Sciatica - My story and a question: How do YOU manage it?

Greetings! Long, semi-sad story is next, question at bottom.

I had been experiencing one of my infrequent flare-ups of a mild to
moderate sciatic condition when I took a header off my bike at
somewhere between 25 and 30 mph. I was on a group ride coming down a
hill. We had had a large amount of rainfall recently and there were
occasional sand washes running out into the road. Sadly for me, a
deep sand wash (4 - 6") became visible as we entered a shaded region
from an area of bright sunlight at the bottom of a hill.

Cyclists to my left, can't go that way. Deeper sand to the right, not
a good choice either. I tried to make it through but being a roadie
only, I wasn't aware that I should get my weight back on the bike to
get through it. Got launched onto my left hip (the side with the
sciatica) and hit there first, luckily in the sand rather than on the
pavement. So the road rash was minimal, although I did slide for a
distance on my elbow before I rolled into a nice older couple's lawn.

Got bandaged up, straightened out my handlebars and shifters, and
finished the ride (27 more miles). I finished fairly well, averaging
about 17 mph. As I felt fairly sore I didn't ride until the following
Sunday. Got out about 4 miles that day and felt terrible. My
sciatica hadn't gotten too bad and I was SORE with a giant bruise on
my hip but all in all, I felt as if I could ride. Not. Struggled
back up the hill to our house but was able to walk, move and bend
reasonably well. Monday morning (Memorial Day), however, was another
story. Woke at 5 a.m. due to a level of pain in my left leg that had
tears dripping from my eyes. Trip to ER, shot of dilaudid and muscle
relaxer and script for vicodin.

Ever since, I have been struggling with the managed care system to get
the treatment I need and the docs all agree I need in a bad way.
Oooops, sorry, we forgot to submit for your pre-authorization for a
spinal cortisone shot. Ooooops, we're so sorry, we didn't read the
insurance company's info, you need an MRI for the pre-auth submission.
Ooops, sorry, we can't get you an MRI until the first week of July.
Ooooops, sorry, we can't get you in for your spinal til mid July. The
*******s are more than happy to throw opiates at me but give me actual
treatment? They think not.

I have received significant relief from a chiropracter but I believe
in the spinal (my father has sciatica too and he has been pain free
for five years after just one shot) and am hopeful that the
chiropractic care I have received won't cause my MRI to show that the
shot is unnecessary (in their estimation).

On to my real question: what do you do to manage your chronic pain
and keep on the bike?

TIA

App, who kinda likes the opiate pain relief but understands the
inherent problems therewith.

"Appkiller" wrote

snip


On to my real question: what do you do to manage your chronic pain
and keep on the bike?


My most recent bout of sciatica was caused by riding, early in this training
season. I stayed off the bike for 10 weeks, and am just now getting back
into training. I tried to ride some, but found it just made things worse.

My leg pain is usually caused by a bulging lumbar disc, but this time I
suspect it was related to the piriformis muscle. (Unfortunately, I did not
get a confirmatory diagnosis prior to pain cessation.)

For weeks I was able to manage my pain with ibuprphen. Then I started taking
synthetic morphine in addition. I finally ended up getting an epidural shot
of corticosteriods, which took more than a week to kick in. I'm sure my pain
doctor would credit the epidural, but for 36 hours prior to complete release
of the sciatica, I was in great pain.

At any rate, my treatment was based on the long-standing diagnosis of
bulging disc. If it happens again, I'm going to ask for a new MRI and PT.

FWIW, my advice to you is try to get a definite diagnosis! I would have felt
better knowing whether my recent problems were due to a muscle injury or
progressive disc degeneration. Now that I'm pain-free, the doctors don't
seemt to care.

Horace

"Appkiller" wrote in message
om...

On to my real question: what do you do to manage your chronic pain
and keep on the bike?

