Question
QUESTION: hello dr. timthy!
hope you are fine. as i mention in last mail that i have stop tking medicines as you advise me for sciatica pain.
my problem i can not walk/stand for more then 10min.
i start feeling pain in my buttock and leg.
hope you will answer my question. i am in great trouble.
should i continue hot bag?
should i keep stretching my leg? which i am not doing now...

pls. answer me ,,, thanks
regards
aurfan
London

ANSWER: Last time I gave you excellent advice, you gave me the worst rating I ever received, after you re-did the rating, you still gave me a bad rating with 8;s in two categories.

If you look what other people have done, you would notice that my ratings are all 10's, except for a couple 9's and a 8. Where you get off by giving me a 5 for timeliness after answering your question within a half hour tells me you are here to start trouble. Please ask someone else.

---------- FOLLOW-UP ----------

QUESTION: hello Dr. Timothy!
thanks for your reply. give me the chance to rate you better.

The only reason asking you again and again is by following your advice i am getting better.
please dont leave me in the midway.
I do understand this service of yours is free and its a great job handle by you for humanity.

My request:
dont leave me in the middle of noway.....i am a patient of yours already.
thanks and regards
aurfan
London
ANSWER: O.K.,
If and only if you contact allexperts and have them totally fix the ratings you gave me to all 10's with a YES nomination in Spinal surgery first. Also I want you to write to what you just wrote on how I helped you and turned around your life.

When I see the change, I will reply with an answer that will be the answer to your present problem. You presently are doing a few things wrong. We will correct those after you correct my problem.

Thanks and Wish you well.

Dr. Timothy Durnin


---------- FOLLOW-UP ----------

QUESTION: Dear Dr.Timothy Dunin!
hope you are fine.
My sciatica pain is confusing me.
I have stop taking medicines.I am using HOT bag alomst 3 times a day.My blood test is normal.
Numbness in the left is recovered 95%.
Pain in the leg is recovered 85%.
My problem when i am sitting i feel minor pain in Left buttock at the point where the whole weight of body depends.

I still cannot stand straight. Cannot walk long. After a small walk i start feeling BURNING pain in my Buttockand NO MORE in the leg.

This pain dont let me walk and stand straight.so i need to bend my body.during walk of 10 min i need to take rest in between.some time i also feel (after walk) stress from my left back to left shoulder.which disappear after taking rest.
some time i feel "crams"in the morning in my left leg which i try to avoid as it may results in  more pain.
I am using muscular menthol cream on the buttock now a days.

QUESTION:
Should I continue medicines?
Should I use Waste Support Belt?
Should I keep streching my leg(which i am avoiding now)?
Should I contiNue Hot Bag?
Should I practice some exercises?
Should I avoid Walk (as it result in pain)?

hope i have clear my sitution to you and you can help me out for this terrible pain.
take care
regards
aurfan
London




ANSWER: Hi,

Still not fixed,

See......

From:    aurfan 5/29/07
06:07 AM 5/29/07
08:40 AM 5/29/07
08:25 AM K C T P N
10 10 9 9 N
FollowUp

and the other rating says NO too.



I don't no why it was so hard to give me 10's and a yes like everyone else, the info I gave you took less than
50 minutes to recieve and yet you gave me a 5 for timeliness. Yes you did change it, up to 10's and 9's with a NO.

Not exactly a ringing endorsement. I am not sure why you would do that after I spent a great deal of my free time trying to help you. You need to contact allexperts and have them fix it. Then I will help.






and this one'.......


You answered this question on 06/07/07
Rating:   
Knowledge Helpfulness Timeliness Politeness Nomination?
10 10 10 10 No




---------- FOLLOW-UP ----------

QUESTION: i have given you all 10's and yes for the volunteer of month.hope i am thru w/ my job....
pls. try to answer your patient as soon as you can...
regards
aurfan
ANSWER: Hi,

Adding 10's to an already molested score doesn't erase the damage. You have to ask allexperts to take it taken off.

In the mean time, I will help you half way, stop using heat and use ice, the heat is making you worse.

I will tell you how to get even better once those bogus scores are removed.

