Any ideas? The experts are stumped!
Posted , 5 users are following.
Hi,
I suppose I'm looking for some moral support from people who actually know what it's like to suffer chronic pain! I've had pain in my back left leg and foot for four years now and it never goes away. MRI scans have shown disc prolapse L3/4/5 but worst at L5S1. There is no nerve impingement according to the MRI but I've had terrible nerve pain that follows the sciatic nerve and into the bottom of my foot.
There are my other threads if you want to read the whole saga. Anyway, to cut a long story short I suffered from urinary renetion in May and was rushed to hospital only to find it wasn't the discs, I'm now under a Neurologist who is conducting more investigations. A couple of weeks ago I saw my Osteopath who performs traction on my spine which completely alleviates all pain usually. After seeing him I was in agony for four days, really crppling and then on Sunday it all just went suddenly. Well I was thrilled, no pain for the first time in years!!! Then I noticed numbness in my leg and foot and pelvis and then I started to wet myself frequently.
This went on for a week and I carried on teaching my classes at school. Saw my GP and he said it was stress incontinence (my daughter is 7 and I've never experienced this before) I rang NHS 24 and was seen by an out of hours GP they sent me to hospital again where I was given an immediate MRI scan as they suspected caude equina syndrom. Anyway it wasn't and I was discharged yesterday.
The feeling has gradually come back and the incontinence has stopped. Anyone else experience anything else like this? I'm getting so depressed trying to live a normal life with two small children and coping with this. I will try and speak to the Nuerologist next week, this is just so stressful. I get the impression that they thought I was a time waster but I waited a whole week and only went in when I was desperate! What is going on? I'm taking Pregabalin 600mg as well as Diaclofenac and Amitriptylene and don't know what else I can do!! Any advice, experiences shared would be wonderful! I'm only 39 years old too!!
1 like, 20 replies
marshall71 helen10458
Posted
Helen very sorry to hear your in a group of people that are suffering from chronic pain back pain have you had any blood test ? The problem with NHS is you need to push very hard to get the wheels in motion and get too the bottom of your problems with Mine same as yours L5/L4 lower back pain si joint pain seen 7 specialists 6 gps took me a year for a MRI scan now I have periphery neurophay in my feet unexplained.
A letter too your local MP with all your medical history and problems with the NHS
Is the amitriptyline working what dose are you taking ?? I was on it for over a year 30-40 mg per night worked well for sleeping but during the day I was left in awful pain
Enna1 marshall71
Posted
Hope some more people come onto the link its interesting what we all do. There is a lady called Sharron Wass on facebook - there tends to be some people on there with back pain etc. i could actually knock these surgeons heads together - they are supposed to learn from other surgeons, like there is minimal invasive back surgery but i never hear of anyone having it. Where was your doctor in England. I totally agee with you YOU MUST PUSH but unfrtunately if Helen is like me, you don't like to make a fuss and it still is the same for me in Spain. I am coming to England for Xmas and wondering how i will go on. I am taking my TENS machine with me, some people tend to say that they are good so wondering if I am on a shopping expedition it will be useful. Last time i used it I dropped the lead down a not very clean toilet and never used it since.
So I will tell you how i get on.....
You know where to find me on facebook and Spine-Health is excellent with their videos. They even have a video of a back operation.
Beware of artificial discs thought at my age I might have had it done but for the mess i am in, but usually the top or the bottom of an artificial disc will be the next to go - used to be THE way forward but don't know what is now....
marshall71 Enna1
Posted
Push hard for my treatment it's only way now either wise your get nothing done at all
Enna1 marshall71
Posted
helen10458 marshall71
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I tried the TENS machine but it only helped when it was on and not very practical to teach with lol! Glad it gives you relief hope you get treated soon. All the best!
