Trapped nerve/leg pain issue...not 'classical' Sciatica....

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Fab Foodie

hanging-on in quiet desperation ...
Location
Kirton, Devon.
5 weeks ago I set-off on a ride to Taunton and back (~70 miles total), a bit lumpy but as I was accompabnied by a 70 year old on a fully laden tourer it was a gentle affair. I had a mild lower back ache on my LHS (which is not unusual) for which the usual cure is to go for a bike ride.
Half way to Taunton I started to get more back pain and a shooting pain top LHS of my thigh. Stopped for some deep heat and paracetamol and carried-on. By the time we'd stopped for sarnie in Taunton the pain was in several places from my lower back, top LHS of thigh inside edge of calf, painful around the knee.
Called Wimpers to rescue me. By the time she arrived I was getting quite severe spasms in some of those places.
Virtually bed ridden for a few days.
Called - doc - prescribed Diazapam and Ibuprofen - helped and slowly improved.
Saw Chiropractor Osteopath- helped a bit for a while
2 weeks later called doc again - Codeine and told to keep moving as it will abate...or it may not!
Spasms gone but getting sharp stabbing pains inside the LH thigh, ankle, shin. Surface of skin inside thigh near knee is 'sore' to the touch and very sensitive
Saw Chiropractor Osteopath- slight improvement....

After the first 2 weeks I could potter around and get stuff done OK, it's painful but I don't need painkillers - at night is another matter whole leg becomes painful, impacting sleep and therefore my mood's also low.
5 weeks later (now) - slight lower back pain, still random stabbing pains which are painful, around knee still painful and skin surface sensitive. Leg doesn't quite feel like it's under control or part of me. If I scratch under my LH rib cage I get a stabbing pain in my knee!
Have a face to face Doc's appt soon.

So nerve-wise somethings a bit fckedup.

Sometimes walking helps, sometimes it doesn't. I do try various stretches too. I have my bike on a turbo for gentle 30 min sessions and sometimes that helps and other times (like yesterday) it becomes far worse.
Starting to really get me down. Don't feel I should be far from home out on the roads in case it all goes a bit wrong and need to be collected again.

Anyone experienced anything similar?
Any thoughts advice?

Hoping the face to face with the Doc will get them to delve deeper rather than pain-relief and keep moving. Getting a little farkedorff.
 
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vickster

Legendary Member
Maybe have a look into Complex Regional Pain Syndrome (aka CRPS). You’ll need to see a Pain Specialist potentially if it is. Do you have private HC as NHS waits can be v long?

https://www.nhs.uk/conditions/complex-regional-pain-syndrome/

Drug wise, gabapentin or pregabalin likely better for neuropathic pain than opiates
 

Speicher

Vice Admiral
Moderator

fossyant

Ride It Like You Stole It!
Location
South Manchester
Is gabapentin still in use? I thought the side effects could be extreme.

Both that and pregab are, and duloxetine - horrendous stuff. Helped a little with my back pain (after I broke it) but fuzzy heads, brain zaps, feeling numb in my skin and other 'gentlemen' issue - no ta. Pain was preferred.
 

vickster

Legendary Member
Both that and pregab are, and duloxetine - horrendous stuff. Helped a little with my back pain (after I broke it) but fuzzy heads, brain zaps, feeling numb in my skin and other 'gentlemen' issue - no ta. Pain was preferred.

I was fine with both gaba and pregab at low doses. 75mg+ of pregab I couldn’t remember anything though!
 

Rocky

Hello decadence
Oh dear Fabbers, that sounds painful.

I herniated a disc in 2019 and ended up with similar pain down my left leg - mostly where the hamstring inserts, on the shin and round my ankle. When it was at its worst, I struggled to stand up straight and walk any more than 800m. I saw a spine surgeon who sent me for an MRI which revealed problems with my L4/L5 disc trapping the sciatic nerve. I booked in for an op (August 2020) - where he shaved off some of the vertebrae and removed a bit of the disc. It was done as a day case and I was up and walking normally within 2 hours. After some intensive physio to strengthen my lower back, I was pretty much back to normal after 4 months.

I still have the odd twinge from the scar tissue that built up from the original herniation but I'm now back riding my bike, walking and swimming.

Good luck!!
 

potsy

Rambler
Location
My Armchair
Sounds very similar to what my partner is going through currently, she's been on crutches for weeks and there is only very slight improvement.
MRI showed up something, but told with physio and maybe am injection will improve but could take up to 18 months!
 

Speicher

Vice Admiral
Moderator
Both that and pregab are, and duloxetine - horrendous stuff. Helped a little with my back pain (after I broke it) but fuzzy heads, brain zaps, feeling numb in my skin and other 'gentlemen' issue - no ta. Pain was preferred.

I was prescribed gabapentin and after three weeks the side effects were horrendous, and it took another four or five months to recover from those side effects.
 
OP
OP
Fab Foodie

Fab Foodie

hanging-on in quiet desperation ...
Location
Kirton, Devon.
Trawling the net for a few hours for answers (hard to get away from Sciatica as a result), it could be related to the Femoral Nerve and its branches - much of this matches where the pain and sensations are coming from:
Saphenous Nerve, interpatellar and Medial Crural Cutaneous branches
Anterior Cutaneous branches of femoral nerve
Medial cutaneous

Basically the blue bits on the inside of the leg!!
Red bit is mildly present and much less of an issue

1452198295_lateral-femoral-cutaneous-nerve.jpg
 
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ColinJ

Puzzle game procrastinator!
Oh no - I had hoped that you would be pretty much recovered by now! :sad:

It sounds like it is time to have this investigated properly. Don't let your GP fob you off with just more rest and painkillers.

Fingers crossed that the cause is found soon and that there is an effective treatment.
 
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