Spinal Stenosis or something trapping the blood supply to my legs

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Hi all I have come here in desperation. I was diagnosed with bilateral lateral recess stenosis of the lumber spine I also have some stenosis in the cervical spine. 4 years ago I was riding pillion on my friends motorcycle we hit a massive pothole and since then when I lie down weather on my back  stomach ( which I cannot do anymore) on on left right side my legs go freezing and I get pins and needles and weakness. Doc's keep telling me walking causes claudication . Thing is it doesn't afect me when walking only whilst laying down. I am getting very little sleep :-( I have been offered no treatment apart from an epidural which I had 4 weeks ago. My question is  does anyone understand why it happens in certain positions , it is scaring the hell out of mne as I feel if something isn't done I am fearful I may lose my legs . I also have bronchiecstasis, had 2 heart attacks , Peripheral neuropathy due to spinal problems and a secondary to PN is Erythromalalgia (sorry if my spelling is off.) My Doc is usless he fails to refer me to physio or pain management programme , I have to push all the time. He also is very patronizing, when I went to see him with the EM he said look my hand is there and there is a fire so my hand is burning . Then puts his hand out again and says no fire I am not burning :-( I have been diagnosed with EM ( man on fire syndrome)  which by the way I diagnosed myself first by a professor of neurology in London which is when I found out I had PN. At first my last doctor told me the burning was the menipause and sent me to a phychiatrist only to be told there was nothing wrong with me mentally. I am at my wits end. I live alone and don't know where to turn too. Thanks for reading. Where do I go from here ? :-/

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  • Posted

    Hello rearview, while I can't comment on your medical situation, I can only say that I also have the burning "fireworks" feeling in my left foot. I many times feel like I a have string or bandanges between my toes. I have yet to discuss this woth my doctor - I will this next Friday. What I can say, is that yoou must be very furtsrated and frightened when your doctor negates or dismisses something you know you feel. Can you get a new one? Can you contact the  professor and ask for a referral or recommendation? You have complicated issues and need to be medically cared for. Hang in there - keep us posted.
    • Posted

      Thanks for the reply Lisa :-) Changed doc's 3 times in the past 7 years one due to moving. Running out of doc's  I get the burning in my feet ,legs, hands, face and back. It is a nightmare to live with I feel for all with these strange and horrible conditions. I sometimes get out of bed and it feels like I have a loose hair on my foot but I think that is due to the peripheral neuropathy. Also get cramping feeling on the soles of my feet. I really wish there was more research on this condition. I know if you get buring in your feet best thing is to elevate them. I would gladly be a volunteer for any research, eben if it didn't help me it may help others. Sending loving thoughts to you Lisa xx Thanks for replying :-)
    • Posted

      Dear Rearview,  I have some of the same conditions you have.  I have neuropathy in my right foot - severe enough that I can no longer drive.  It is very painful to wear shoes. I have pain on the bottom of my foot.  I get those terrible cramps in my feet, toes, and sometimes my calf - so severe that I can't stand it, but when I stand up and put full weight on it - it goes away.  My doctor prescribed a strong dose of gabapentin 800 mg - 2 at night and 2 in the morning, which helps a lot with the creepy crawly - pins and needles in my feet.  I also have pain across the top of my foot - painful to let my foot rest on the mattress.  So I have a lidoderm patch that I put on the top of it.  Lidoderm patch will also help with the burning feeling.  As for the burning feeling on your feet, legs, hands, face, and back, that sounds like meralgia parasthetica.  I have that on my left thigh from a damaged femoral nerve.  I don't know why you get that in so many parts of your body.  If you can get a referral to a neurologist or a neurosurgeon, perhaps they can help.  I am considering getting a  NEVRO SENSO Implant to help with pain.  I have read mixed reviews, so I am not sure what to do.  Best of luck to you.

       

    • Posted

      Hi Linda,

      I see your doctor has the right idea of using Gabapentin for the pain, and not issued you with Tramadol (very addictive and dangerous). I used to be on a high dosage of Gabapentin, which was increased gradually over a period of a month. Normally, they prescribe Pregabalin with Gabapentin, these two medications work welll with one another.

      What I have found over the years is the following:

      1. Tramadol in the day and prescribed with Amitriptyline at night, but to take the edge off night pain and not during the day, Tramadol is prescribed with 1,000mg of Paracetamol. There are many side-effects with Tramadol, the top is one that makes you drowsey more so if you are taking the SR type (slow release). Literally, you body shutsdown as soon as you sit down, which is very dangerous.

      2. Gabapentin and Pregabalin being used for nerve pain, more so if you suffer from Fibromyalgia. This combination is classed safer than the aforementioned medication.

      As regards to cramps, there is no easy way to avoid them, even though some people say eat at least one banana a day. I do, and I still get cramps more so in my calf muscles. I find the best way to deal with a cramp when the muscle is tight, is to stretch it, if you can stand on it this will usually cause it to release quicker, and the pain does not last so long after.