---------- FOLLOW-UP ----------

QUESTION: Hello dr. timothy!
i just rec. mail from ALL EXPERTS regarding my request to change your score.
hope its okey w/you now.
can you pls. reply my last mail for my sciatica pain.
hope you can reply soon,
thanks
regards
aurfan
ANSWER: O.K. Aurfan,

Remember, you started it with the ratings, I do the very best job I can as a volunteer to help people for free.

Sorry to be such a pain but I feel very unappreciated when someone maliciously disses me online.

Thank you for correcting that mistake.

Now to your questions,

QUESTION:
Should I continue medicines? NO
Should I use Waste Support Belt? Only when sitting or lifting.
Should I keep stretching my leg(which i am avoiding now)? Depends what you mean by "stretching". The only thing you should be doing is icing it down 3x/day for 15 minutes and laying on your back pulling your knee to your chest 20X/each side then both knees simultaneously 20X/ 5X/day, especially before you go to bed and before you get out of bed. More stretches and exercises will be forthcoming after you are 95%.

Should I continue Hot Bag? Absolutely NOT! If something hurts, it is usually red, hot, swollen and inflamed, the last thing you want to do is introduce more heat in that environment. Just look at any professional athlete, when they get hurt, what do they use?
Should I practice some exercises? Only the ones I described.
Should I avoid Walk (as it result in pain)? No, walk until it starts to hurt, then stop and ice it down.

Find a D.C. that does F/D, you need it, home care alone isn't adequate, you need a professional to give you that added push. My recommendations are fine for a simple problem, if you have a herniated disc or degenerative condition, only a D.O. or D.C. can fix it.

Let me know when you find one and I'll check him out to see if he is competent.

Best regards,
Dr. Tim

---------- FOLLOW-UP ----------

QUESTION: hello dr tim,
thanks for your reply.
Can you pls. explian what does it mean D.O or D.C  and F/D?
sorry i am not familiar with this.
also like to ask is there anything to do with"sacrolillac joint" as i cannot stand straight/ walk.
my leg pain is less now but it becomes more when i try to walk.
regards
aurfan
regards
aurfan
ANSWER: Hi,

Without examining you, it is impossible to tell if it is your SI or Low back.

A D.O. is a doctor of Osteopathy and a D.C. is a doctor of Chiropractic.

You need to follow up with one of thee guys to get an answer to the SI question and to get completely fixed.

Flexion-Distraction Therapy - What is it?


Flexion-Distraction, (F/D) is a gentle, chiropractic treatment procedure utilized for back and neck pain. Flexion-Distraction is a safe alternative to back surgery for those 95% of patients whose conditions do not demand surgical intervention. The doctor is in control of the treatment movements at all times.

Flexion-Distraction is utilized for many conditions such as:

Failed Back surgical Syndromes
Disc Herniation/Ruptured Disc / Bulging Disc / Herniated Disc
Sciatica / Leg pain
"Whiplash" injuries
Stenosis
Arm Pain
Neck Pain
Failed course of Steroid Injections
Chemical Radiculitis
Spondylolisthesis
Headache
Transitional segment
Many more conditions?
How does Flexion-Distraction Work?

For Disc related conditions:

Increases the intervertebral disc height to remove annular tension on the annular fibers and nerve by making more room and improving circulation.
Allows the nucleus pulposus, the center of the disc, to assume its central position within the annular fibers and relieves irritation of the spinal nerve.
Restores vertebral joints to their physiological relationships of motion.
Improves posture and locomotion while relieving pain, improving body functions, and creating a state of well-being.
For Non-Disc related conditions:

Patients with other conditions causing back pain (facet syndrome, spondylolisthesis, sprain/strain, scoliosis, transitional vertebra, sacroiliac restrictions and misalignment, certain types of spinal stenosis), Flexion/Distraction provides all of the above benefits plus the ability to place the spinal joints into normal, painless movements so as to restore spinal motion without pain:

The posterior disc space increases in height.
F/D decreases disc protrusion and reduces stenosis.
Flexion stretches the ligamentum flavum to reduce stenosis.
Flexion opens the vertebral canal by 2 mm (16%) or 3.5 to 6mm more than extension.
Flexion increases metabolite transport into the disc.
Flexion opens the apophyseal joints and reduces posterior disc stress
The nucleus pulposus does not move on flexion. Intradiscal pressure drops under distraction to below 100mm Hg. On extension the nucleus or annulus is seen to protrude posterior into the vertebral canal.
Intervertebral foraminal openings enlarge giving patency to the nerve.
Reference: Cox JM, Feller JA, Cox-Cid JA: Topics in clinical Chiropractic 1996; 3(3):45-59


Dr. Tim

---------- FOLLOW-UP ----------

QUESTION: thanks for your detailed answer.
i would like to add some thing more in my current condition:

as you know earlier due to sciatica pain i use to walk w/ little bend
in my body as i was not able to put on my left leg.

