why does my leg hurt so much

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mayad01

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hi i had an L4/S1 discectomy almost 3 weeks ago and i have pain down the back of my left leg and numbness, i thought it would have eased by now i cannot sit on a chair because the leg is painful to touch both the thigh and calf muscle seem to be affected, i did not have this before the op and it is so bad iam taking oromorph just to be able to walk, anyone else experienced this problem.i know if i go to my gp he will say just keep taking the oromorph but i do not want to be taking this for too long.
 
no i have not been checked for a dvt, because i've already had it for almost 3 weeks and its not hot or red, it just hurts like mad.
 
I would agree that would be the first port of call. Surgery has gotten you to this point, and the medics involved are the right people for the follow-up. Looking back through the history I don't know what else can be offered here that hasn't already been suggested much earlier.

So I think the only useful thing I can say is don't wait another 3 weeks before mentioning this. Not that this is necessarily a DVT, however none of what you have said rules it out.

Good luck.
 
You say L4 S1? Depending on exactly where the pain is then back thigh and calf pain is indicative of an S1 disc problem. You should go and see your gp and don't allow yourself to get fobbed off. Make a list of your questions, maybe even take a friend with your for moral support and physical support. You really need to go and get checked out soon, Please don't suffer in silence.
 
You have every right to expect to see significant improvements after an operation bmw, was it a standard NHS type procedure, or something special? Your concern over taking strong drugs is also well founded, and shared by many of us! However, I would say, that it is still 'very soon' after your operation to be 'too concerned' at this time, it could well be post operative symptoms, so please don't panic yet.

Has your Consultant given you a post op exercise regieme to follow? Exercise will help reduce any post op stiffness and improve both muscular condition and blood curculation, both of which may help your suffering. You could also monitor your exercise and activity in a dairy, so that when you consult with your Surgeon next, you will have these facts to hand. I would also strongly suggest, that you keep a detailed diary of pain levels, dates and symptoms that you are experiencing.

Can you clarify please? You say you had an L4/S1 discectomy 3 weeks ago!
Do you mean that you had a '2 level procedure' done? That is to say, did you have an L4/5 (sciatic) level discectomy & an L5/S1 level discectomy? or something else?

The reason I ask is this, if you look at the neurological pathways of the autonomic nervious system, it would suggest that transferred pains, deficits and other sensory issues in the back of a patients leg, are ususally generated from the L5/S1 level.
Whilst these issues felt in the front of the leg usually eminate from L4/5 level.
I have experienced this, and believe it to be factual!

Speak soon!

Best wishes

SPINELF
 
hi, thanks for the reply, all my specialist said was he was going to remove the part of the disc that was pressing on the nerve, then during the op he found lesions on the nerves and cleaned them out ,that was his words so if you understand that as i do not, all i know is that my left leg is very painful down the back of thigh and calf and my leg feels very heavy and numb and a couple of days ago the lower back pain returned, i know last time i did not see the specialist for a 1 year after for my follow up appointment ,so do i give it more time or contact him and feel a fool if this is normal, my gp is a waste of time all he will do is say keep taking the morphine.
 
Hiya bmw! Thanks for the info.

Regarding what your specialist said, yes, it does make sense, but I still find his offerings to you, quite vague! He has simply given you a basic overview of a standard decompression procedure. Did he explain how the liesions were caused? Where they from a previous operation? If so what level?

Nerve strands only have pain sensors at their ends, like the finger tips, feet, back muscles and legs and so on, so when the nerve strands are sqeezed (compressed) at, let say, the L5/S1 level by a 'bulging' disc, the actual feeling of that compression will show up as a feeling of pain somewhere else (transferred pain). You see, the brain can't compute your L5/S1 compression signals, so will go hunting, by sending out warning signals to where it thinks the problem area is. If you look up on the web phantom limb pains of amputees and how the brian can be tricked by things like the 'mirror box', and also study the 'autonomic nervious system' online, these will help you understand how the neourological system operates and how signals can be confusing when you have chronic back pain.