After two years of steadily worsening sciatica and visits to just about
every kind of health care practitioner that deals with such, I finally
underwent disc surgery. That was over two decades ago and I have been fine
ever since except when I do types of lifting that I shouldn't - then I have
a couple of days of mild sciatica which I guess is my body's way of
reminding me of what I should and should not do. It actually wasn't until
after my surgery that I became more a more serious recreational rider and
still do the occasional century. I doubt your managed care will opt for
surgery unless you become totally incapacitated. It may be that your
sciatica will subside to a point where you can begin a daily regimen of
lower back and abdominal exercises to alleviate recurrences. However, it is
also possible that your accident caused an actual disc rupture in which case
you may eventually have to undergo the knife. If so, a word of advice: go
with a surgeon who does nothing else but disc surgery of the lower back.
Mine was a neurosurgeon who did nothing else. Orthopedic surgeons also do
the surgery. BTW, the worst part of the surgery was the preliminary
myelogram - where dye is injected into the spinal column to identify on an
Xray precisely where the disc rupture is - done 6 weeks before the surgery.
I suspect that less invasive diagnostics are used today. Good luck!

: (snip)

FWIW, my advice to you is try to get a definite diagnosis! I would have felt
better knowing whether my recent problems were due to a muscle injury or
progressive disc degeneration. Now that I'm pain-free, the doctors don't
seemt to care.

Horace

Horace:

X-rays at the chiropracter (-or?) reveal a fine set of fat and happy
discs except for one just above the first sacral vertebrae. Pinchy,
pinchy. The crash resulted in a triumvirate of injury: the impact
kinda displaced things and, along with the resultant swelling,
manifested as a sciatic pain experience that exceeded anything I have
ever experienced before, deeply painful bone and flesh bruises, and
weird looseness and clicking of joints.

Been on a bike only briefly since; I still putz with 'em in the hope
of riding again this fall (a planned trip to Glacier in Montana) and
ya gotta road test yer putzin'.

Good luck with yours.

App

I am going to resist entering into a long dissertation about what has helped
me, only because I have become a fanatic over the relief I have obtained,
and damn, can I rail on and on.......

In an effort to summarize my experience, I will say that I have suffered
from periodic sciatica for most of my 57 years. The pain lasts anywhere from
30 days to 120 days before it subsides and I am able to get on with life
like normal people. Yes, I have had surgery to correct a "bulging" disc, and
it worked......for a while.

The next, post surgical bout, afflicted me in October of 2003.

A co-worker suggested an Inversion Machine, a device that allowed me to hang
partially upside down and expand the spinal column.

At that point, the pain was so bad I would have tried a bowl full of snakes
and burning feathers to find a cure. So I purchased an inversion machine.

Eight days later, I was pain free. Not 30 days later, not 90 days
later.......eight.

Rock and roll, even Viagra didn't rouse such happiness.....

How long has it been......Oct..Nov...Dec....9 friggin' months later am I am
pain free.

Draw your own conclusion, SweePee.

If you have a sciatica problem, a spinal compression problem, try two
minutes daily on a Inversion Table set at 45 degree........two minutes a
day.

Feeeeeel the pull! Then, get up and continue with life.

My back is now fine.

Where the hell did I put that Viagra......


"Appkiller" wrote in message
om...
Greetings! Long, semi-sad story is next, question at bottom.

I had been experiencing one of my infrequent flare-ups of a mild to
moderate sciatic condition when I took a header off my bike at
somewhere between 25 and 30 mph. I was on a group ride coming down a
hill. We had had a large amount of rainfall recently and there were
occasional sand washes running out into the road. Sadly for me, a
deep sand wash (4 - 6") became visible as we entered a shaded region
from an area of bright sunlight at the bottom of a hill.

Cyclists to my left, can't go that way. Deeper sand to the right, not
a good choice either. I tried to make it through but being a roadie
only, I wasn't aware that I should get my weight back on the bike to
get through it. Got launched onto my left hip (the side with the
sciatica) and hit there first, luckily in the sand rather than on the
pavement. So the road rash was minimal, although I did slide for a
distance on my elbow before I rolled into a nice older couple's lawn.