Enna1 helen10458
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There are my other threads if you want to read the whole saga. Anyway, to cut a long story short I suffered from urinary renetion in May and was rushed to hospital only to find it wasn't the discs, I'm now under a Neurologist who is conducting more investigations. Thats good but I am sorry to say, don't trust anyone, read up as much as you can about the condition. Or come onto a forum......A couple of weeks ago I saw my Osteopath who performs traction on my spine which completely alleviates all pain usually. After seeing him I was in agony for four days, really crppling and then on Sunday it all just went suddenly.Phew, I have heard about traction, does it stretch your spine? Did he tell you what he was going to do. I have been to osteopaths etc and although at the beginning it did me some good, as I got older it didn't and I have had osteopaths holding my feet for 20 minutes, my bottom and all sorts of things so beware - go on recommendation. you can do yoga exercises every day. Not sure whether this forum/website puts up exercises, but I have some if you want them. Its best really to go to a teacher first. I had an email this morning, 10 gentle yoga exercises - I thought oh yer!!! Well I was thrilled, no pain for the first time in years!!! Then I noticed numbness in my leg and foot and pelvis and then I started to wet myself frequently.OMG did you tell your surgeon/doctor? I have heard about these people in Spain.... I have never encountered that problem (although i do go to the toilet pretty frequently during the night - and thats nothing to do with my back) You must be careful who you go to.I would love to know whether your Mum or Dad had a problem with their backs as it is inherited.
This went on for a week and I carried on teaching my classes at school. Saw my GP and he said it was stress incontinence (my daughter is 7 and I've never experienced this before) I rang NHS 24 You live in England !!! I hear that the NHS is bad there now it can't be any worse than it was 10 years ago can it!!!.and was seen by an out of hours GP they sent me to hospital again where I was given an immediate MRI scan as they suspected caude equina syndrom. Anyway it wasn't and I was discharged yesterday.Why don't you tell your own doctor whats going on ?
I have to say that my friend round the corner is a physio and has been for 30 years but i went to her one day as I had a bad back (I don't get pain in my back - mine is sciatic is yours?) God did she put me through it with deep massage and yes it was a week before I came round. I didn't think to put a hot water bottle on my back.
Are you on facebook? If you are on facebook go onto the website Spine-Health - they send all sorts of things for what we are suffering - I am sure you are not squeemish. If you want to friend me, anne barnett. I will be pleased to have a moan with you. although it dangerous for me to have an op because of the two previous idiots not knowing what they were doing. You will get a lot of information from Spine Health and if you go onto the forum you will find lots and lots of people all over the world suffering like us.
The feeling has gradually come back and the incontinence has stopped. OK but still think you should see your doctor to tell him. Anyone else experience anything else like this? Mmm wonder if anyone will come and answer your question. I'm getting so depressed trying to live a normal life with two small children and coping with this.I know exactly how you feel that why if you go onto facebook you will learn a lot more with videos etc. oh and they have exercises on there too. I will try and speak to the Nuerologist next week, good this is just so stressful.
I get the impression that they thought I was a time waster Yep, same here but I waited a whole week and only went in when I was desperate! What is going on? I'm taking Pregabalin 600mg as well as Diaclofenac Pregabaline - there was something in the paper about it, Prebabaline and Lyrica - saying something about the cost - I know Lyrica is 50€ a box. Diclofenic affected my stomach, couldn't take it. - I take Pazital but if you are in England you will have to go to the dr. its 38% tramadol and the rest Pazacetamol. I couldn't take 100% Tramadol either. But I have been like you for 10 years or more but now been referred to spanish pain clinic so they might up it all a bit or take me off Pazital.
As a matter of interest was your mother like this? and don't know what else I can do!! [sad] [sad] No you are in pain, its not you its them and the way you/me have been treated. Might be a good idea to wait to see the neurosurgeon and see what he says. But can you stand taking this medication, does it work i mean? Any advice, experiences shared would be wonderful! I'm only 39 years old too!!
You were saying about the doctors thinking you were trying it on. I got referred to the pain clinic 2 years in Gandia. I spoke to a very nice bloke who spoke English well. He said the next appointment would be for injection into my spine (have you had these?) so 4 months later I landed at the pain clinic and this "male nurse" or male tapped at the computer in the end so loud, he turned to me and said are you ok for medication, I said yes, and that was it. I didn't bother telling him I was there for an injection - now I have to go back to the same clinic. I was absolutely furious.
My friend is trying to get me a quick appointment for a cortisone injection in my thigh so i can come over to England for Xmas but it doesn't seem as though its going to happen.
Have you had cortisone injections? I will tell you.... Go for it if you pain is in your thigh.... tell me more. is it? Go to the a & e and say you are in such pain can you have an injection to tied you over. However, England only lets you have 3 a year and the last one I had was 4 in one thigh and 3 in the other and they lasted me over a year.
