Back again

Oct. 27th, 2024 09:01 pm
watervole: (Default)

I haven't been here for a while, becuase  I had horrible sciatica.

I'm pretty much a sciatica specialist this days...

I've had identical pain in the leg (If you've ever had sciatica, then you'll know just how painful this is.  If you haven't - I hope you never do) caused by multiple causes.  Pressure on the sciatic nerve from a herniated disc in the spine, an inflamed bursa pressing on the nerve, and a tight piriformis nerve pressing on the nerve.  Only an expert can tell which cause it actually is, and even they may need an MRI scan to confirm it.

Thank heaven, I know a really good physiotherapist...  Manfred had the right diagnosis when I had bursitis, and I trusted him enough even than to see a second doctor when the first one insisted it wasn't bursitis.  The second doctor (I find young doctors are useful when you want them to accept a physio's diagnosis) agreed.  I arranged for a jab in the bursa (can be done in a doctor's surgery) which removed the pain in around 60 seconds...

Manfred was away when I first went down with pain this time (he goes to the Netherlands a lot, as he has an elderly mother who needs help), so I saw three other physios who all agreed that the problem was a herniated disc in my spine pressing on the sciatic nerve and giving me horrendous pain in my leg.

I wasn't surprised, as I've had that before, and was successfully treated for it with an epidural injection in the damaged disc - which was a magical treatment that made half a year of pain vanish in about 60 seconds.  I joined the waiting list for an MRI scan (long) and went to see Manfred when he returned in the hope that he could help a little.

I hobbled in with my walking stick, couldn't walk without it at that point. I expected him to say 'Herniated disc' He didn't. Well, I trust him.  His diagnosis was a lot of very tight muscles in my back (caused by sleeping on very uneven ground while fighting the Civil War - faulty airbed - carrying heavy boxes, and a very long train journey.)

That session reduced the pain enough for me to ditch the walking stick, and weekly visits since then have improved thing much more.  I'm back dancing again. Still a little bit of progress to go, as there's some tightness to exercise/massage out, but I can now sit down long enough to play a board game and write to you all.

Basically, if other experts disagree with Manfred, I'll back him every time!

I've said a massive thank you to him.  My first grandson will be born sometime in the next three weeks. I now know that I will be able to sit and cuddle him, walk round carrying him, and smile at him without pain.

There is no greater gift.

 

watervole: (Default)

 I'm gradually gaining on the bursitis

(I don't think that cut tag worked correctly, can someone remind me how to use them....)

 

Mostly boring health stuff )

The injection a couple of months  ago in the bursa in my left hip definitely helped.  It meant I could sit down for about half an hour, which was a vast improvement on nothing!

And gradually making further gains.  The big catch was that every time I overdid it (I was able to walk for five or ten mins, which was good, but if I walked too far or tried swimming front crawl as I would normally do with  straight legs, then that could trigger intense pain behind my knee), I lost about three weeks of progress.

I was still having to lie down on the floor cushion for a fair chunk of the day, and to sleep on my right side at night - which means it's no surprise that I eventually developed bursitis in the right hip...

I got a steroid jab in the right hip bursa about a week ago, and that does seem to be helping further.  It's taken about a week for the right hip pain to mostly die down.  He didn't want to do two hips at the same time as that uses a lot more steroids (I already have osteoporosis and steroids are not good for it...)

The effect has only kicked in gradually, but it's definitely there. I suspect the right hip pain was affecting the way I was walking as I've noticed an improvement in the left leg pain even though that didn't get injected this time around. 
Bursitis can cause sciatica. The inflamed bursa presses on the sciatic nerve, causing extreme pain down the leg.

My walking range has now improved to about half an hour.
I'm able to swim more too.  Did 20 minutes earlier in the week. Went for half an hour today, but that turned out to be too much.  It's evening now, and my left hip is still very painful.

it's just a case of finding the balance. More exercise is good overall, but I need to scale it up very gradually.  The long term aim is to be able to drive again, but I don't think I'm ready to try that yet. Car seats are soft and tend to trigger pain quite rapidly.

 

 

watervole: (Default)
 Just move on if you don't want to read health stuff...
I've had some pain in my left hip for several weeks, but nothing too drastic.  I assumed it was probably the sciatica returning, but it wasn't too painful. 
Then we took Oswin to the Winchester Science Museum one day during half term.... the long car journey set off serios pain in my leg.
The next day, Friday, I was still I pain. Probably nothing except my pre-booked Covid booster would have got me out of the house...
The pain was so bad that I couldn't sit down in the chemists, just keep walking in small circles.
By the time I got home, I was I  agony.
Of course, the physiotherapy is closed on Saturday and Sunday...
I managed to get an appointment on Tuesday, and had to lie down on the back seat of the car to get there. Sitting on the seat was more pain than I could handle.
The physio, who has been treating me for many years, surprised me by saying that he thinks it is bursitis in my hip on this occasion, rather than the usual sciatica.
Saw a doctor yesterday, who thinks it is sciatica..
The two can have fairly a similar symptoms. 
On the whole, I trust Manfred - it's his area of expertise.
But if it is bursitis, then I'll need a doctor to recognise as such in order to get treatment...
On the plus side, Manfred says rest will help He thinks the long car journey caused the inflammation.
I just wish it would sort itself out quicker... I'm doing an awful lot of lying down with an awful lot of painkillers at present.
About the only useful thing I can do is to teach English to a couple of Ukrainian friends.
watervole: (Default)

 I've been trying many things to try and help the sciatica.    One of the things I've tried is a sit-stand desk, very similar to the one in the photo - it's a Yo Yo desk. (but mine has the risers crossing in the centre rather than at the side)

Has it helped - yes, I think it's been an overall improvement.  The sciatica still hurts, but I've noticed an increase in the time I can spend sitting down - which makes a bit difference when board gaming.  It's as though I have a ration of how many hours I can sit for, and standing at my desk helps me use those 'sitting hours' for other things.

The think I most noticed when starting to use the desk was that I got a lot of pain in my calf and other leg muscles.

I'd noted this as a potential problem from people writing about their experiences with standing desks and it's why I went for a sit-stand desk rather than  a pure  standing desk.

Being able to lower the desk again when I needed to ease out my legs made a big difference. Now I've been using it for a month, I find I'm choosing to use it standing for most of the time.  I'm often more comfortable that way - but I can still sit down if I want to.

It was the fact that the desk could be easily adjusted from sitting to standing that sold it to me.  It needs a bit of a yank, but there's assistance from a gas lift and it really isn't too difficult.

I got this one cheap as it was a return, and I've no complaints.

One side effect is that I've noticed my leg muscles are getting stronger. I can feel the difference when I'm doing morris.

Would I buy it again?  Definite yes.

I notice they've still got some returns - https://mailchi.mp/8283b51ff5a6/clearance-sale-off-sit-standcom-limited-period-offer-284022?e=%5bUNIQID - and their sales guy was very helpful when I bought mine.

 I'd definitely  break yourself in gently if you do get one.  Try standing for 10 mins every hour to start with - you spend less time on your feet than you think!

Yo-Yo Desk 90

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Judith Proctor

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