Lower Back Pain

Lament

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Hi there,

I hate to complain,

I was wondering if anyone has some alternative methods I can try for lower back pain, or maybe recommend me some pain killers which does not cause drowsiness, or I don’t know, maybe there is a breakthrough procedure I don’t know about. My doctor is close to 70 and I don’t know if he is up to date with everything….

I’m one of the lucky few who has scoliosis & Scheuermann disease (fck knows why they call it a disease, on the upside it’s not noticeable). I don’t know if the scoliosis is the cause of everything, but my real issue is my lower back whereby the scoliosis is slightly higher up, 2 of my disk’s (the kussingtjies) are gone right at the bottom of my back, so the vertebrae is pressing against a nerve which causes my leg to die (the dead leg is not the issue though, the back pain is)

I have been to the doctor several times throughout my life and done multiple x-rays. Basically, the only real solution he knows about is surgery, but he very highly discouraged that. He gave me a list of exercises to do and said If I can live with the pain, then rather live with the pain. The surgery has a high potential to leave me worse off.

Now the issue is, yes, I’m living with the pain, have been living with it over 20 years now, but it pains 24/7. And it gets bad, really bad and the past year or so it’s been the worst it has ever been. Every now and again when it gets very bad they will give me an cortisone injection where the nerve is also pressed. It works for about 2 weeks but then its back to square one. It always feels worse after the 2 weeks, but I suppose it’s because I get slightly used to not feeling the severe pain and then it just comes back out of the blue. The doctor has also told me they cannot continue giving me cortisone the whole time. (I cannot use voltarin)

I used to gym a lot as I loved bodybuilding, but there came a stage I could not do it anymore. I sometimes wonder if the deadlifts caused it. But ja exercise is not the answer I have learned, especially back exercises. So the last time a gym has seen me is +- 5 years ago which on its own makes me depro. Also used to play cricket and do amature wresteling, all out the window now.

Painkillers does not work, well the ones I have tried. I have tried Tramacet / tramahexal & ibuprofen and a few others I cannot really remember, But it does nothing for the pain and makes me drowsy.

What works is THC, well I also cant really say it works, I still notice the pain I simply don’t care about the pain… But at least I can fall asleep for 8 hours straight. Unfortunately, this is not the answer for daytime. And lets not kid each other. THC has its own bunch of negatives. Plus, my fiancé is anti-anything THC. So, to keep the peace, I don’t use THC anymore.

But honestly this is no way to live my life. I’m in pain all the time. I’m in my late 30’s and when I have to stand up its like I’m close to 90. And nothing relieves it. Not sitting, not laying down, not standing still, not walking….

Does anyone have any possible advice?
 
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I’m one of the lucky few who has scoliosis & Scheuermann disease (fck knows why they call it a disease, on the upside it’s not noticeable). I don’t know if the scoliosis is the cause of everything, but my real issue is my lower back whereby the scoliosis is slightly higher up, 2 of my disk’s (the kussingtjies) are gone right at the bottom of my back, so the vertebrae is pressing against a nerve which causes my leg to die (the dead leg is not the issue though, the back pain is)
I know I know - I'm gonna recommend youtube and people are gonna tell me youtube isnt a doctor. But imo it's worth going through a bunch of exercises or stretches or whatever is recommended for your issue and stick with one that feels like it works. As youtube keeps recommending more just try them. Or go see a physical therapist / biokineticist who can provide you with some exercises / stretches to help? See another doctor for a second opinion?
Plus, my fiancé is anti-anything THC. So, to keep the peace, I don’t use THC anymore.
I understand the desire to respect her wishes, but respect works both ways. If some arbitrary position against THC is more important to her than your pain relief you need to chat.
But honestly this is no way to live my life. I’m in pain all the time. I’m in my late 30’s and when I have to stand up its like I’m close to 90. And nothing relieves it. Not sitting, not laying down, not standing still, not walking….

Does anyone have any possible advice?
You've tried CBD products? Natural anti-inflammatories like curcumin (either turmeric powder or curcumin supplements...longvida is expensive but works quite well) and ginger or black cumin oil.
 
This might be a stpid question, But dont I need te be refered? (For the medical aid pre-approval)

If you have your X-rays etc, you don't. I went to one and got an MRI and specific X-rays he wanted to see.

Took me going to 6 different doctors to get a workable solution as they couldn't see an issue with my back, only 2 doctors did. On cortisone injections at the moment.

