i have been having serious pain in the lower back and sciatic area. it gets the worst if i've done too much walking or towards the end of the day when i am settling down it will just throb. it hurts so bad sometimes i can't do anything but sit there and cry. my doctor put in for an mri of my low back. i switched doctors so i brought my new doctor the results and looked at it before i gave it to him. everything seemed normal except it said i had mild posterior facet anthropathy from l5-s1. when i looked this up it said it was a joint problem. i kept telling my other doctor that it was my joint that was hurting. my new doctor looked at it and said everything is normal and not to worry about it. well i am going to worry about it because i can not get through one day without this pain. sometimes it's so bad that my leg will give right out from underneath me. what should i do?
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replied August 4th, 2007
Mri
I dont like most doctors. Im on my fourth one. 1 said I had a back sprain with no Mri to diagnose by. 2 said my sacroiliam was out of wack and again no Mri or xrays to diagnose by. 3 actually had MRI done and informed me that I have compressed two disc and for a year and a half has tried physical therapy and has now told me I need to pay $3600 for a month of intensive physical therapy after which he says I will be able to go back to work. 4 had another MRI done and I read it before delivering it, my disc are degenerating and a bunch of other nerve stuff I didnt understand. 4 has told me that by the time Im 50 to 55 I wont have any disc left and has suggested fusion at L5, L4. I ma 42 and not happy. Get another opinion if you are not comfortable with the last. Dont take just one docs word for it.
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replied August 4th, 2007
Active User, very eHealthy
Hey sub....Don't take that crap from any of the doctors. You know you have pain and you know generally where it is because of the MRI. It looks like it is really low in your back where mine is. Remember, doctors have a tough time diagnosing back pain and many of them don't believe your pain because they have never felt pain like that. Don't expect much empathy until you find a good back doctor.

I have degenerative disc disease and have battled back pain for seven yrs. First of all, find a doctor who believes you. I'm sorry I don't live in the NC area, so I can't help with finding one.

There are many options to help you with pain but I suggest an spinal surgeon, osteopath or a pain management specialist. There are specialists that work only on back problems and, hopefully, they can read an MRI! If your joint problem is what it sounds like, it could have nerve involvement on one or more of the facets of your disc.

There are pain meds from Tylenol and percocet all the way up to the major leagues of hydrocodones and oxycodones. They work but almost all are additive if taken over time. There are also several other procedures you can discuss with your doctor.

There are steroid injections, nerve blocks, radiofrequency ablation as well a combination of pain relievers and numbness medicine. I am presently taking Lyrica, a nerve pain reliever, and Cymbalta, a pain reliever and mood enhancer. I found out that long-term pain leads to depression and that makes the pain worse. It hurts to hurt!

The bad part of these procedures is that they are not all pleasant. They do have to inject the medicines directly into your disc spaces to provide relief. If anyone suggests a discogram to check where your pain is, be very afraid because that is the worst procedure ever devised on the planet.

Sorry I went on so long. I just wanted you to know what you might be facing.
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