In 2008 I underwent a successful decompression procedure, to cure my L4/5 sciatic level bone and disc impingement, after the recovery, it became clear that the L4/5 problem had been 'masking' an serious L5/S1 disc bulge and annulas leak, which is the cause of my remaining syptoms. These syptoms include: in order of occurence:

Sharp stabbing, burning and tearing pains on the right side of my spinal colum between L5/S1 and my sacroilliac joint (SI joint).

Swelling and inflamation in the same area, leading to stiffness the area of my right hip at first, then spreading to my left hip.

This inflamation triggers the brain in to 'spasming up' my lumber region, beacause it thinks there is a problem in that area and thereby tries to prevent any further damage.
(like it does after knee injury)

I 'also' have transferred leg pains, that start at my groin and tesiticles, leading down to my right foot via the the back of thigh & calf. There are also pins and needles, cramp, jumping spasms, tingling and muscle collapses, where the leg muscles no longer bare the my weight. and I fall to the ground, OOCH!
------------------------------------

With regards to wheather you see your specialist now, its up to you! You know your own body, but if you think this is a new development and is getting worse, I personnally would want to see him sooner rather than later! But please don't feel foolish, this is a life changing, chronic condition, make these medics take you seriouly! If it's normal, thats great!! and you can sleep better, knowing that better days lay ahead!!!

I think you are right about the drugs, who the hell wants to take that strength drugs for long periods?

As well as the subects above, also search www.spineuniverse.com for great independent information about your condition and articles as to the best treaments available.

Best wishes

SPINELF
 
thanks for the info and yes i think the lesions must have been immediately after the L4/L5 op i had almost 2 years ago as the pain last time was so bad i could not turn over in bed without screaming and this time i can move about but its this pain in my left leg and now i have for the last 5 days had terrible pain just above the scar from this op and i just noticed i have a swelling about 2-3 inches above the top of the scar and i find each day it seems more painful eventhough iam doing the exercises the physio told me to do so i think i will have to take a trip to see gp after all eventhough they are all rubbish and i know they will say keep taking morphine.
 
Hiya bmw, I'm sorry for the delay in responding!!

I sincerely sympathise with your suffering and can empathise with your experience.
With regards to the physio exercise related pains, I can definately relate to that. When I underwent rehab physiotherapy, I was ill after every time session, The Physios would not listen to me, and did not log these events fact in my notes! One of the exercise they gave me made me so ill, I had to take time off rehab (3 days), they still refused to stop that technique!!

The description you gave as to the location of the worst pain, seems to put it at around the L1/2 level, does that sound about right? I think your increased pain levels are being triggered by your swelling/inflamation triggering the the back muscles nerve endings. Invest in a couple of good quality 'ice packs' and apply regularly to the swelling, That should help! Good anti inflammartory tablets are also a MUST! (Check with your GP)

