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[SteffanLangholz]

I am reading this and wondering if it's what I have struggled  to get out of bed this morning can't stand up from a sitting position without pain at the bottom of my spine cant cough sneeze or breath deep without it hurting can walk about but if I bend my back can't straighten up without lower back hurting  any thoughts anyone

https://www.youtube.com/watch?v=bPz9A4TWMCQ&index=2&list=PLDeJ_OUeu8bNpsyAMsyMVw--pTXc4aMLa

If you feel local back pain, doing this - but no perifery pain - then this is your way out. 10 times every 2 hours - 3-4 days.

But really - this is like fixing a car over email!?

[windyroad]

I have had a L4/L5 and L5/S1 herniation and been in debilitating pain.  Intially, the first phase was conservative management combined with pain killers and then latterly physical rehabilitation; stretching, building paraspinal strength etc.  It will take time, try not force it.   

[Seniorplayer]

It's one of many possibilities - in any case, doesn't sound good!

Any low back pain, acute (started gradually or suddenly but new, discrete episode) or chronic (longstanding, as opposed to severe, which may wax and wane) should be properly assessed by your GP who will either be confident enough to diagnose on the basis of history and examination or refer you to physio for a better assessment and help with the correct course of physio.

Self diagnosis is not recommended unless you are confident about the cause and effect and happy to join the dots yourself...it sounds like you have a muscle strain/spasm more than sciatica which refers to the pinching of the nerve as it exits your backbone. This can go on to cause sciatica. But don't take my diagnosis - if it's bad and limiting you, get it looked at.
Hope you get on ok - do refer to that website I posted earlier to see what you may have...sheffieldachesandpains.com
Cheers
Rbanners
Thanks for the advice it's much appreciated

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[Seniorplayer]

https://www.youtube.com/watch?v=bPz9A4TWMCQ&index=2&list=PLDeJ_OUeu8bNpsyAMsyMVw--pTXc4aMLa

If you feel local back pain, doing this - but no perifery pain - then this is your way out. 10 times every 2 hours - 3-4 days.

But really - this is like fixing a car over email!?

Yes but the problem is myself and every other patient are told to ring the surgery at 8am on the day you need to see a doctor then what happens if the surgery has  20 vacant  appoitments that day  and you are No 21 in the telephone queue you you don't get to see a doctor.

[rbanners]

Yes but the problem is myself and every other patient are told to ring the surgery at 8am on the day you need to see a doctor then what happens if the surgery has  20 vacant  appoitments that day  and you are No 21 in the telephone queue you you don't get to see a doctor.

True - but if you tell them what you've got in terms of symptoms and what you're worried about - you will be given an appt if not that day then the next - your GP should have a telephone triage service where you can speak with your GP and they will be able to give you a time-appropriate appt to be assessed - as steffan says, you can't do all of this on the phone or by email!

If you're getting fobbed off then don't stand for it. It's not you're surgery's fault that there's so much demand for appts. But you shouldn't be fobbed off either.

Good luck
Rbanners


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[windyroad]

In my experience the GP appointment was a bit of a waste of time.  They don't really use the straight leg test as a diagnostic tool anymore so they usually send for an MRI.  That will take another 6-8 weeks during which time they will advise conservative mangement. 

[rbanners]

In my experience the GP appointment was a bit of a waste of time.  They don't really use the straight leg test as a diagnostic tool anymore so they usually send for an MRI.  That will take another 6-8 weeks during which time they will advise conservative mangement.

They jolly well should not be sending for an MRI unless you have neurological symptoms! That's totally against the evidence in this country and the guidance from NICE. Even though this guidance is usually biased towards secondary and doesn't support primary care decision-making, in this case, it absolutely does not insist on an MRI in the first instance.

If your GP is doing something you're unhappy with, feel free to raise it with them next time you see them.

They should be able to diagnose and manage the initial pain associated with a muscle spasm etc while referring you to physio for further assessment without in the first instance making you wait 2 months for a potentially useless or potentially harmful investigation.

Cheers
rbanners


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[Seniorplayer]

True - but if you tell them what you've got in terms of symptoms and what you're worried about - you will be given an appt if not that day then the next - your GP should have a telephone triage service where you can speak with your GP and they will be able to give you a time-appropriate appt to be assessed - as steffan says, you can't do all of this on the phone or by email!

If you're getting fobbed off then don't stand for it. It's not you're surgery's fault that there's so much demand for appts. But you shouldn't be fobbed off either.

