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Sciatica ?

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dransy
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PostPosted: 10:09 - 15 Aug 2020    Post subject: Sciatica ? Reply with quote

I only started my new career as a hgv driver in January . Before that I've always been in manual labour jobs doing over 15k steps a day easily .

Long story short Im 32 and about 3 week ago when getting out of the wagon I've had a shooting pain down my left leg .

It's only gotten worse . Once I'm upmand walking it's bareable but sitting down and getting up from sitting I'm in absaloute agony . Now it's in my arse cheek and down the back of my leg .

I've been taking painkillers but they don't even touch the sides . I've rang the doctors and they where not interested at all I've got a telephone appointment with a physio next Thursday 🙄

I took it upon myself and went to see a sports massage lady . She seems to think it's piriformis syndrome and told me to get a tennis ball up against a wall and roll it around on my bum cheek .

Im on holiday this week but back at work Monday . Has anyone got any quick tips to relieve the pain ?

My back seems fine it's just my arse cheek and the back of my leg
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arry
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PostPosted: 10:26 - 15 Aug 2020    Post subject: Reply with quote

Unfortunately it's highly likely - given your work background and the fact it's started now you're sat down a lot more - that you have a slipped disc which is impinging on your nerve and that's what's giving you the pain. About the right age for it to rear its ugly head, too.

My advice would be to just outright pay for an MRI scan (not as expensive as you'd think) and take the results to a specialist (not as expensive as you'd think). There are 3 routes through after that:

1) Physio - you have to build your leg and core muscles up to get you standing up straighter and if you have any excess weight, you'll be exacerbating the problem. Whilst doing this you can be prescribed something like gabapentin which dumbs down some of the nerve pain.
2) Epidural - essentially injections in your lower back which then numb the nerve pain and make things bearable again. You'd do this in line with 1) above because ultimately you want to get better and stay better rather than just having injections sporadically throughout.
3) Spinal decompression surgery. They open you up, take a small piece of bone out of your spine to allow the nerve more space to pass through.


I ended up with surgery and unfortunately it was far from successful, I now have constant nerve pain, a numb foot and difficulty in exercising (I'll never run again for sure).

Why I'm saying go get your MRI and get it sorted as quick as you can is that - and this is important - THE MORE TIME YOU HAVE AN IMPINGED NERVE THE LESS CHANCE YOU HAVE OF IT EVER RETURNING TO NORMAL AS THE NERVES 'DIE'.

It's not very pleasant unfortunately.

In the meantime 'Cobra's' will help to settle out the pain:
https://www.yogajournal.com/videos/cobra-pose-2

And sciatic stretches / nerve flossing will help you too:
https://www.nhs.uk/live-well/exercise/exercises-for-sciatica/


All the best.
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Riejufixing
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PostPosted: 11:57 - 15 Aug 2020    Post subject: Re: Sciatica ? Reply with quote

dransy wrote:
I've rang the doctors and they where not interested at all

Perhaps think of how you can concisely tell them how it hurts and in what circumstances and how it's affecting you in your job, and get an online/phone appointment by booking one online. If that doesn't work, consider going to a hospital walk-in centre, where they will see you, but you might have to wait for an hour or three.
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Kawasaki Jimbo
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PostPosted: 12:19 - 15 Aug 2020    Post subject: Reply with quote

dransy wrote:
I've rang the doctors and they where not interested at all

What does this mean? Surely they didn't refuse to make you an appointment?
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yen_powell
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PostPosted: 16:34 - 15 Aug 2020    Post subject: Reply with quote

Have you been using the same vehicle all the time since being an HGV driver or do you change all the time? I had bad pains in my thighs when I did long journeys in a particular car. It went away when I changed cars, the seat in my current car seems to support my back better somehow.
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Hetzer
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PostPosted: 16:42 - 15 Aug 2020    Post subject: Reply with quote

It's not as likely to be a disc as a pinched nerve caused by slack muscles not holding shit in place properly. Mine goes occasionally due to an old crash injury that nudged a part of the cocyx/pelvis interface slightly out of whack, which then wore the bone down so that it will no longer stay in the correct position. It usually takes three days of sitting on the sofa with a supporting cushion before the swelling goes down and stops pressing on the sciatic nerve.
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Bhud
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PostPosted: 17:48 - 15 Aug 2020    Post subject: Reply with quote

I've had something like that. When I was in my 20s I used to do a lot of squats. Excessive reps on an uneven surface resulted in bad form towards the end of every session, and one evening the injury occurred which caused exactly what you describe.
I'm not saying it's the same in your case. But it used to come and go, and I would need to take painkillers periodically. It became just a part of life. What eventually got rid of it permanently was moving to a place where I had to walk uphill every day. My theory is, there was an injury, and then I adapted to it and began favouring one side more than the other, causing the injured side to never get to full strength to allow the support muscles to hold my lower back in the right place. When you climb uphill, you push down with one foot and then the other, with the same force. You can't favour one side. Therefore it all straightens out to where it's supposed to be. Just a theory.
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MCN
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PostPosted: 18:14 - 15 Aug 2020    Post subject: Reply with quote

Your about the right age, build and sex to get an in-grown hard-on.

But I'd go for the trapped nerve thing.

