Question"Hello, on March 24, 2009 I was in labor and having my daughter 6 weeks
early, I had an epidural since 5 pm the evening before ( 3-23-09) due to my
right kidney hydronephrosis, I had 7 nephrostomy tube since december 7th
08, they all kept clogging with calcium stones, well the 7th one was clogged
and they could not remove the tube, I was in so much pain so they gave me
an Epidural Pump and a Fentanyl pain pump, needledd to say I was pretty
outta it, the next morning they decided to indure me, they were rollingme
from side to side sitting me up and they laid me back down and went to roll
me onto my left side, now I was very close to he left side of the bed( w no rail
up) the nurse went to roll me over and my left leg (dead weight, i had no
control over it, not to mention I gained a lot of weight being on bedrest and
water weight), well my left leg fell off of the bed pulling my leg down very
hard, well she put it back up on the bed... A little while later she had to roll
me over again, she cld another nurse to come help, she asked the other nurse
to watch my left leg since I had no control over it, well she didnt pay attention
and this time it dropped even harder, y ankle hit the ground hard and my hip
bent out ver hard, I felt this hard yanking sensation thru my whole body, no
pain due to the epidural , well anyways, I had the baby not to long after. They
turned off the epidural and I slowly started to feel some pressure in my low
back(which neither have ever hurt before at all) and a strong burning
sensation in my left leg which kept intensifying... It hurt worse than my Neph
tube in my kidney and my delivery pain So they kept me on my pain pump... I
told my Dr he ordered a lt Hip xray and a venous doppler the next day. They
were normal, he said that my hip could have possibly dislocated but was put
back in place when my legs were put into the sturrups to deliver, not sure
though.. I couldnt walt on it, it would pop out of place if I put any pressure on
it and the pain was tremndous in my leg and low back... I was in the hospital
for a week until I could walk and I got my tube out.. 7 weeks later (now) I am
still having a hard time walking and especially getting up and down, my hip
even gives out and I will fall.. I saw my Ob dr for my Post appt and he made
me go see my Primary Dr right away, my PCP then ordered an MRI I just got it
done yesterday and the results say...
Left hip- High T2 signal is present within the posterior aspect of the vastus
lateralis muscle where it abuts the inferior margin of the greater trochanteric
of the left hip indicating the presence of interstitial edema or hemorrage
likely realted to a muscle tear. Impression says Left Vastus Lateralis Muscle
tear.
MRI Lumbar spine-L3-4, L4-5, L5-S1 all say Small Broad based posterior
annular disc bulge, Bilaterl posterior facet joint arthrosis, no foraminal or
central canal stenosis.
Immpression-1. Mild mulitfactorial degenerative disc and joint disease at L3-
4,L4-5,L5-S1 without evidence of canal or forminal stenosis
2. Mild degenerative disc disease at remaining lumbar disc levels...
Im so sorry for the book.. My PCP want sme to go to Physical Therapy which I
have been before nad know it is only a temporay fix..:-(
I am still in a tremendous amount of pain, only 27 w 3 children and am
desperate to get better, My leg keeps giving out, it hurts so bad to get up and
sit down in a seated position, if I lay down my back feels like its going to
explode, my left hip feels like it is on fire and in knots ans the both spasm
like crazy... Can you help me understand what all of this means for my future
and how can I get all better so I can play with my kids and clean the house
without hurting, I feel like an 80 year old woman..... Again sorry for the Book,
Im just desperate for some help... I am still on Percocet 10/325 which helps
but not completely, pretty sad huh and I hate taking it so I go without it most
days and take Ib Profen which doesnt touch it...Ahhhh
I want to get back to normal and in shape and it hurts to bac especially in the
low back and seems like it is getting worse...I wanna play Summer League
Softball again...lol
I hope to hear from you soon, PLease help
Thank you so much,
Melissa Martin
AnswerStaten Island Low Back Pain,
Hello Melissa,
I am sorry to hear of your pain, sorry to hear of your situation.
You have a very complicated picture.
"....they were rollingme from side to side sitting me up and they laid me back down and went to roll me onto my left side, now I was very close to he left side of the bed( w no rail up) the nurse went to roll me over and my left leg (dead weight, i had no control over it, not to mention I gained a lot of weight being on bedrest and
water weight), well my left leg fell off of the bed pulling my leg down very hard, well she put it back up on the bed... A little while later she had to roll me over again, she cld another nurse to come help, she asked the other nurse to watch my left leg since I had no control over it, well she didnt pay attention and this time it dropped even harder, y ankle hit the ground hard and my hip
bent out ver hard, I felt this hard yanking sensation thru my whole body, no pain due to the epidural...." - your hip and/ or sacroiliac joint and/or your lower back may have been injured being 'flopped' around and dropped.
"....They turned off the epidural and I slowly started to feel some pressure in my low back(which neither have ever hurt before at all) and a strong burning sensation in my left leg which kept intensifying....." , your low back had never hurt before, the left leg had never hurt before?,,, perhaps that flopping and dropping did injure you,,,,
You never had the pain before.