      I know nothing about SENSO Implants, but I would be careful and speak to people that have had such treatment. The reason I am saying this is I was offered DBS (Deep Brain Surgery) and turned it down because the chance of success with my condition was just 5%... that to me, is taking a big chance with your life. I met someone whom had the DBS and it failed and they were much worse than me - I'm on over 30 tablets a day to aid control plus Botox injections done every 10 weeks by my Neurologist. I do not know what SENSO involves, but I would do as much resourcing as possible before taking the commitment.

      Regards,

      Les.

    • Posted

      Thanks Les,

      I take potassium and magnesium supplements to help with cramps. they help a lot. last time I was in the hospital 6 months ago

      Hi Les,

      I take potassium and magnisium supplements to help with the cramps in my legs, and they help a lot. Last time I was in the hospital (6 months ago if you don't count nerve blocks and visits to the ER - HAH!) they told me I was low on those two. Plus I'm chronically anemic, so I'm on ferrous sulfate for that.  I don't know how many pills I take a day. I don't think I want to know  - probably about the same as you - are you counting tylenol 3 or 4 times a day? I will ask about adding Lyrica. I had a doctor that tried Lyrica and then Gabapentin - but not both together. I'm at the highest dose of Gabapentin now. I've been reading lots of negative stuff about the SENSO so I have decided to stick to this latest round of sympathetic nerve blocks - one helped my right foot for a week - so that's a positive sign. They are going to go ahead and do an RFA - never had one before - so I hope it helps - I think it will.  Then I'm going to get the to do a SI injection, and then a cutaneous femoral nerve injection. I know what the doctors need to do, but they won't listen to me.

       

    • Posted

      Hi Linda, Thank you so much for your reply and the info app the burning is erythromalalgia which is secondary to my neuropathy. I have tried all the tablets and patches but seem to have a bad reaction to them all tried bu trans and morphine too but nothing seems to help. I asked about the implant and they just say it would not do me any good. Anyway best of look to you . I don't know what i would do without all of the support on here xx
  • Posted

    Firstly, "rearview" Happy New Year! and welcome...

    I have been trying to write an answer to your question - but it's Sunday and we have all the family around, so it would have been rude of me to ignore them and start posting on here. Anyway, I hope we can shed more light on your problem.

    I am assuming you have had a MRI Scan and you have a copy of the report from a Neurologist Consultant? I noticed you seen a Neurology Professor in London, I also did about 30 years ago, but my diagnosis took nearly two years before a Team of Neurologists and a top Professor of Neurology came to meet me in London, from New York, US. I am now under the British President of Neurology Dr G. Fuller, whom I see regularly.

    Firstly, you said you have never been referred to a Physio or to a Pain Management Clinic. You should be under a Neurologist at least, they can refer you to the correct people and departments, a standard Physio would be out of the question, because of spinal injuries to the nervous system which is what is causing the problems with your legs, an Epidural is only a temporary painkiller - it is not a way of controlling numbness in your calves, hamstrings, etc.

    Secondly, you need to change your Doctor, he sounds totally useless and does not know enough about your conditions to comment on it. I am lucky my doctor is a woman, and her husband is a Neurologist at the same hospital I attend. You need to see a Neurologist Consultant or the Neurologist Professor in London, and ask them for a new MRI scan and that you are also thinking about a Neurophysiotherapist (this is not a standard Physiotherapist), they are trained also in neurosymptoms, hence they are more successful at getting areas working again, or areas of the body that give you pain once you sit or lie down, where an accident was the initial cause of your problems, and how they are associated to the brain.

    Claudication usually means you have low blood flow and oxygen, usually this affects the legs. More blood flow and oxygen is required by your legs if you are walking. When resting then the oxygen in legs is decreased and the blood flow also decreases, this is what causes an ache or a burn feeling

    Because you are in the UK, you have numerous schemes that can also help you, I would therefore suggest you ask your (NEW) Doctor to refer you to be reviewed by a District Nurse. They can provide you with an Electic Hospital Bed, I have one myself, because of back, shoulder and legs problems all relating to a nerve disorder, caused by a damaged area of nerves. If the bed you get is unsuitable you can ask about adaptions to be fitted, to suit you.

    If you require further help, you can then contact your local Adult Social Care which will be operating from your local council, and state that you would like a "Full Review" regarding your current disabilities. They will allocate an Occupational Therapist to you, whom will visit you and go through ways of making your life more independant, large items between £1,000 and £5,000 are done through a Disability Funding Grant, items below £1,000 are normally done via the Occupational Therapists Budget Funding.

    But you do really need to see a Neurologist first, and get yourself a new Doctor or another decent Doctor to refer you. You need a MRI scan done and a report from it, you may not know what everything means, but at least we can go through it with you. I can go through what a lot of it means anyway, I can suggest medications you should be on, and what you should not be on - Many Doctors do not know the Fatal conditions some people are in, literally walking "Time-bombs", though no fault of their own, because of counteracting medications that cause chemical imbalances in the brain. I am not saying this may happen to you, but it has happened to me previously.