Best wishes

SPINELF
 
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    ๐Ÿ’†โ€โ™€๐Ÿ’–Terrific Thursday ๐Ÿ’– Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakville โœจ Your passport to paradise with 10 enchanting girls fr China, HK โ€” ๐Ÿ†•Tiffany, Joey, Julie, Aaliyah, Cici, Coco, Yui, Meghan, Julia & New 34D Jasmineโ€”โ€” ready to pamper you๐ŸŽ๐Ÿ Ring us ๐Ÿ“ž647-695-6354 or text us ๐Ÿ“ฑ647-578-8169โœจ 160 East Beaver Cr., Unit 12, RichmondHill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awaits
  33. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน Table shower .body scrub ๐Ÿ˜˜Three girls every day ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ 5124 Dundas West Street, Etobicoke โ˜Ž๏ธ 416-817-3366 ๐Ÿ‘ Newโ—๏ธNew girl Angela ,so young Petite and pretty๐Ÿ˜‹ open service ๐Ÿ˜œ๐Ÿ˜œ Sweet girl Luna deep massage ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ Hot and sexy body very provocative service ๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  34. Nu spring spa888:
    ๐Ÿ’–๐Ÿ’–๐Ÿ’–sexy hot busty Singapore ๐ŸŒน Indian ๐ŸŒน๐ŸŒนkorean girls๐ŸŒน๐ŸŒนworking ๐Ÿ’—๐Ÿ’—at markham โ˜Ž๏ธ416-669-8508โค๏ธโค๏ธโค๏ธ
  35. AliceSpa:
    THURSDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”.4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 girls here today at ALICE SPA. Open 10am to 9pm: JESSICA is from Hong Kong, super busty D Cup, 5'2", 109 Lbs, curvy, soft white cream skin, pretty face, can bbbj cim dfk 69 cof sf2, available all services, excellent treatment. KITTY is a new Korean girl, super busty, small body, new to the business.
  36. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ป๐Ÿ‡ณ JULIE (2PM), ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ป๐Ÿ‡ณ๐Ÿ‡จ๐Ÿ‡ด MEGAN (9PM), ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡ฎ๐Ÿ‡ณ SONIA (8PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  37. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ญ๐Ÿ‡ฐ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ฒ๐Ÿ‡พ AMY, ๐Ÿ‡ป๐Ÿ‡ณ MY LINH (2AM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  38. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ต๐Ÿ‡ญ MADY (12PM), ๐Ÿ‡ป๐Ÿ‡ณ๐Ÿ‡จ๐Ÿ‡ด MEGAN (2PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  39. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  40. wonderspa:
    wonderspa: :wonderspa: โ˜Ž๏ธ416-5000-800,L6a4H8๏ผŒopen10 to10,Ensuit shower available ๐ŸŒน๐Ÿ”ฅbeautiful young Jessica sexy body,deep tissue to relax massage back walk,hot stone๐Ÿ…sexy face sunny is very good looking,slim body ,nice body slide sweet sensual touch ๐ŸŒนbeautiful long hair younge new lily Q,friendly,amazing massage,happy the end,really popular,must tryโค๏ธ
  41. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  42. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธTina๐ŸŒธCindy๐ŸŒธIsabella๐ŸŒธNadia๐ŸŒธAnna Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  43. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธKelly๐ŸŒธKim๐ŸŒธValentinaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  44. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Sophia & Tracy. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass. Sophia can provide top notch services
  45. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: ANGELA, LUCY & CINDY. Angela is versatile and responsive. LUCY is a beautiful and slim Asian lady with a happy disposition and great services. CINDY is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit.
  46. SugarLoveSpa:
    Thursday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: LUNA, MIA, SARA, TIFFANY & VIVI. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™, very PRETTY & PETITE Vietnamese beauty with perfect natural A Cups, 5โ€™1โ€ & 90 Lbs, very versatile.
  47. EMSpa_schedule:
    ๐ŸŽ‰Come visit us!๐ŸŽ‰ Today (Thursday), our amazing attendants are Ada ๐Ÿ’œ, Cici ๐Ÿคฉ, Vicky ๐Ÿฅณ, Sophie ๐Ÿค— and Monica ๐Ÿฅฐ. Call us at โ˜Ž๏ธ (905) 479-6668 โ˜Ž๏ธ to book your favourite and head on over to 7665 Kennedy Road, Unit 4, Markham!
  48. ใ™ใฟใพใ›ใ‚“:
    Top notch wellness: Ella , elena, Angela, Michelle, gabby , and Vanna. Call us now to make your appointment. 437-522-9961
  49. bnwellness_wilson:
    We have 4 young girls are working today, young Taiwanese Victoria slime 26โ€™s open mind and young flirty Tina 30โ€™s with curly body open min, young popular kitty 26โ€™s with curve body and pretty Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  50. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga We have two girls working today. Judy and Kiki. They are young and beautiful, cute and sexy. Deep tissue massage and relaxation massage are both great. Back walking is very comfortable. They have sweet smiles and work seriously. If you are tired from work, come and make an appointment!๐Ÿค—
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