"... I couldnt walt on it,...."- did an Orthopedic MD, Rehab or Physiatrist MD evaluate you for this hip/ back pain in the hospital?
"...my hip even gives out and I will fall....."- they flopped and dropped your hip in the hospital. You had pain, difficulty, even a popping in and out after this flop/ drop. You never had pain prior to this incident/ injury,,,, this flop/drop must be the cause of your complaints from what you are telling me.
High T2 Signal in MRI:
http://www.justanswer.com/questions/ntxt-full-thickness-high-t2-signal
http://books.google.com/books?id=4dIszq3Qqv8C&pg=PA422&lpg=PA422&dq=mri+High+T2+...
That signal (but it would be best to check with a radiologist) is usually the sign of some kind of inflammation, perhaps an injury.
Your PCP, is he(she) an orthopedist? I would recommend an orthopedic or rehab or physiatrist type specialist to evaluate and treat this/ these injury/ ies (and just as Medical Doctors have specialties, so do Chiropractic Doctors- see : http://www.acatoday.org/pdf/ApprovedChiropracticSpecialtyPrograms.pdf again: ortho, rehab, sports injuries would be my picks of the Doctor of Chiropractic for your problems).
When you speak of medications for the pain,,, be aware- the medications cover the symptoms, but do not get to the cause of the pain. This is an information handout I use for my Staten Island Low Back Pain patients:
PAIN
Pain is a 憆ed light on the dashboard?
Pain is your body telling you that something is wrong.
That RED LIGHT on the dashboard of your car-
-- do you ignore it until the car breaks down,
or do you get it checked and correct the problem?
Pain,
pain in your body-
-- do you ignore it until your body breaks down,
or do you get it checked and correct the problem?
Pain,
do you cover up the pain by taking a painkiller?
Take a painkiller,
mask the pain,
and allow a problem to progress in your body?
NOTICE ON PAIN RELIEVERS:
Label changes ORDERED by FDA; the FDA announced proposed label changes for OTC over-the-counter pain relievers to include the potential for stomach bleeding and liver damage (FDA news 206- 207; 12-9-06) ;
The American Heart Association issued a scientific statement recommending medical doctors change the way they prescribe OTC pain relievers from a first choice to an alternate of recommending non-pharmacologic treatment (AHA statement 2-26-07).
NSAID Acceleration of ARTHRITIS; an important side effect of Aspirin and other NSAIDS is that it will inhibit cartilage repair and accelerate cartilage destruction ( Journal of Rheumatology, 1982; 9: 3- 5 ). Many times people take NSAIDS for the pain of Arthritis, not realizing these drugs may make the underlying condition worse. These medications cover up the pain, and cause the problem to worsen.
Pain can often be the result of the Vertebral Subluxation Complex.
Vertebral Subluxation ( 慥SC?, 憇ubluxation? )
Vertebral Subluxation is actually a quite common condition.
Doctors of Chiropractic look for pathological conditions which may require referral to other specialties, and also look for 慡ubluxation? Other disciplines look for pathology, but overlook the importance of alignment and movement in the spine which affects our nervous system (the master control system- ALL health disciplines learn this). VSC- 慡ubluxation??can be the cause of many symptoms and conditions.
Only a Doctor of Chiropractic will evaluate and treat for VSC, as well as other pathology.
The course of VSC is highly variable. Some patients with VSC literally cannot walk, yet other patients with similar test findings may be able to run marathons or lift heavy weights. Some patients immediately develop symptoms related to the VSC, some patients take years to develop symptoms. Some people suffer for only a few days with pain and symptoms, some people suffer for months. Some people recover in days, some take months or years, depending upon severity of the condition.
A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.
The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position. When subluxated, joints are in a stressed, vulnerable, compromised condition. Subluxation may cause Arthritis, Disk Herniation, or aggravate such conditions.
Vertebral Subluxation cannot be corrected through chemicals (medicine), stretching, yoga, vitamins or physical therapy alone. Subluxation- a neuro/skeletal/muscular- mechanical- problem requires a mechanical correction- - - a manipulation, best performed with the chiropractic adjustment.
Dr. Victor E. Dolan, Doctor of Chiropractic; Diplomat, American Chiropractic Board of Sport Physicians; Diplomat, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST Chief of Chiropractic in a Hospital in New York State (DHSI); As Seen in PREVENTION Magazine
+++++++++++++++++++++++++++++++++++++++++++++++
I think you need an Orthopedic, Rhab, Physiatrist, Sports Specialist to look at your hip and low back. You may need additional MRI, Xray, even EMG/ncv testing. Pick a local doctor from their reputation- whether MD or DC- go to a specialist outlined above.
You need a better diagnosis to arrive at a better treatment.
I hope this helps, please do not hesitate to re-contact me here at AllExperts if you need further information at:
http://allexperts.com/ep/965-100794/Chiropractors/Victor-Dolan-DC-DACBSP.htm
Wishing you Good Luck, Good Health and a quick recovery,
your Internet Chiropractic Staten Island Expert,
Dr. Victor Dolan, DC DACBSP
http://drvictordolan.chiroweb.com - - -- - Email NewsLetter