    If you have had an MRI Scan and the full report is given, you could type it out so we can have a look at it for you. I cannot believe that all they have given you is an Epidural... that is mad!! The only time I had an Epidural was in hospital, but I was staying in hospital for over three weeks, hence I was on Morphine, Oralmorph and Paracetamol, as well as the Epidural. Most of the time I kept my Morphine levels high just to keep pain at levels I could tolerate. I certainly did not leave hospital without being put on Class "A" painkillers.

    I see Neurology Consultants, Epilepsy Specialists and also attend Pain Management Clinic outpatient appointments. I have already got two Neurology appointments a week apart at the end of January and the beginning of February. The trouble with all these cuts being made to the NHS is appointments easily get overlooked, so I book mine well in advance by about 5 weeks to make sure I am seen when I am supposed to be. One time I didn't, and the hospital contacted me 7 months later, when I am supposed to be seen every 10 weeks at the maximum. When I eventually got to see my Neurologist, I was in so much pain because of the delay, that has never happened since.

    If you need any help regarding schemes you could be on, let me know - I have help many people on these forums, to schemes they never knew existed. Do you mind me asking your age, roughly? I only ask because it will give me a better idea of what you are entitled to, then I can go over the schemes with you.

    I am always around these forums, answering peoples questions, etc.. Doctors can be reported, just like any other employee, they are not invincible - and you should be treated with respect, a doctor to patient relationship should be good, not sarcastic or horrid like yours.

    "I wish you well", that's a stupid saying! - it would be nice, if we could all be well with no ailments, disorders or illnesses, I guess we can all dream.

    Regards,

    Les.

    • Posted

      Hi Les After the last episode with my GP I have finally had enough. I went in last week after the epidual lasted 2 weeks but didn't (obviously) stop the pain in my legs wilst laying down. I don't get pain when walking just laying down. I have had 2 hours sleep in 4 days :-(  I have an appointment with a neurologist in May anyway. i went to my GP and said to her (for the second time) about my legs and that the neurologist told me to ask her for a referral back to the neurosurgeon who said she would be happy to see me again if things got worse which they have I asked would it be best to see neurosurgeon or vascular consultant and she just said phone your neurologist :-/ I did but still can't see him till may.. The physio is for accupunture to my neck. Yes Les I am a pensioner aged 63 and at the moment get DLA but now the (Gestapo) DWP have asked me to apply for PIP . I filled in the form to try to get DLA and Care allowance. I sent it at the beginning of November and am still waiting. I said to my G.P. I am worried in case I lose my legs because of what is happening she just said I think it's the nerves. Well... I don't want to think I need to know what is causing it. I believe something is trapping the blood supply to my legs when in prone position. I am going to phone and complain and ask for a new doctor .That is what i want a new MRI it has been nearly 2 years since I had one and it has gotten worse. I would love any info you can give on schemes, etc. I just felt so alone and trying to battle all the time on my own with N.H.S. I am so glad to have found you all. Thank you so much for your great reply. all the best les xx Can't thank you enough.
    • Posted

      This is a really dumb question o ask, but my legs also hurt more when I'm laying down, however my neuropathy in my right foot makes it difficult to stand, and my back makes it difficult to sit.  Anyway, I read someplace that if you pull your knee up, that it helps with the pain. I think it does help a little sometimes, yet other times I have to straighten it out.  I'm sure you've tried your legs in different positions, do any of them help?

       

  • Posted

    I suggest you get an MRI of your spine asap.  That is the best way to detect any issues with your spine.  I spent 5 years going from one specialist to another.  I was at my witts end because I was in pain 24 x 7.  I had spinal fusion Nov 25 (a month ago) and i'm hopeful that i'll be able to walk pain free soon.  I'm not allowed to do much for 3 months in order for the fusion to set.  
    • Posted

      Yes as I said to Les an MRI is what I want . Still battling fot it. I wish you well after your surgery and that you will be pain free. many thanks for the reply xx
  • Posted

    Yes I know what you are experiencing! I'm terrible at typing how about calling 203-500 .... I will tell you this 1-do not sleep on your stomach because you're putting a strain on your back 2-sleep/or rest on your side and put a pillow between your legs! This will take the pressure off your back

    3-do your exercises one is squats in front of a chair also do standing calf raises 10 reps but if you can't do ten do five and try to do three sets!!!

     I am a physical therapist and I help people who are having trouble walking 

    p.s. I give Therphy to those who are having trouble walking....ironic 

    p.s.s. Pics are of my back had l2 l3 l4 l5 fusion,after 5 weeks of Therphy im up and walking with no restrictions...one last thing walk,walk,walk and when you're done walking walk some more!

    bruce

    p.s.i give Therphy to people who are having trouble walking

    • Posted

      Hi bru , Thank you so much for the advice I will try my best to walk more. I can't sleep on my stomache. I think when I had the epidural because I had to lay on my stomache it has made my back worse. Thank you so much for your reply . All the best . Will take a look at your scans . Thanks again x
  • Posted

    My orthopedic doctor said that that I needed surgery. A great man his name is dr Geiger 
    • Posted

      I was thinking of asking to see an orthopedic consultant. Cheers x

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