Surgery at 30 isn't ideal so managing as best as I can.

As for your fiancé, you need to have a frank conversation about the THC. It's for a reason, you really become a different person having to manage pain 24/7. Wouldn't wish this on anyone.

Edit : have you tried the higher dose of Lyrica? It helped me get sleep. Got rid of most of my meds after a kidney scare by Lyrica, Synaleve, OxyContin (emergencies) and Celebrex were my daily meds
 
I know I know - I'm gonna recommend youtube and people are gonna tell me youtube isnt a doctor. But imo it's worth going through a bunch of exercises or stretches or whatever is recommended for your issue and stick with one that feels like it works.

I agree with this.

Other thing that works for me is eating a good diet and avoiding things that cause inflammation.
 
Go see orthopod.

Take your xrays with you
This.

I can tell you to go and do kettle bell swings and it would be good for your back, but it may never be or **** it up. In my case my "bad back" is sitting all day, shitty posture and weak posterior chain which can be addressed by something like a farmers walk + a few other things like back rotations.

The best of course is to get a worthwhile opinion from a professional practitioner instead of dr mybroadband.
 
I would also recommend stretching in the mean time, watch Bob & Brad from youtube for guidance.
I get regular knots in my back and stretching is the only true remedy. Pain meds /deep heat/ voltaren are all band aids to the actual problem (well mine is muscle related)

Obviously your situation sounds more serious so go see a professional for a second opnion
 
This might be a stpid question, But dont I need te be refered? (For the medical aid pre-approval)

Dont worry about medical aid. Get a referal from GP and take all existing x-rays and diagnostics done. If they want more diagnostics like a MRI scan the orthopod will order it.

Medical aid probably wont pay much or anything for a MRI scan for an outpatient. It can also happen that the orthopod knows whats wrong and wont require additional scans. Probably looking between R8000 to R12 000 for MRI

If they dont pay they dont pay, nothing much you can do. How much is your back worth ?

be very careful on what type of exercise and movements you do. You need to first asses with orthopod then go to the physio if the orthopod says its necessary.

I can tell you what medicines to use but that might make the situation worse. You have no choice but to address the root cause
 
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My dad had the same thing I think about 15 years ago, he got the surgery whereby they replace the disks with something metal, something like that. Besides for a scar from his belly button down he has no issues.

Maybe worth researching.

Also think he was past 40 then, the vertebrae had rubbed sufficiently together to cause them to start crumbling, this obviously causes severe pain and risk, think that's why he got the surgery in the end.
 
I think you need to try to strengthen the muscles that stabilises the core without putting pressure on it. I would try cycling every 2nd day for 30 minutes.
If you can't cycle then sign up for pilatus classes.
 
There is no good news when your cushions are worn.
Pain in the legs means the nerves are pressured where they cross - operation is the only answer ss the channel must be opened.
Diclofenac tablets works for the pain but over time will kill your kidneys. But I still have to take it daily.
I had my L1 to L5 made solid some 4 years ago and since then I sit with bad lower back muscle pains. Stretching helps somewhat.
I’ve given up on being pain free.
I’ve had three nerve numbing (incl laser) procedures to get rid of the pain but it was always back after a few months.
In total I’ve spent about R200k on operations alone on this.
 
Had a bad accident at construction site around 30, caused ruptured discs, was given option for surgery, asked for second opinion and went to a chiropractor instead, my posture was really bad most my life, programming and IT in general didn't help, but chiro and strengthening exercises gradually made my back much better. I was in so much pain that sitting down made my legs cramp, the nerves were pinched and I lost the ability to lift my toe, both legs were totally numb chiro sorted out the acute pain within 3 days, was able to lift my toes in 3 months, have power in 4, numbness went away completely in 8. Went back to gym in 2 years and started weight training, this, out of my own fear, 10 years later, my back is actually feeling good, not pain-free, but decent as I know what's wrong and how to fix it. Periodic visit to the chiro resolves lingering issues. Just my 2 cents, situation is very different to yours, but it doesn't hurt to try.
 
My dad had the same thing I think about 15 years ago, he got the surgery whereby they replace the disks with something metal, something like that. Besides for a scar from his belly button down he has no issues.

Maybe worth researching.

Also think he was past 40 then, the vertebrae had rubbed sufficiently together to cause them to start crumbling, this obviously causes severe pain and risk, think that's why he got the surgery in the end.
Shouldnt they have flipped him over to do the disks?
 
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