We need to talk really a little more. you've got my facebook page...
helen10458 Enna1
Posted
Thank you for your detailed response that was really helpful. I have seen everyone, so many specialists! I saw the Nuerosurgeons who said it was a neurological rather than a mechanical issue so no surgery for me.
I actually have a nerve root injection on Monday, I've had these before and they help for a little while but it's not long term. I'm seeing my Doctor again later in the week as I needs some answers. Aparently some of my nerve induction tests came back abnormal and I've been told nothing about this, the Ortho Consultant let it slip and then refused to discuss it further grrrrr!
Anyway, the pain has gone for now so maybe everything is on the mend. The Consultants keep mentioning MS but I've had the lumber pucture test and it was negative. I'm in Scotland and wish that I have th money to go Private, it's sooo slow waiting for appointments and information.
My Mother was fine and I have been fit and healthy apart from this issue. I am taking the maxmum dose of Pregabalin which has helpd get my foot function back. Thanks for your support and help, I'll link up to your FB page.
Enna1 helen10458
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When I first started with my back you couldn't go to another PCT do you remember, you had to go to a specialist within your area. Well there wasn't one in Cumbria so they just gave me injections of cortisone. Then I think that they got to the end of the line with what to do and by this time you could pick and choose where you went to - remember? and I was sent to Preston where that stupid dr put the widget in my back. I did a lot of research - there was Inspace and X Stop and did lots of research to such an extent that I made friends with the X Stop man, and believe it or not he is in Valencia now. But.... now they have such a backlog of people who it hasn't worked for they don't do the op now for either widget. The hospital that made it like this was Leeds, can't remember the man's name but I think he was theatened with litigation or he had litigation against him and he no longer does private work.
I had been a member of ADRsupportUK for a few years and saw people come and go with private insurance and they had successful operations with a Mr Shackleford in Warrington that when I knew i was coming to Spain I asked him to do an op (decompression - where they shave the bit of bones that are growing off and inpinging into a nerve. This cost me £7,000 and this was the surgeon that gave me my first really big cortisone injection (which I paid for £1,000) so I went back to him. Of course i have become very cynical, if you got someone with money in their pocket wouldn't you say, yes I can do an op for you.
I think..... once he opened me up he could see what was going on in my body and he wouldn't care would he if you were coming to spain... he talked non-stop about his daughter and her friendship with boys. and when I had the injection years beforehand he did nothing but criticise Barrow in Furness which didn't go well either because that was where we worked.
Cutting out the bits in the middle when I came to Spain they insisted that I go through everything, even thought I had already had injections etc. I suppose thats the way it is - I even paid £60 to have copies of my case notes but of course, they were in English weren't they.....you forget. The first 2 appointments were an introduction - the second - how was I and another appointment was an injection. 4 in one thigh and 3 in the other and it was fantastic, walk? well I could walk a mountain and it lasted for over year Please don't think you will get this in the UK you won't. The maximum you can have is 3 a year (I think)
Hope you get on on Monday, get a message to me. I don't think you said where you lived. You didn't say where the injection will be. I do honestly think it depends where you live as to whether injections, never mind operations, work.
nerve induction tests
Did you read someone else's post about asking for sedation when you have a root injection. I think when I go to the clinic I will ask for that. There will be one hell of a row if I get treated like I did last time at the pain clinic. In fact I can get a form and complain. They were clever at the second appointment I complained and they must make a note who gets complaints forms and guess what, i got an appointment really quick. In Spain when anyone gets an official form, your name and address are taken, even if you go into a tourist board office.
Anyway I digress - You were lucky that you saw so many specialists. My friend in Wales says that she saw lots of specialists too and look at me, I only saw one and after that my dr said that Cumbria PCT was going bankrupt and she was sorry but could we try something else...... I could have complained at that but didn't. I didn't think.... when you are in pain I don't think unless you talk it over with someone that you think of complaining or suing,
Just to digress, I did in fact get a TENS machine, I came to spain on holiday and went to a cafe - went to the toilet and what with trying to get my clothes sorted, I dropped the lead down the toilet, which wasn't nice, and didn't use it again. It only works when you have them switched on (lol) I mean in bed you can't use it - it has to be the centre of your life and I could do it.