Got bandaged up, straightened out my handlebars and shifters, and
finished the ride (27 more miles). I finished fairly well, averaging
about 17 mph. As I felt fairly sore I didn't ride until the following
Sunday. Got out about 4 miles that day and felt terrible. My
sciatica hadn't gotten too bad and I was SORE with a giant bruise on
my hip but all in all, I felt as if I could ride. Not. Struggled
back up the hill to our house but was able to walk, move and bend
reasonably well. Monday morning (Memorial Day), however, was another
story. Woke at 5 a.m. due to a level of pain in my left leg that had
tears dripping from my eyes. Trip to ER, shot of dilaudid and muscle
relaxer and script for vicodin.

Ever since, I have been struggling with the managed care system to get
the treatment I need and the docs all agree I need in a bad way.
Oooops, sorry, we forgot to submit for your pre-authorization for a
spinal cortisone shot. Ooooops, we're so sorry, we didn't read the
insurance company's info, you need an MRI for the pre-auth submission.
Ooops, sorry, we can't get you an MRI until the first week of July.
Ooooops, sorry, we can't get you in for your spinal til mid July. The
*******s are more than happy to throw opiates at me but give me actual
treatment? They think not.

I have received significant relief from a chiropracter but I believe
in the spinal (my father has sciatica too and he has been pain free
for five years after just one shot) and am hopeful that the
chiropractic care I have received won't cause my MRI to show that the
shot is unnecessary (in their estimation).

On to my real question: what do you do to manage your chronic pain
and keep on the bike?

TIA

App, who kinda likes the opiate pain relief but understands the
inherent problems therewith.

"Appkiller" wrote in message
om...
: (snip)

X-rays at the chiropracter (-or?) reveal a fine set of fat and happy
discs except for one just above the first sacral vertebrae. Pinchy,
pinchy. The crash resulted in a triumvirate of injury: the impact
kinda displaced things and, along with the resultant swelling,
manifested as a sciatic pain experience that exceeded anything I have
ever experienced before, deeply painful bone and flesh bruises, and
weird looseness and clicking of joints.


I feel your pain. With my worst ever episode I was laid up in bed, immobile,
for three days. Lower back pain/spasms, plus sciatica, and what the
neurologists call "drop foot" (where the foot of the affected leg cannot be
raised). This recent episode only became that painful at the very end.

Been on a bike only briefly since; I still putz with 'em in the hope
of riding again this fall (a planned trip to Glacier in Montana) and
ya gotta road test yer putzin'.


Same with me. I can ride 45 minutes now with no trouble, but I'm still
nervous. I want to try a metric century in early fall.

Good luck with yours.


And yours, too.

Horace

On 26 Jun 2004 05:51:18 -0700, (Appkiller) wrote:

Greetings! Long, semi-sad story is next, question at bottom.

snip

On to my real question: what do you do to manage your chronic pain
and keep on the bike?

I blew a disc and I went down for about a year and a half. I couldn't
walk for the first month. Physical Therapy helped me and made it
possible for me to make a comeback to physical activity. I did not
have surgery. Today, at 48 and about 10 years later, I'm still doing
well. Perhaps the biggest benefit of PT is that you will learn the
proper body mechanics of lifting and moving so that you never injure
yourself again. I attended back school on a stretcher, unable to
walk. During the entire class I kept remarking that had I known the
information beforehand, I never would have injured myself in the first
place. Proper exercise will restore functionality and reduce pain.

I hope you feel better soon. I can relate....

Michael J. Klein
Dasi Jen, Taoyuan Hsien, Taiwan, ROC
Please replace mousepotato with asiancastings
---------------------------------------------

In article ,
says...

....

I have received significant relief from a chiropracter but I believe
in the spinal (my father has sciatica too and he has been pain free
for five years after just one shot) and am hopeful that the
chiropractic care I have received won't cause my MRI to show that the
shot is unnecessary (in their estimation).

On to my real question: what do you do to manage your chronic pain
and keep on the bike?

My sciatica wasn't nearly as severe as you describe yours, but I found
that once I got moving and got the joint warmed up, the pain mostly went
away while I was pedaling. For me, the worst things were getting up out
of a chair, and working the clutch of my van.

Basically I took Aleve for its anti-inflammatory properties to promote
long-term healing (the pain relief was minimal) and put up with it for 6
or 8 weeks until it finally went away.

