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Lieve
16th October 2004, 05:44 PM
As some of you maybe already know I'm not used to go a doctor at all. The effects must be almost inbearable before I decide to go. Recently the pain level increases in accordance with pinched nerves and all nasty consequences such as my right leg and arm/hand goes numb. Obvious enough reasons for me I need to contact a doctor.

Today was the long-awaited appointment with this doctor I've never met before. He asked a lot of questions before he started to examine me thoroughly. His conclusions are first of all I'm hypermobile, which can explains the earlier inflammations. Second I need insoles for a leg difference of 2 mm and overpronation, I must do exercises at my physio and at home to bring my body back in balance, my right hamstrings is shorter. Third point I need to rearrange the computer at my desk at work because he thinks this causes my hand and arm goes numb. He's also convinced other 'expensive' tests are not necessary at this moment because he did not notice any symptoms.

At the end of the appointment he manipulated my vertebrae to relief the thoracic pain and prescribed an anti-inflammatory drug and a muscles relaxer I have to take for a week. He didn't even ask me if I want painkillers. Normally I would said no but now maybe I do want some and I'm not sure I can get some decent ones without prescription. The full report including the exercises will be mailed to me later this week. I have to wait another three months to evaluate this working out program.

I have left totally confused his office. If my leg difference/body imbalance is causing the sleeping leg, why the other leg and foot was numb about two years ago? And why I get trouble with my working place after seven years and not earlier? Extra pain out of the blew, I can't remember anything has been changed in my daily actions. I don't know it looks all surreal to me. If I didn't presume there was something else wrong with me I wouldn't have made the appointment today and now he left me with a feeling I'm complaining about nothing seriously.

Sorry for all this, I'm not used to complain a lot, but today I've had it, I'll sleep over it and probably tomorrow I can look at this in another view.

sins
16th October 2004, 07:11 PM
What kind of Doctor was this?I presume he wasn't a specialist, but a lot of what he has said has made a lot of sense to me.
Physiotherapy and exercises can play a good role in treatment of back pain with scoliosis and perhaps if the antiinflammatories start to help it will make a real difference.Three months sounds reasonable.
Rearranging your desk ergonomically is a brilliant idea and will make life so much more comfortable for you.You have to try the easiest and most obvious options before opting for increased medical intervention.
Try the programme and if at the end of 3 months, nothing has changed then go back and get referred for investigation by a specialist.
Sins

titch
16th October 2004, 07:16 PM
I think sometimes things have to reach a certain critical point before they suddenly cause a problem, so it is possible that this is what's happened, and making a few minor changes can make the world of difference.

Desk set up in particular is something where the way that you're laid out can be fine for ages, and then suddenly one day you get headaches, or leg pain or whatever and need to change it. Something that's definitely worth thinking about is the height of your chair - it can make a huge difference to how you feel just getting this right. If you have a seat tilt adjustment, this can also give a lot of relief when you get it right (typically they say that you're supposed to have it tilted so that in profile your knees are a little below your hips, but this doesn't work for everyone - I found I only got relief by having the seat tilted so that my knees were higher than my hips). A tiltable footrest can also be a good thing, but you should get advice on this from your health and safety person because they're not suitable for everyone, and can cause back problems in a person who doesn't need one. A couple of other things to make sure of is that you should always face the monitor directly (so many desks that have a monitor shelf have it set off to one side, which is about the worst thing you can do for your back), and the top of the monitor should be straight in front of your eyes, so that you're looking slightly down at the screen. Also, you might find it good to get advice on wrist rests - they're another thing that isn't suitable for everyone, but can make a lot of difference to some people.

It might also be worth thinking about how old your bed is, and whether it really suits you, as well - it's another area where your needs can change. For years I used to sleep either on the floor or on an orthopaedic mattress, and was fine with it. Over a period of months I started getting problems with it, and in the end had to swap to a soft pocket sprung mattress (but in fact the other half who has no back problems, and only made the change for me - he was sure he'd hate it - loves it as well and now wouldn't go back to a hard mattress if you paid him to).

Unfortunately sometimes you don't have to have changed anything :( It's definitely worth trying the painkillers - they're only a short course, and often just a brief period of taking them can allow things to settle an awful lot - it doesn't mean you'll end up continuing to take them :-) They're especially valuable when it means that you get some good quality sleep, as not only is pain less when you're well rested, you're just better able to deal with things anyway.

Hope you're feeling better about this tomorrow when you've had some time to think about it :squeeze:

Liv
16th October 2004, 07:38 PM
Which doctor did you see? What did he prescribe? I hope the physio works for you, and that you don't have to be in this kind of pain anymore! :hug:

Pikey
16th October 2004, 08:04 PM
I think a Physio will work and of course my favourite ice on the spine .A Physio should be able to give you some great exercises to do as well .Every doctor has a differant opinion , just take you time and dont jump in . Hope you find the answers .

Lieve
16th October 2004, 10:15 PM
Thanks for all your support. The doctor is specialized in physical medicine, sport rehab medicine, emg (electromyography), so I could and did expected such treatment. The only reason why I'm a bit disappointed is because I was hoping on more tests to be sure there is nothing wrong with the spinal cord and to prevent permanent damage. What if I make it worse by doing normal actions?

He prescribed Biofenac 100 (aceclofenac), an antiinflammatory and Myolastan as muscle relaxant. The last one would make me sleepy, that's a welcome relief, a good night rest I definitely needed after weeks of bad nights.

I'll give it a try and wait another three months to see if the easy way is working ;-)

jfkimberly
16th October 2004, 10:22 PM
If it gets considerably worse before three months have past, you can always go back early and tell him the treatment is not working. But hopefully you'll feel better immediately. :-)

Thaleias spirit
17th October 2004, 12:35 AM
Hi Lieve.

About last december i started having problems with my right leg. Sometimes when id bend down my hip would sort of lock in position and id have to be very careful trying to straighten up...after a while i started to notice that i was having a lot of problems whether i was sitting down, standing etc...my leg would lose all sensation and go numb. I mentioned this to my doctor and she thought it could be a case of trapped nerves and referred me to a physiotherapist.

The physiotherapist took measurements and like you we discovered that my right leg was about 2cms shorther than my left...nothing ive ever noticed before and even if i had id put it down to my left hip sitting higher because of my kyposcoliosis

She did different massages on my spine to maniplulate the nerves etc...and suggested different things to try and see if it would alleviate it..
i changed my desk and chair at work to give me more support whilst siting.
Also put a tiny layer of foam into my shoe to see if that helped.

after my visit to a orthopaedic surgeon she asked if he mentioned anything bout the leg pain (she also did a letter to him explaining the problem) and ased if he was gonna do an mri scan... he didnt say anything at all about my leg which i surprised about in a way...my own doctor explained that unless their was serious cause for concern only then would they carry out more extensive testing.

there are still days that my leg will go numb but its deffinitely not as bad as it was. The exercises did help and when im sitting for long periods i sit with a cushion under my right hip to help balance me out and take the pressure off one side.

If i felt it was getting worse despite all the changes ive made then i would go back to my own doctor and ask for more tests to be done.

But my advice is make the changes that have ben recommended to you and see how they go...they could make a huge difference...and if they dont you can say that once you go back for further appointments.