Yes I have never heard of nerve induction tests II've just cut and pasted and can't find it - sorry)
Maybe if they think the pain has gone you won't get an injection.....don't tell them its gone or else they won't do anything. Never had a lumber puncture test either. I think thats why they tested you for MS because pregabalin was initially taken by people with MS (nerve pain) and then realised that it could work for other nerve ailments.
Please let me know how you get on and pleased that we can link up on facebook. You can moan all you like to me because I know how you feel. How much Pregabalin do you take? I am on Lyrica and have just upped my dose to 1 morning, lunchtime and 2 at night.
I did a really daft thing yesterday, I walked along the beach - absolutely no-one on it and it was 24 degrees. Fantastic and so enjoyed myself but this morning as the sun started rising, God my bottom and my legs I thought someone had cut them off but taken pills now and OK. My partner thought it would be good for me, I am trying to lose weight which one of the side affects of Lyrica, Did you put on weight with Pregabalin? I have been taking medication for well over 10 years now, I have had the lot.
I've just thought what am I looking at who can do ops in Scotland, you can still go anywhere in England can't you. What does the MRI say - Just L5 or does it say that L3/4 is going too?
Please subscribe to ADRSsupportUK. because there are lots of written bits on ADR with the heading ADR Hospitals & Surgeons - Just forget the ADR bit - and go into those headings and tell me what you have found that could relate to you. ADR means Artificial Disct Replacement. But.... once you have ADR in time either the bottom disc or the top ones goes haywire too so just remember that you are looking for a specialist. Is your consultant on that list??????
PS I know what you must feel about the TENS machine in school, not ideal is it. But then you will be off work if you do have an op. as you only have L5 (L4/5 I guess) they may do what they did to me, shave the spurs (bones or little threads of bones) off that are sticking into a nerve. No big deal so don't worry about it if you have to have that. I have armed you with some information now. When you go on Monday ask how long is it going to be that you keep on having these injections? see what they say. Say you are not happy. I think they do a spine stimulation with me, my Spanish friend read it out on the paperwork. Don't know how that works really except you have a computer chip worked inside you. I have also heard about the computer chip put into your head. No I defiitely won't have that. But, suppose these computer chips don't work - and am in pain - you have to wait 4 months to see anyone here. Unless you go to A & E and at the moment its 8 hours waiting. its a fabulous new hospital but no money to work it lol.
Speak to you perhaps when you get home
john11891 Enna1
Posted
Electro Myloe Gram.
If there is a nerve problem and its more than a few moths old the EMG should locate it.
John11891
minnie4 helen10458
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moving on in April of last year I kept getting the sensation of running water down my arms which left pins and needles in my hands. 111 said go to hospital as it could be connected to your heart. Nope, heart is fine but from time to time I would get the sensation back.
june of last year I lent down, bending correctly, and heard one almighty crunch. We don't know if it came from the table moving as I fell against it or it was me but to say I was in agony is an understatement.
since that time I have had the merrygoround everyone else has. No treatment for seven weeks other than pain killers to see if my body would 'mend' itself and ending up on morphine which knocked me out which was preferable to the pain.
finally have my MRI after seeing the first surgeon and wait another four weeks. Second surgeon looks at the MRI and says there is nerve impingement and he wants a full MRI of my spine. Back to the chief honcho who says I have three slipped discs - excuse the way I write this, I'm no medic, L3-L4-L5-S1. He tells me it's not that bad and the rest is usual wear and tear for my age. Do you ever get the feeling someone is lying to you?
i asked for a copy of my full MRI and took it to a private surgeon and he spent 45 minutes explaining the MRI and charged £75. Best money I've spent. Now I know I have a facet problem with bone spurs and my running water turns out to be two slipped discs in my neck without impingement. I also have osteoarthritis and spondylitis. I have no idea to be honest what all that means but he said he couldn't understand why I hadn't been treated much earlier. The trick to getting a private surgeon to do this us to say your NHS surgeon explained the MRI but you didn't understand it. They don't like to tread on one another's toes unless there is money involved. He mentioned whether I had any blood work done to exclude other issues such as magnesium deficiencies or thyroid problems or ms. I told him I hadn't had any blood tests and he just stares at me.