--
Remove the ns_ from if replying by e-mail (but keep posts in the
newsgroups if possible).

I am living with degenerative disc disease brought on by many years of
hard manual work and a motorcycle accident in 1996. My L3, L4, L5, and
S1 discs are less than half their original thickness and I have daily
pain, ranging from moderate to debilitating. I had to change careers
and give up my job as a motorcycle service manager and technician and
now have a home based business. After the accident, I went through
extensive physical therapy, using weight machines. It helped for a
while, then the pain came back and got progressively worse, due to
arthritis. I have a hyperextension bench here at home that I use three
times a week (when I'm able to) and it helps control the pain. The
other thing that really helps is riding my bike. My orthopedist says
it's due to the increased blood flow to the damaged areas. Halfway
through each ride, I stop and do some stretches for my hamstrings,
lower back, calves, and quadriceps. I also stretch at home and do some
mild yoga exercises, usually in the evening while watching TV. That
and painkillers has made my life bearable again. The other thing that
is really important is your position on the bike. For me, having the
bars level with the saddle works best. I have read posts in here from
other riders who say lowering their bars was the answer, you have to
find out what's best for you. Pushing big gears on hills is a bad idea
because this increases stress on your lower back (and your knees). The
main thing is to remain active, becoming a couch potato is the worst
thing you can do. Riding your bike helps control your weight and will
also help cheer you up on the bad days. Some of the things that did
very little to help my pain long-term were epidural shots, cortisone,
and an electronic procedure they use to deaden the nerves (forgot what
they call it). Hang in there and keep a good mental outlook, that's
another key. Hope things go well for you.
Smokey

(Appkiller) wrote in message . com...
Greetings! Long, semi-sad story is next, question at bottom.

I had been experiencing one of my infrequent flare-ups of a mild to
moderate sciatic condition when I took a header off my bike at
somewhere between 25 and 30 mph. I was on a group ride coming down a
hill. We had had a large amount of rainfall recently and there were
occasional sand washes running out into the road. Sadly for me, a
deep sand wash (4 - 6") became visible as we entered a shaded region
from an area of bright sunlight at the bottom of a hill.

Cyclists to my left, can't go that way. Deeper sand to the right, not
a good choice either. I tried to make it through but being a roadie
only, I wasn't aware that I should get my weight back on the bike to
get through it. Got launched onto my left hip (the side with the
sciatica) and hit there first, luckily in the sand rather than on the
pavement. So the road rash was minimal, although I did slide for a
distance on my elbow before I rolled into a nice older couple's lawn.

Got bandaged up, straightened out my handlebars and shifters, and
finished the ride (27 more miles). I finished fairly well, averaging
about 17 mph. As I felt fairly sore I didn't ride until the following
Sunday. Got out about 4 miles that day and felt terrible. My
sciatica hadn't gotten too bad and I was SORE with a giant bruise on
my hip but all in all, I felt as if I could ride. Not. Struggled
back up the hill to our house but was able to walk, move and bend
reasonably well. Monday morning (Memorial Day), however, was another
story. Woke at 5 a.m. due to a level of pain in my left leg that had
tears dripping from my eyes. Trip to ER, shot of dilaudid and muscle
relaxer and script for vicodin.

Ever since, I have been struggling with the managed care system to get
the treatment I need and the docs all agree I need in a bad way.
Oooops, sorry, we forgot to submit for your pre-authorization for a
spinal cortisone shot. Ooooops, we're so sorry, we didn't read the
insurance company's info, you need an MRI for the pre-auth submission.
Ooops, sorry, we can't get you an MRI until the first week of July.
Ooooops, sorry, we can't get you in for your spinal til mid July. The
*******s are more than happy to throw opiates at me but give me actual
treatment? They think not.

I have received significant relief from a chiropracter but I believe
in the spinal (my father has sciatica too and he has been pain free
for five years after just one shot) and am hopeful that the
chiropractic care I have received won't cause my MRI to show that the
shot is unnecessary (in their estimation).

On to my real question: what do you do to manage your chronic pain
and keep on the bike?

TIA

App, who kinda likes the opiate pain relief but understands the
inherent problems therewith.