaned and then start packing up but my main concern is with an epidural or steroid shot, you are supposed to take it easy for awhile which no one ever told me before and I started doing household chores only to lose the benefits of the cortizone. A church organization called Love ,Inc. is waiting to come help me clean, once the house has been decluttered and my pain meds are no longer as effective… especially the sciatica. So what really works the best for sciatica? So sorry to be so lenghy. Have not had time to look up social agencies recommended by
A fellow poster whose name starts with a “J” all medical complaints aside, it seems as though decluttering is priority # 1 and then groups will be able to help. I,m so tired. Medical co pays are piling up. I need to get some lab work done for my PC but Medicare and secondary supplement
Is no longer paying for much of this. Poster J with social agencies, I will get back to you soon. Victorious 69.

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@virtuous69 – I’m glad to hear that you’ve been able to make progress since we last spoke. Decluttering can be a real challenge for those of us who think that we might need an item someday. I’ve been trying to get rid of things, starting with my closets – yes, it is plural! I lost 60 lbs in 2015, and my clothing sizes have shrunk, so I’m finding it easier to get rid of all the shirts and pants that are now too big. I figure by getting rid of them, I have more motivation not to regain the weight. I have a garbage bag of shirts in the car to give someone at church who works with homeless and prison graduates. I’m a little surprised that you haven’t already paid all of the co-pays for Medicare. I usually reach that level by March or April.

My wife had her first steroid shot for sciatica a week ago, and is so happy to be able to get up and move without terrible pain. We’re hoping it will last for awhile. I won’t tell her that it could only last for days, rather than months.

Jim

@virtuous69

@junebug15 regarding sciatica, I have read many posts regarding this. I’ve had two epidurals and several steroid with lidocaine shots just above my buttock. All seemed to work, but the streoid shots were very short term 1-2 days for pain. I have all the spinal problems that begin with an ‘S. Saw my PT twice last week, who does manual massage to move muscles off offended nerves,( would this be the ART?@ ultrasound heat instrument and followed by electrical stim. In the past all my treatments have been fairly successful, but the latest pain seems to be my sciatica nerve coupled with with a bulging disc and the pain meds don’t seem to do much for the sciatic nerve. I take ,1 advil plus 1 7.5 Norco upon awaking and sit against heating pad. Thought of going back to pain doctor whose basic method is an epidural or nerve abilation. Problem is my husband has been asked to retire and we must move out of our mobile home that still has mortgage, but first clean up the clutter that has accumulated, have the house thoroughly cleaned and then start packing up but my main concern is with an epidural or steroid shot, you are supposed to take it easy for awhile which no one ever told me before and I started doing household chores only to lose the benefits of the cortizone. A church organization called Love ,Inc. is waiting to come help me clean, once the house has been decluttered and my pain meds are no longer as effective… especially the sciatica. So what really works the best for sciatica? So sorry to be so lenghy. Have not had time to look up social agencies recommended by
A fellow poster whose name starts with a “J” all medical complaints aside, it seems as though decluttering is priority # 1 and then groups will be able to help. I,m so tired. Medical co pays are piling up. I need to get some lab work done for my PC but Medicare and secondary supplement
Is no longer paying for much of this. Poster J with social agencies, I will get back to you soon. Victorious 69.

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@jimhd Well only 2 boxes went to the shredder and 2 bags went to garbage. Sadly the co pays are unpaid bills from the past, not enough denero, paying 1 or two docs per month. Medicare has changed what it pays for in 2017 and will be worse in 2018. .No longer pays for labs. My PC wants me to get a bunch of lab work done that may not be even partially covered and today I will call UCSF in SF to cost out and get an appt for a root canal re-do. I think they take payments and we Don:t know if we’ll even have a place to live in two months. I hope your wife gets long relief from her steroid shot. Some do and others don’t work at all. Thx for for thinking I made progress. There’s 5 x more stuff to toss. I’ve lost my will and my strength to go on. Today we call a repair man to re do a temp fix on a leaky skylight. Dori

@GeorgeII

I have had very good success with PT( when I do the exercises) & Shiatsu massage working on the piriformis muscle . I have also found that a 3-4 mi walk also helps. I just need to start slow & pick up my speed. At about the half way mark my sciatica has improved.

