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Nerve -back pain, hip pain, leg pain after auto accident- rear ended

From: crashphdchic - on 07/27/2011 4:32pm

I was in an rear end collsion type auto accident late Feb 2011. I thougt I just pull some muscles and would get better quickly. I am now 5 months in and have seen the ER doctor (no xrays, just meds) then to family doctor for more meds , MRI, xrays and PT after MRI came back normal. After starting PT pain got worse and had to stop. Sent to Ortho and was given 2 rounds of ESI ( epidural steriod injections) with little relief. Injections only took away part of the pain and would wear off within a couple of weeks.Attempted PT again after 1st sep of injections. I returned to Ortho after being in bed for 3 days on Loritab, Soma ,then changed to Butrans pain patch for next two days before appointment with doctor. Was told that imaging place I had MRI done did not have the best reputation. I felt the MRI was not read correctly as I broke my tail bone with I was about 12 yrs old and no mention on the MRI report of prior break to tail bone. Doctor asked that I get the films and I did same day. Was told they would call me after the doctor re-read the MRI himself. I have heard nothing from the doctor at this point and it has been 2 days. Doctor stated may need nerve test done by Neuro and possible re-do MRI. I have severe pain in mid back, lower back hips. Pain going down legs to knee area. Losing mechanics of legs. Feel like I am walking in sand up to my knees sometimes. Not sure what to do at this point and wonder if I should just go see a Neurosurgeon or Neurologist due to nerve issues. I am so lost and need to be guided in the right direction. I have good health insurance and can go to any type doctor I need.
Thanks in advance for any help you can provide.

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on 07/29/2011 3:00pm

It sounds like you have had a horrible time with it. If you are losing the mechanics of your legs, you need to go to a neurosurgeon asap. Make sure when you call to make an appointment that you explain in detail what your symptoms are.

I'm 43 yrs old, and I was diagnosed with a degenerative disc disease at 15 yrs old. I had 4 surgeries before I was 21 yrs. old, then one after to remove hardware. I always had these performed by orthopedic surgeons. While they were great and knew their stuff, I now know working in healthcare that I should have gone to a neurosurgeon. The tailbone treatment is ortho, but the spinal injury is neuro. The last repair surgery I had done to my back was a fusion and a laminectomy. It was performed by both a neurosurgeon and orthopedic surgeon collaborating together. It sounds like your symptoms need both too. Not sure if that is why, or if it just luck, but I've not had surgery since I was 23 years old on my back (fingers and toes crossed)

Good luck!
-Patty

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on 08/01/2011 12:55pm

I am so sorry you have been having the run around and you are now in such pain but sometimes these thing happen. What you need is a good neurosurgeon. Do your research, check online and ask around town. If there is a medical university nearby, try there. The neurosurgeon may have the MRI's repeated but it does sound like you are in need of surgery by someone who knows what he is doing. You should NOT have pain going down your legs, that is a clear sign that something is wrong. By the way, I am a veteran of five back surgeries, L5-S1; L4; L3 with spinal stenosis; L2 and finally I had an anterior posterior from the S1 to the T-12 with titanium rods due to adult scoliosis. Good luck to you.

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on 08/02/2011 12:33pm

Thank you Patty and Betty for your response. I contacted the doctor and demanded they read the xrays and mri. Found on xray that my last vertabrae is shiffed forward. I am going for another MRI today Aug 2nd and will have results Aug 3rd at doctor appt. I am so glad we have finally found the source of my pain and MRI will show them what my next step will be. Just glad for some answers. Thank you all for your thoughts and strength you have given me.

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on 08/02/2011 2:25pm

Congratulations! You did something I forgot to tell you to do and that is to get in your doctor's face when you are not happy with the diagnosis and you feel something is wrong when he is telling you that you are fine. Just because he went to school and has a diploma does not necessasrily make him smarter than you because He can not feel your pain, only YOU can. You did exactly what you should have done, you demanded he reread the xrays and guess what....he saw something he missed. Hopefully the MRI will clarify what he found on the xray. Looking forward to your update.

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on 08/03/2011 5:31pm

MRI results : Mnimal disc pathology including annular disc bulging at the L3-L4 lever without annular tear, disc herniationn, central canal or foraminal stenosis.
Vertibrae at L5-S1 slipped level 1

Not bad, but hurts like hell.

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on 08/03/2011 9:31pm

So did your doctor mention surgery at all? I did some research on herniated lumbar discs and what I found is the L5 nerve impingment from a herniated disc can cause weakness in extending the big toe and potentially in the ankle. Numbness and pain can be felt on the top of the foot, and the pain may also radiate into the buttocks. The S1 nerve impingment from a herniated disc may cause loss of the ankle reflex and or weakness in the ankle push off (patients can not do toe rises). Numbness and pain can radiate down to the sole or outside of the foot. The article stated "if the patient's low back and/or leg pain is going to get better after a lumbar herniated disc it will start to do so within about six weeks. While waiting to see if the disc will heal on its own, several non-surgical treatment options can help reduce the back pain, leg pain and discomfort caused by the herniated disc." "Some of the most common treatments are physical therapy, anti-inflammatory drugs, oral steroids and epidural injections." The article stated that if the pain and other symptoms continue after six weeks and if the pain is severe it is reasonable to consider surgery as an option to alleviate the pain from the herniated disc. Now correct me if I am wrong but you have had this pain for longer than six weeks and you have already tried the physical therapy and the epidural injections plus the antiinflammatory drugs without success. If your doctor did not mention surgery or does not want to do surgery then it is time to get a new doctor and don't forget to get a copy of your file from this doctor as well as your MRI. Be sure you go to a Neurosurgeon and not a Orthopedic. An Orthopedic specializes in the bones whereas a Neurosurgeon specializes in the spinal cord and the brain. If it were me, I would be getting a second opinion. Good luck to you and keep me posted.

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