moving on another few weeks and I get an appointment for pain management. By this time I am on crutches, I have no sensation in the side of one foot I have what I was told was sciatic pain - intense burning from my buttock, hip, back of leg to knee p, down the front of my shin and then nothing. My back feels like I have a brick in it and I can't lay on my back. I can't sleep, I can't sit or lay on a sofa, I can barely walk, I have a device to put my socks on, elastic laces in my shoes, a long handled shoe horn, I drag myself upstairs and going downstairs is a nightmare.
the man I see in pain management tells me I have fibromyalgia after asking a few questions. He's sitting there tapping one foot up and down at a furious speed at the same time as clicking a biro. Im in pain being fired questions at and I'm beginning to wonder what's wrong with the dr!
well, at least I got a diagnosis and a complete change of meds and scheduled for blood and bone tests. The blood test form has enough things on it to keep everyone busy up there for a while including ms. Like everyone else I get on the Internet when I get home and Google fibromyalgia and how they will cure this bloody pain. What I find is its the brain going into overdrive and thinks I'm still in pain so a psychological condition that can be bought on by injury or a crisis in the persons life. So now after all these months of pain I'm diagnosed with a psychological issue!
relief turned to anger and I rang the hospital asked to formally complain about pain management and what do you know I get a cancellation to see a physiotherapist the following day. Armed with my private MRI evidence something else occurred to me. How can you diagnose a problem before you have explored every possibility?
following day and getting geared up for my appointment the body spasms I have been getting for about two months suddenly decide on displaying a full on performance. I put it down to stress and my newly diagnosed psychological issue.m by the time I am talking to this lady I cannot hear what she is saying. The tinnitus or loss if hearing which I had put down to the amount of different meds they had been prescribing also kicks in. I thank my lucky stars I had taken someone with me for moral support who could explain I wasn't shouting because I'd lost the plot but had lost my hearing! Perhaps more evidence that it is 'all in my mind'. My moral support takes over and asks how I can be diagnosed without blood work, why if there is a possibility of ms haven't I been tested? He then refers to the MRI report we got privately and suddenly I am having all the tests including a bone scan this week.
everything you get told I have done. I have kept moving despite the intense pain. I have returned to work even though I can barely function. I never go through the night without waking in pain. I can no longer bare the tens machine anywhere near me, ice makes me instantly throw up, I have urine retention which turns out to be a side effect if the meds and now I'm a junkie who has to be weened off morphine. I can't drive as I can't turn the steering wheel, I can't walk without crutches and I am so bloody tired its unreal.
my next step if everything comes back normal is to push for an urgent MRI of my head. I have one that was done so there is something to compare it to. No one wants ms but I would sooner know now and start treatment than wait until more of my functional skills disappear or are impeded by medication. If everything comes back normal and it's back to fybromyalgia then I will ask for a referral to a London hospital. I will also ask for copies of all the MRIs I've ever had to take with me together with the bone scan results and the blood work results.
they won't like it, but I don't like being in pain. from what I can see fybromyalgia is the new irritable bowel syndrome. They have no explanation for either so anyone who falls through the hoops of the standard testing is clubbed together until a symptom emerges to such an extent that it is obviously something else.
ms is first seen from a brain scan and yet as far as the NHS is concerned I definitely don't have it as it hasn't shown up on my spine MRI. In other words it isn't bad enough yet for it to be obvious.
im sorry for the rant. It would be easier just to say PUSH AND KEEP PUSHING.
Enna1 helen10458
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Guest helen10458
Posted
helen10458 Guest
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Enna1 helen10458
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You are so correct, I eat next to nothing and still have put on weight which causes other things like circulation and when its 40 degrees I can do nothing. I honestly don't think they can do anything for us. Operations by the sound of it are expensive and both health services are low on money.
