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This Is Spinal Crap: All’s Well That (Some Day) Ends Well

The continuing saga of Dave’s mid-June bout with (spooky music) sciatica!

So, several weeks later, I got in to the Spine Clinic. My symptoms over these weeks since the MRI have been pretty consistent — slight numbness along the left side of my left leg, more significant numbness along the left side of the left foot. Maybe some even more slight numbness on the right/right bits. Occasional slight weakness in the legs. I’ve been pretty vigilant about not doing what was causing me pain earlier — sitting in a chair with good posture, lying on my stomach in bed — so there’s been no pain.

Filled out a form in the lobby, describing what’s going on, and feeling vaguely guilty that I was there and wasn’t feeling any pain. Silly, I know.

Spine, by da Vinci.
Spine, by da Vinci.

Went in, briefed the doctor (she had my records and all, but …), and she walked me through a series of exercises with my legs — pushing and pulling and lifting and all that.

Then we sat down with the MRI imagery, and she pointed out that everything actually looked very good, except for this one little bulging disk bit stuff waaaaaay down at the base. Symptoms of which, impinging on the nerves, sound quite a bit much like my symptoms. So that’s the bad news.

The better news is that this will heal, huzzah. The response to the steroids was very positive, and gave things a chance to stabilize, and for now … well, there’s not much more to be done, and no significant risk factor to deal with:

  1. I should do the things I do. I’ll probably keep the standing desk at the office, just ’cause.
  2. Continue to exercise. Core strengthening stuff is good — Pilates has some good work for that, she recommended. Regular walking is a great idea (that, at least, I can do).
  3. Running and other bouncy-bouncy activities are probably not a good idea. Weight lifting, right out (though normal, careful lifting of stuff should be okay).
  4. There’s no real need at the moment for any further treatment unless the pain returns. If it does, the PT, acupuncture, or steroid injections can be tried.
  5. The numbness will go away. Over time. Like, the next few years.

That last is the most annoying bit, but … well, honestly, if that’s the final outcome here, I’m going to consider myself awfully lucky.

So, that’s what’s going on. Thanks for the support and well-wishes folk have offered me — if such things work/help, perhaps that’s what happened here. With luck, aside from some “Say, whatever happened to your sciatica, Dave?” post a few years from now, that’s the end of this thread.

(Google+ post)

No spinal doc appt (and then a…

No spinal doc appt (and then a non-surgical doc) until late August, which I guess means it’s not an emergency (I hope). #ThisIsSpinalCrap

This Is Spinal Crap: Sitzkrieg Edition

The Sitzkrieg was (as a pun off of Blitzkrieg) the period of World War II after the fall of Poland, when the English and French had declared war on Germany, but everyone was pretty much, well, sitting around, waiting for the other Panzer to drop.

For me, with the sciatica and bulging disk, it's kind of the same. There's something seriously wrong. I have an MRI to prove it. But there's no horrible pain. But I could do something that would cause horrible pain. But nothing obvious.  But I have a numbness and tingling in the edge of my left food, but no other overt symptoms. But I'm standing rather than sitting at the computer, but sitting (for brief periods) in other venues (at the theater, in the plane) doesn't cause me grief the way it was before. But I can pick stuff up and carry it without suddenly collapsing into agony, and my doctor hasn't told me to refrain from all physical activity — but there's still that Sword of Damocles over my lower spine, promising unpleasant times if some random die roll turns into a critical fumble.

Spinal clinic gets called Monday. Research on places where I can water walk commences shortly. Meanwhile, if I get testy when you ask how I'm feeling, or solicitously suggest I might want to not pick up anything heavier than a paperback book, it's not that I don't appreciate the sentiment or concern.

It's just that there's not a lot obviously wrong right this moment. And I'm tired the damn waiting.

(Photo via http://commons.wikimedia.org/wiki/File:Sitzkrieg.jpg)

This Is Spinal Crap: "Welcome to the Jargon" Edition

Got back the formal report from my MRI today. I have a …

'Left paracentral disc extrusion at L5-S1 which contacts the left S1 nerve root in the lateral recess, also with subligamentous extension of disc material along the dorsal aspect of S1.'

Oh, boy! It's always good to get an extension, right?

So what this means in something approaching English (per my GP) is that I have a disc at the L5/S1 disc space (I always seem to have disc space problems) that is sticking out and running into the S1 nerve root on the left side where the S1 exits the spine. And, as I could have guessed by the prickling in my thumb toes, the S1 provides sensation to the left foot. Of which I am annoyingly lacking on the left side of same.

