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  1. #1
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766

    Sciatica

    Hi All,
    Yet again I have developed sciatica of the left leg this time. I knew in January that I pulled something from the low spine doing a squat movement. I felt a strong pull from the center of my body. Then it got sore to sit or walk in the back of my leg. Then my foot went numb. It can be aggravated by going up hill or steps.
    I didn't know if it was a spine problem so I made an appointment in June and hip X-rays were taken. No problems showed up in the hip. That was the good news. I did a session of PT to stretch the hamstring but it kept making it worse. I tried ice,rest behavior modifications and the heat. The doctor that checked the hip said he thought it was coming from the spine.
    I had an appointment with the spine surgeon last week. Since there are new symptoms that were not there last year I thought he should check. After listening to me he immediately said your spine is fused so it shouldn't be that.
    However he did some in office tests that indicates that there is nerve infringement down my leg and a positive sign for sciatica. Then he got much more involved.
    He said I needed an MRI of the sciatic nerve and a small muscle coming off the L4-S2 called the periformis. He believes that it is impinging on the nerve.
    Has anyone heard of this in relation to sciatica? Could that be what I felt pull when I did a deep squat? All of the changes I've made aren't helping. The only thing that helps is to lay down. Then the numbness lessens. Sitting is impossible .
    I am still healing from the muscle transfer to my scapula so I have been not as active as I had been.
    Has anyone dealt with this? Any info will be appreciated.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  2. #2
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    3,547
    Jackie

    You might read up on this. Standing position, of course.
    https://en.wikipedia.org/wiki/Piriformis_syndrome

    There are a few piriformis posts here.....

    Take it easy....Deep breaths

    Ed
    49 yr old male, now 58, the new 53...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  3. #3
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766
    Thanks Ed. I did read this. We have done the stretch and some of the strengthening in PT. It seems to aggravate the nerve. Twice I was unable to get up. It took awhile and help. That bothers me because I was always able to get up before. The doctor checked the reflexes and his comment was where did they go. I took it to mean that something had changed and now the reflexes in the involved leg weren't right.
    He also wrote a note to be off work until he gets the results of the MRI. Such a pain!!!
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  4. #4
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766
    I checked some of the old posts on this subject but a lot of them hadn't had surgery yet or not fused to the pelvis yet. I have been fused to pelvis for 7 years and this started in January. I have tried all kinds of things but it just gets worse. No sitting other then the car when I can't help it. Small stretching all day and avoiding steps. Ice packs and heating pad. Pain is in high thigh but numbness is in the entire leg.I have to be careful not to fall.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  5. #5
    Join Date
    Dec 2007
    Location
    Washington DC
    Posts
    50
    Quote Originally Posted by jackieg412 View Post
    I checked some of the old posts on this subject but a lot of them hadn't had surgery yet or not fused to the pelvis yet. I have been fused to pelvis for 7 years and this started in January. I have tried all kinds of things but it just gets worse. No sitting other then the car when I can't help it. Small stretching all day and avoiding steps. Ice packs and heating pad. Pain is in high thigh but numbness is in the entire leg.I have to be careful not to fall.
    I have it too. It gets terrible at times. There isn't much for it when you're in crisis other than anti-inflammatories, ice/heat, rest, and whatever PT you can do (usually not much when you're in crisis though). Sometimes pain meds help a bit, and a good long soak in the tub with Epsom salts (studies show they really do work!). I use Solarase, a topical gel anti-inflammatory, it helps tremendously! Try to avoid any vibration, it will aggravate the hell out of it! That includes being in a car. I ended up buying a couple of three-inch thick memory foam cushions (tempur-like) to cut down on the vibration in the car as that material does not transfer motion. Keep away from hot tub\Jacuzzi jets, they will kill you!!!

    Good luck to you, I hope it gets better for you.
    -Allison
    "The plural of anecdote is not data" --Frank Kotsonis

    Ph.D. in Bone Biology
    Harrington rod and Leuke sublaminar wires 2/1986, fused T4 to T12.
    First revision 3/1987 fused pseudoarthrosis, placed CD instrumentation from T10-T12.
    CD instrumentation removal 10/97 following breakage.
    Leuke wire removal 4/99.
    Salvage surgery; Harrington removal 1/2000, fused to L2.
    Ruptured disc, fusion extension to L4 3/2016.
    Surgeons: David Bradford, Francois Denis, Mike Lagrone

  6. #6
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766
    Thank for your reply. It seems so minor but when it acts up it can take your breath away from the pain. Do you know if it comes from the spine or something else or both. I had an MRI on Thursday and it flared in the MRI. I am looking forward to the results. I try to avoid the triggers but it is hard.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  7. #7
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    3,547
    Quote Originally Posted by Prfbones View Post
    There isn't much for it when you're in crisis other than anti-inflammatories, ice/heat, rest, and whatever PT you can do (usually not much when you're in crisis though). Sometimes pain meds help a bit, and a good long soak in the tub with Epsom salts (studies show they really do work!).
    -Allison
    Allison, Its nice to see a post like this, I have been posting about the benefits of NSAID’s and also hot water soaks around here for years.....Hot water works quite well, 106 degrees (check with a thermometer) removes bone and nerve pain in seconds. It has to take a few minutes to actually get in the water.....Of course, drink plenty of water when you do this since you lose it soaking and will get dehydrated. Depending on your tax situation, if you have a note from a doctor, you can write off a hot tub or any medical or scoliosis supplies. The tub needs to be deep so you can float.

    Jackie, let us know.

    “Sciatica like” hip and leg posts with complaints immediately after scoliosis surgery are scary things......I had the intense hip and leg “sciatica type pain” going on for years, but my whole lumbar was wiped out. When multiple doctors shake their heads, you kinda know. After a surgery you wonder if it could be a nerve root or other spinal nerve or spinal cord disc related cause....Inflammation happens, and we do get raw, its time for a scoliosis “time out” where we need to lay low for a bit. It hard to pinpoint pain and its source.

    We do heal you know.....This is no concept, and sometimes we do need to be reminded when in trouble. I have had that happen where I was in major pain, recovered with rest and walked around chanting “we do heal, imagine that” like a zombie. Nerve related pain can be stubborn.....very stubborn, and time is a test. No medium setting, just on or off like a light switch.

    Take it easy.....breathe when in intense pain, it helps.

    Ed
    49 yr old male, now 58, the new 53...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

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