We will just have to moan at each other, it does help so bring it on.
john11891 helen10458
Posted
Starting in 1987 I did have intermittent bladder issues that would come up and then suddenly get better. For many years I had no problem at all and I knew that it was nerve damage that was causing the problems with my bladder. Just recently I started having issues at night and had to get up every 2 hours and during the day it seemed like my bladder was full nearly all the time. My pain Dr.ordered an MRI of my lumbar spine and I made an appointment with my surgeon. I've had over 30 MRI's and I'm getting pretty good at looking at the films and reading the report. The one constant is, severe " central canal stenosis " with stenosis at several other levels along with other problems. One night I slept in a chair with my feet propped up - I didnt get up once to go to the bathroom. I did this for about 4 nights and the problem was about 75% better. So, I decided to sleep in the bed and woke up to wet PJ's, later that day I was constantly running to the bathroom. Back to the chair and again a big improvement. My research tells me me that at night our spine will and can close up the area that allows the nerve root to be free from impingement or nearly free and when we sit in a chair the spine opens up those spots so the nerve can have much less pressure on it. I have found that every night I sleep in the chair the bladder problem is less of an issue. My follow up with the surgeon is next week so I will see what he thinks after he looks over the MRI and hears whats happened when I sleep sitting up with my legs on the coffee table - elevated.
After reading your post I'm compelled to tell you that yes stress can be a cause but with the other spinal problems you have I wonder if there really is a nerve problem and the MRI isnt picking it up The MRI is a good tool but it is not the best and with something as small as a nerve root maybe a Myloegram would be a better test. My first 5 operations were to remove the 5 fragments from the initial injury - they didnt show up on the MRI's - only the Myloegram & CT-Scan.
If you do some research on Neuro Bladder Disorders you might find that you have some of the symptoms and then do the same with Stress Related Bladder problems. Once you get a handle on the symptoms and the cause you might have a better understanding of your own condition. Sometimes doctors will take the path of least resistance, in your case, its not your back its stress.
I'm in the same shoes as you are, only in my case the odds that my bladder problem is due to my back injury is about 99%.
The lumbar nerves that influence the bladder are the L4 L5 and the S1 and you have issues with those levels. If I was you I would not let a single MRI determine my fate. An open MRI is not very reliable vs a closed MRI and in each case it can depend on how you are positioned in the scanner.
I have attached an Image that shows spinal nerves and what areas of the body those nerves can affect.
I was 28 when I hurt my back and now Im 57. In those 29 years I have learned a lot and one important thing is; Dr's are busy people and they cant or dont take the time needed for each patient they see. No one knows your body better than you and if you think or feel the Dr is wrong or maybe more tests are needed then you need to be the person to find the answers and get the information you need so you can feel better.
I'm a patient just like you and its scary to - not know why our body is doing something that it shouldnt be. My advise; push for more testing other than a single MRI scan.
All the best to you.
John11891
helen10458 john11891
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Thanks so much for that detailed reply. I'm so sorry to hear whatyo've been goin through ut it sounds as though you have a detailed knowledge of your specfic condition.
Forunately for me I have no an now which is brilliant, I do have a lot of numbnes though which is located in very specific areas. My new Nuerologist seems to be on the ball and determined to get to the bottom of it. I am having the nerve conduction tests again very soon as there was a problem with those last time and a detailed MRI of my sciatic nerves and the nerves in my pelvis I just hope that these tests will finally show what the problem is.
Interestingly, as the numdness went out of my pelvis so the bladder problems have got back to normal. I just need to find the cause so I can prevent further problems in the future.
Thanks again for your reply and good luck.
Helen
Enna1 john11891
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I think we are all the same - we seem to have issues with our spines, nerves etc. I laughed when you said you were getting really experienced with MRIs, but here they seem to be more interested in the X Rays.
Everything you said is correct, and closed MRI machines are better, but only have ever had an open one - can't remember where - but when I came to spain I could hardly walk and I am so much better now which I presume its Lyrica/Tramadol etc. I can walk for 30 minutes and 30 minuts in pain after that I am at screaming point. I think if we were going privately everything would be OK, you would get perfect treatment, or thats what I think. Have you been on ADRSupportUK everyone who had an op said they were fine afterwards but they were always on private insurance. And as I said to Helen, the surgeon in Valencia who said he would fuse was charging 20,000€ and he was 100% sure i would be walking out of the hospital and I believe him. Its taking care of yourself afterwards. There were 2/3 surgeons that gave the finger to Rahoy a few years ago but it wasn't that so much as everyone went through a phase where they weren't paid for months hence the walk out. I can't think that you get a decent nights sleep in a chair!!!! I didn't know that L4/5 was the area where you had problems, I have just prolapsedd my S1 because when I had my private op in Warrington (again I had to pay) I only had 2. I will carry on, my partner says I have been at the computer too long. So will carry on tomorrow......
Enna1 helen10458
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