Sigh.

So, what's next?  Again, per the doc, since this doesn't seem to be just temporary swelling (any swelling associated with whatever caused this got knocked out pretty quickly by the steroids), I need to contact the spine clinic for an appointment to look at "either a trial of an injection or surgical treatment for this," oh gosh, oh golly, oh wow.

Meanwhile, I need to work on "good core strengthening" to stabilize my spine. The doc's recommendation is "water walking 20-30 minutes 2-3x a week." Well, heck, if I could walk on water, I probably wouldn't be having … oh, wait, you mean walking in the water.  Um, right.  That's logistically a non-trivial thing.  So we'll see what we can brainstorm.

So … that's the state of the back and sciatica and all that good stuff.  More thrilling excess of unwanted medical information to come as it happens!

(On the bright side, whatever I did to screw up my right thumb on 4 July is almost completely better. Man, when the warranty expires, everything starts going to hell.)

This Is Spinal Crap (Part 2)

In which Our Hero is inserted into THE TUBE OF HORROR … also known as a Magnetic Resonance Imaging (MRI) device.

The most horrifying part of which was having to lie perfectly still for 25 minutes with no particularly interesting or meaningful input aside from an endless series of different knockings and buzzings.  The KP Lone Tree office, just opened, does have a light-show in the room that gradually changes the ambient light to different colors, so that you're not staring at the off-white interior of the MRI chamber with no variation.

The most interesting item was when the nurse informed me remotely that there was just one more cycle of 3 minutes, and I counted them down and hit the machine turning off as I reached 0 perfectly.

Yes, that was the most interesting item.  Which tells you a lot about an MRI.

Anyhoo, the plan is that they'll analyze the MRI to see what's going on with my back, and inform my doctor sometime early next week, which will drive whatever the next steps will be.  Which is fine by me, because I'm really getting tired of the sciatica making me feel constantly like my foot is half-asleep.  That sounds benign (and, compared to chronic pain, it certainly is), but it's damned annoying.

This is Spinal Crap

So when I was off on my last business trip to California a couple of weeks back, I came home with a back problem.  Except, it wasn't a back problem of sort I'm used to, which is either throwing my lower back out (oh joy), or the intermittent lower back pain stiffness I occasionally wake up to which the doctor casually (though sympathetically) noted was probably arthritic in nature (oh joy).

This was more like lower back pain turning into streaks of pain in my buttocks, down the back of my thigh, and even into my upper calf. Caused, it appeared, by my sleeping on my stomach or sitting with good posture in a chair (you know, like you're supposed to do on a computer, like, y'know, at work)  If I got up and walked around a bit, the pain would subside. Mostly.

Problem is, these symptoms sounded a lot like sciatica, which is is a set of symptoms caused by something else, but is essentially when something gets pinched in the lower spine, like the sciatic nerve, which runs down into the legs.  That can happen from an injury, or just something getting noodged a bit out of alignment and causing swelling that pinches the nerve.  But it's not something to be ignored, as my friend Mary can attest to.

So I was a dutiful person, and did two things.  First, I set up my home computer as a standing desk — which an upended milk crate does just perfect for.  Then I called the doctor first thing Monday morning, and got in to see her Monday afternoon.

And, yes, she was definitely concerned over the description of the pain and all of that, as well as the reduced range of motion in raising the left leg and the slight weakness in the legs I was describing. She prescribed me some steroids to bring down swelling (if that was it), and had me schedule an MRI.

I went through the course of steroids over that week, working from home (I put in a request for a standing desk there, but it can take them 4-6 weeks to get hold of one) and trying to be good. And, in fact, by last weekend I was actually feeling pretty darned good.

So this week I worked at the office for the most part, sitting properly, and didn't really have much of a problem …

… until as the week went on, and definitely today, I noticed that I'm getting a bit of numbness in the foot and tingling in the legs. So things haven't magically gotten fixed. Alas.

I've been keeping the doc apprised, I have instructions on what Real Danger Signs (i.e., go to the ER) are, and I've "reinstalled" the standing desk here at home.  The MRI is scheduled for week after next. And I'm just going to hang loose and grumble.