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Hi @GeorgeII, how do you know when to continue through the pain when you start you walk or exercising and when it’s time to rest? What exercises did your physical therapist recommend? Which ones do you like doing?

@virtuous69

@junebug15 regarding sciatica, I have read many posts regarding this. I’ve had two epidurals and several steroid with lidocaine shots just above my buttock. All seemed to work, but the streoid shots were very short term 1-2 days for pain. I have all the spinal problems that begin with an ‘S. Saw my PT twice last week, who does manual massage to move muscles off offended nerves,( would this be the ART?@ ultrasound heat instrument and followed by electrical stim. In the past all my treatments have been fairly successful, but the latest pain seems to be my sciatica nerve coupled with with a bulging disc and the pain meds don’t seem to do much for the sciatic nerve. I take ,1 advil plus 1 7.5 Norco upon awaking and sit against heating pad. Thought of going back to pain doctor whose basic method is an epidural or nerve abilation. Problem is my husband has been asked to retire and we must move out of our mobile home that still has mortgage, but first clean up the clutter that has accumulated, have the house thoroughly cleaned and then start packing up but my main concern is with an epidural or steroid shot, you are supposed to take it easy for awhile which no one ever told me before and I started doing household chores only to lose the benefits of the cortizone. A church organization called Love ,Inc. is waiting to come help me clean, once the house has been decluttered and my pain meds are no longer as effective… especially the sciatica. So what really works the best for sciatica? So sorry to be so lenghy. Have not had time to look up social agencies recommended by
A fellow poster whose name starts with a “J” all medical complaints aside, it seems as though decluttering is priority # 1 and then groups will be able to help. I,m so tired. Medical co pays are piling up. I need to get some lab work done for my PC but Medicare and secondary supplement
Is no longer paying for much of this. Poster J with social agencies, I will get back to you soon. Victorious 69.

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Hi, Dora @virtuous69 – It doesn’t sound like you have a Medicare prescription supplement. Once I pay the 300 deductible, I never pay anything for labs, or for anything else, for that matter. I hope you’ll find the energy to get ready to move.

Do you have a town in mind where you’d like to live? We did when I retired, but we had to settle for the town nearby that had property we could afford, and still be close to the city where all the stores, and more importantly, all the doctors are.

Jim

@virtuous69

@junebug15 regarding sciatica, I have read many posts regarding this. I’ve had two epidurals and several steroid with lidocaine shots just above my buttock. All seemed to work, but the streoid shots were very short term 1-2 days for pain. I have all the spinal problems that begin with an ‘S. Saw my PT twice last week, who does manual massage to move muscles off offended nerves,( would this be the ART?@ ultrasound heat instrument and followed by electrical stim. In the past all my treatments have been fairly successful, but the latest pain seems to be my sciatica nerve coupled with with a bulging disc and the pain meds don’t seem to do much for the sciatic nerve. I take ,1 advil plus 1 7.5 Norco upon awaking and sit against heating pad. Thought of going back to pain doctor whose basic method is an epidural or nerve abilation. Problem is my husband has been asked to retire and we must move out of our mobile home that still has mortgage, but first clean up the clutter that has accumulated, have the house thoroughly cleaned and then start packing up but my main concern is with an epidural or steroid shot, you are supposed to take it easy for awhile which no one ever told me before and I started doing household chores only to lose the benefits of the cortizone. A church organization called Love ,Inc. is waiting to come help me clean, once the house has been decluttered and my pain meds are no longer as effective… especially the sciatica. So what really works the best for sciatica? So sorry to be so lenghy. Have not had time to look up social agencies recommended by
A fellow poster whose name starts with a “J” all medical complaints aside, it seems as though decluttering is priority # 1 and then groups will be able to help. I,m so tired. Medical co pays are piling up. I need to get some lab work done for my PC but Medicare and secondary supplement
Is no longer paying for much of this. Poster J with social agencies, I will get back to you soon. Victorious 69.

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Hi Jim, we did take out AARP as secondary to Medicare and finally just took out Physical Mutual for dental. Blessings Dori

Hi Kibwezi, that might be my possibility. Have friend who had similiar tumerd removed. Blessings Dori

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