Good luck




Rbanners


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Thanks again
I did ring this morning at 8am stressed i was in pain and was told there were no more appointments today wasn't offered an appointment tomorrow  or a return telephone call told to ring tomorrow  at 8am or go to hospital

[dannyhall04]

Cheers for the advice lads. Got a physio appointment this weekend so hopefully he puts me right!

[Seniorplayer]

8 days after my original post still in agony managed to get to see  a Doc  yesterday told I've strained a ligament in my back attached to the thigh bone  I think given co.codamol and told to keep active but can't  bend  or straighten back without  pain. could be 4 to 6 weeks what a  setback was going to start to get the ground facilities ready this week outside nets start in 3 weeks first match on the 14th of April.
Loads of  spring cleaning  jobs need doing around the house  inside and out as well can't even clean the car or prepare  and sort out my  kit.
After 50 seasons of looking forward to and preparing for the start  of a new season it's Really frustrating

[windyroad]

They jolly well should not be sending for an MRI unless you have neurological symptoms! That's totally against the evidence in this country and the guidance from NICE. Even though this guidance is usually biased towards secondary and doesn't support primary care decision-making, in this case, it absolutely does not insist on an MRI in the first instance.

I'll leave that one at the discretion of my GP thanks.

Nor did I suggest insisting on an MRI hence the use of the qualifier 'In my experience.' 

[rbanners]

I'll leave that one at the discretion of my GP thanks.

Nor did I suggest insisting on an MRI hence the use of the qualifier 'In my experience.'

I was trying to support your frustration about having to wait weeks for an MRI. I am also in the medical professions and fully appraised of the latest guidance here.

What I was trying to say was, if your GP is doing something that is
1. Not following current guidance
2. Causing you to wait for weeks for an answer and treatment
3. Not giving you the help you need or assessing you thoroughly themselves, then you should feel supported in taking this up with them rather than waiting for a scan.
4. This sort of thing is not meant to be left to the discretion of an individual usually - this is why we have national guidance on who/when to refer for what.

I was not suggesting you had asked for a scan, I was sympathising with what sounded like frustration or dissatisfaction on your part, and trying to help.

Scans are sadly potentially dangerous for a number of reasons so that's why there is guidance about not doing them unless specifically indicated.

Hope that clears things up. I'm sorry if I've offended in any way - not my intention at all.

Cheers
Banners


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[rbanners]

That's twice in 2 days I'be caused offence inadvertently.

I think I may go back to lurking - this forum business is a bit fraught.

Seniorplayer - acute back pain like this is sadly very disabling. Good to know its an injury that will right itself with time and physio rather than a deeper issue with more worry attaches to it though. I know that's no consolation for the pain or frustration.

If you're on 30/500 cocodamol and taking 2 tabs 4 times a day that's an equivalent daily dose of 6mg of morphine. So it's obvious that this is very painful.

Good luck with recovery. I did a similar thing on my stag and it did take ages to right itself.

Do touch base with your doctor if anything worsens rather than improves.

Sorry if I've said anything out of turn or offensive.
Cheers
Banners


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[dannyhall04]

That's twice in 2 days I'be caused offence inadvertently.

I think I may go back to lurking - this forum business is a bit fraught.

Seniorplayer - acute back pain like this is sadly very disabling. Good to know its an injury that will right itself with time and physio rather than a deeper issue with more worry attaches to it though. I know that's no consolation for the pain or frustration.

If you're on 30/500 cocodamol and taking 2 tabs 4 times a day that's an equivalent daily dose of 6mg of morphine. So it's obvious that this is very painful.

Good luck with recovery. I did a similar thing on my stag and it did take ages to right itself.

Do touch base with your doctor if anything worsens rather than improves.

Sorry if I've said anything out of turn or offensive.
Cheers
Banners

Keep up the good work mate, your advice will be useful to someone so don't be put off posting it by those who don't appreciate it.

[Seniorplayer]

That's twice in 2 days I'be caused offence inadvertently.

I think I may go back to lurking - this forum business is a bit fraught.

Seniorplayer - acute back pain like this is sadly very disabling. Good to know its an injury that will right itself with time and physio rather than a deeper issue with more worry attaches to it though. I know that's no consolation for the pain or frustration.

If you're on 30/500 cocodamol and taking 2 tabs 4 times a day that's an equivalent daily dose of 6mg of morphine. So it's obvious that this is very painful.

Good luck with recovery. I did a similar thing on my stag and it did take ages to right itself.

Do touch base with your doctor if anything worsens rather than improves.

Sorry if I've said anything out of turn or offensive.
Cheers
Banners


Sent from my iPhone using Tapatalk

Thankyou for the advice and best wishes doctor   has  prescribed 3 co.codamol 4 times a day. I have also. Unintentionally annoyed people on here.