NOW i have notice my body structure is changed.
I AM HAVING BEDN IN MY BODY WILE STANDING AND WALKING.
MY UPPER BODY IS NOT ALINE W/ WASTE. GOING TOWARDS RIGHT.

i cannot make it aline while standing . i have tried making it aline by
layig down,on my belly.
i am asking my partner to stand on my waste by putting pressure on
sacroillac joint.its pain full to my left leg and waste .

QUESTION:
HAVING CHANGE IN BODY STRUCTURE DUE TO SCIATICA is normal?
IS THERE ANYTHING SERIOUS?
PROCEDURE I AM DOING NOW TO ALINE MY BODY STRUCTURE IS OK?

pls. try to answer me as i am really worried about this changes
structure......
hope you can answer
thanks
regards
aurfan


ANSWER: Hi aufan,

If by, "change of structure" you mean your leg muscle is shrinking up, then you need to go to the Dr. immediately.

This is denervation atrophy secondary to nerve root compression. If you can walk on your heels and toes than that's good.

Explain what you mean.

Dr.T

---------- FOLLOW-UP ----------

QUESTION: hi dr. tim,
ther eis no problem in walking on toes or heel.. just little tension on my left leg.
change of posture:
as i am walking w/out putting weight on my left leg that's why my waste is bend in the same direction.

when i try to straight it by laying down  (by using the procedure i explain earlier) i feel tension in the left leg an dbuttock. but by doing that i feel more relax also.
tell me if iam goingin right direction or not...?
thanks
regards
aurfan
ANSWER: Hi aufan,

Does it hurt to cough or sneeze, if it does, does it shoot down your leg?

You are describing what doctors refer to as antalgia. You are leaning away from the side that hurts. When you put pressure on the left side it probably goes into your buttocks and into the outside of your calf.

All I can do is give you my best guess as to what is wrong. I can't effectively tell or show you how to self treat without examining you in person. Is it impossible to see a Dr.?

Once you have a concrete diagnosis, I can help you immensely, right now I could harm you by suggesting otherwise. You could even have an aggressive lesion next to your spinal cord or infection in the disc. It would be crazy to supposize further until you are examined by a professional IN PERSON!

I can't stress this enough, please take my advice and see a Dr., any doctor.

I need to know that all other possible diagnoses's have been ruled out.

It won't cost you much for a simple evaluation.

Get back to me when you have been examined.

Thanks,
Dr. Tim

---------- FOLLOW-UP ----------

QUESTION: dear Dr. tim,
i followed your advise and went to my Dr. he again suggest me same muscular relaxant and said nothing to worry!!!

Recently i have started "Yoga exercise" and its realyy help fully.
Now i dont feel pain in my leg when i am sitting.
I feel more flexibility in my leg as i can touch my knee to my face when lying down.....
infact i feel much better now....the bend in my upper body part is also improve.
the only thing which is disturbing me is I cannot stand and walk for long time....when iput stress on my leg by standing or walking i start feeling pain but not that much worst as it use to be .....
like to ask:

where am i ?
when i will be able to walk normal?
should i put stress by walking or standing in this condition?
hope you can answer me soon.
regards
aurfan


Answer
Hi Aufan,

You probably can't walk for long because you have a possible "slipped" disc. You might also have a short leg undetectable without standing or weight bearing X-rays,

I like the fact Yoga has improved your flexibility, this is very important. It can only do too much, if you have a disc problem, you have to get F/D to fix it. Only a D.C. can do it. Did you find a D.C.? It sounds like you are symptomatically 90% better but biomechanically 50% better.

Getting a MRI would be ideal but I sense you are short of funds or the Dr. won't order it. Keep trying, without more info, it is impossible to tell.

Dr. Timothy Durnin

More than likley, walking is the best thing you can do for a back problem, without an MRI ruling out other pathology, it is impossible to know for sure. Keep trying to get one!

Dr. Durnin