(I haven't been chit-chatting about this online so far because either (a) I wasn't feeling up to it, (b) things were still uncertain, (c) things were getting maybe better. Now that things are … mezzo-mezzo … it seemed a good opportunity for TMI for my reading audience.)

Sciatica
Sciatica refers to pain, weakness, numbness, or tingling in the leg. It is caused by injury to or pressure on the sciatic nerve. Sciatica is a symptom of another medical problem, not a medical condition on its own.A.D.A.M.

Tweets from 2012-04-10

  • Because what better way to start out the first day you've felt rested and well in a week than to TWANG your lower back? Yeesh. #
  • Well, between Advil, good posture, and Randy's Vibro-Chair Pad, my back seems to be doing okay. Woo-hoo! #

Double whammy

Down with some sort of bad-throat thingie — plus did something to my back last Thursday that’s still causing me problems. Hot Margie tea is helping the former. Randy’s amazing…

Down with some sort of bad-throat thingie — plus did something to my back last Thursday that’s still causing me problems.

Hot Margie tea is helping the former. Randy’s amazing vibro-chair is helping the latter. More later.

Back

As in, “I’m back in more-or-less working trim now that my back has decided not to punish me for sitting upright too much, or standing up, or sitting down, or…

As in, “I’m back in more-or-less working trim now that my back has decided not to punish me for sitting upright too much, or standing up, or sitting down, or doing any of the things I expect it to help me with.”

Many thanks to Margie who treated me with more TLC than I probably deserved.

Ow. Ow. Ow ow ow …

Not sure which was more disturbing, the sharp pain in my back, or the perceptible crunch when I bent over and it happened. Feeling a bit better now, and not…

Not sure which was more disturbing, the sharp pain in my back, or the perceptible crunch when I bent over and it happened.

Feeling a bit better now, and not paralyzed or cripped or anything, but definitely have find my bottle of aspirin in my desk.

Another day, another kvetch

It’s a remarkably gloomy day out there, I’ve been at work almost two hours, and am dealing with more than my share of crises du jour. I have two international…

It’s a remarkably gloomy day out there, I’ve been at work almost two hours, and am dealing with more than my share of crises du jour.

I have two international transfers that are only slightly less complex to negotiate and execute than, say, SALT II, or the Kyoto Protocols.

I have a staff review which is going to be late.

I have multiple development efforts being delayed to the point of other work getting cancelled due to major database problems that either our DBAs, SysAdmins, Production Control, or Oracle technical representatives are unable to solve. And I got (rightfully) bawled out for not addressing my complaints to my peer manager who is in charge of at least some of that, rather than venting to my boss.

I have Urgent Stuff To Deliver To My Boss by this afternoon that hasn’t even been started.

I have another two projects that are nebulous in terms of schedule and scope but for which I have to present some concrete IT cost estimates (including staffing levels) Real Soon Now.

I have some unpleasant HR issues hanging fire.

And my back hurts. Though not quite as much as it did yesterday.

All that said, Margie’s having some nasty Influx of Unexpectedly Critical Work times as well, so shoot some pleasant thoughts her direction.

In the interest of descriptive headlines, my back is feeling a bit better today

Actually, my back is doing well almost all the time except when driving — the sitting-on-butt and reaching-for-pedals stuff is not going well. Continue to pop Advil, and did some…

Actually, my back is doing well almost all the time except when driving — the sitting-on-butt and reaching-for-pedals stuff is not going well. Continue to pop Advil, and did some exercises last night, and slept well. Took the van in today, which helped, but was still problematic.

Creaky

Hrm. A combo of yard work and a cat who’s decided that taking over vast swathes of bed during the night (pinning one into amazing contortions) is the current in…

Hrm. A combo of yard work and a cat who’s decided that taking over vast swathes of bed during the night (pinning one into amazing contortions) is the current in thing to do, has left me with a very unhappy lower back today. Which made the drive in something less than relaxing.

Rrg

Let’s see … Katherine has been down with a bug since Friday or so. She seemed to hit the worst Saturday, was better Sunday and Monday, but was back down…

Let’s see …

Katherine has been down with a bug since Friday or so. She seemed to hit the worst Saturday, was better Sunday and Monday, but was back down yesterday and today. Congestion, coughing, stuffy ears, etc.

Margie’s back has been bothering her for about a week — one of those “get some heating pads on it/pull out the vibrating seat cushion” sorts of back pains.

And this morning, for some reason, my lower back is giving me grief. Maybe it was feeling left out.

*sigh*