Use a lumber cushion to support your lower back.
Back injury is often a symptomatic of poor lower back muscular support. The muscles that curve the spine to allow us four footed apes to be bi-ped.
We're almost there.
If the muscle gets injured or is 'tired' it cannot pull the spine which relaxes and can promote nerve injury.
Slipped discs 'pinched' nerve. (In-grown Hard-on).
Plus on the mri. And orthopaedic dude/dudette.

Driving is bad for it. 🙄
But a lumber cushion will really help.
Get into a habit of using it if sitting. It helps the muscle rest and recover (over time).

And avoid leaning over to lift stuff unless it's a dropped tenner.
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SpeedyCBR1100
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PostPosted: 19:01 - 15 Aug 2020    Post subject: Reply with quote

If you should have to have spinal decompression surgery, could I suggest you don't have it done in the UK. Here you can only have open spine surgery and, in the words of the surgeon who was going to operate on me, "it's a messy, bloody opertation, you'll end up with a 12 to 13 inch scar, we have to have 8 pints of your blood type on standbye and there is a very high risk of infection."

I investigated the alternatives and ended up having an op.using micro-surgery at the Aiwa clinic in Riga.Their facilities were incredible. I flew home 2 days afterwards and have a 1 cm scar. Also the NHS refunded the cost of the operation. All I ended up having to pay for was the return flight.
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dransy
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PostPosted: 19:11 - 15 Aug 2020    Post subject: Reply with quote

It's the same truck I'm using every day . I really can't get comfy in the seat at all . My legs are either to close and my arms are to far away or vise versa . It's got nearly 1 million miles of someone's fat arse on the seat . The seat was knackered so I swapped the seat base over with the passanger seat .

Never had any problems before so can only assume it's to do with that . I'm not a fat bastard or anything either 6ft probably 15st ISH .

I've noticed the more I rest the worse it seems to be . Aslong as I'm up and moving it's not too bad . Feel like a right old bastard 🤣
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arry
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PostPosted: 19:25 - 15 Aug 2020    Post subject: Reply with quote

dransy wrote:
I'm not a fat bastard or anything either 6ft probably 15st ISH .

I've noticed the more I rest the worse it seems to be . Aslong as I'm up and moving it's not too bad . Feel like a right old bastard 🤣


Sorry, but at your height 15 stone is classified obese (yes really). I was 15st when my issues happened and I'm same height as you. I have slimmed down to 13st 3 ish and I'm still bordering on overweight. You might want to I think about how you can shift some.

On staying active. Definitely. Watch your posture when sitting and make sure you're moving around whenever possible.

If you can find a good osteopath they can test your reflexes and reactions with various tests (using a cold implement and seeing if you've got a full range of feeling down leg) which can give you a pretty good shot at whether you have got a prolapsed disc. My osteopath called it straight off, the specialist did the same, the MRI backed it up.

Have you got any foot drop symptoms? Try standing on the leg that's giving you pain and lift yourself up onto your tiptoe - if you can't do that, but can on the other foot, then this has been happening a while and you've had some nerves switch off / muscle wasting going on.

My calf on affected leg is still over an inch smaller than the other despite huge amounts of gym and physio.
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arry
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PostPosted: 19:26 - 15 Aug 2020    Post subject: Reply with quote

SpeedyCBR1100 wrote:
If you should have to have spinal decompression surgery, could I suggest you don't have it done in the UK. Here you can only have open spine surgery and, in the words of the surgeon who was going to operate on me, "it's a messy, bloody opertation, you'll end up with a 12 to 13 inch scar, we have to have 8 pints of your blood type on standbye and there is a very high risk of infection."

I investigated the alternatives and ended up having an op.using micro-surgery at the Aiwa clinic in Riga.Their facilities were incredible. I flew home 2 days afterwards and have a 1 cm scar. Also the NHS refunded the cost of the operation. All I ended up having to pay for was the return flight.


I had mine done privately in London. Couple of CM scar - maybe a touch more. Overnight stay, discharged next morning and walking same day.
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Irezumi
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PostPosted: 19:55 - 15 Aug 2020    Post subject: Reply with quote

dransy wrote:
I'm not a fat bastard or anything either 6ft probably 15st ISH .

Depending on his body composition weight may be fine.

arry wrote:
Have you got any foot drop symptoms? Try standing on the leg that's giving you pain and lift yourself up onto your tiptoe - if you can't do that, but can on the other foot, then this has been happening a while and you've had some nerves switch off / muscle wasting going on.

Whats the mechanism for a nerve 'switching off'? Whats the pathway for this progressing from an MSK issue to a neurological one?

There is a lot of unwarranted scaremongering and internet diagnosis going on in this thread. Decompression surgery would be considered a last resort after lots of 'conservative treatment' such as physiotherapy, exercise prescription and painkillers. How anyone is managing to diagnose a prolapsed/bulging disc over the internet based on the very limited information presented is beyond me. Also, on the extremely slim chance this did require surgery that wont be happening anytime soon as electives are on the back burner in hospitals for the foreseeable.

@dransy, wait until you have spoken to the physio and go from there. Any activity which doesn't cause too much pain is fine to do, keeping active will be beneficial as mentioned by others above.
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A100man
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PostPosted: 22:43 - 15 Aug 2020    Post subject: Reply with quote

I've had something thta I believe to be sciatica on and off for about 30 years. It only occurs in my arse cheeks and only really one at a time. In the beginning it could be agony and last a week (couldn't walk to the pub 20 yards across teh rod - yes that bad!), now it is milder and lasts a couple or three days generally .. I probably only get it 2-3 times a year but I think working in crouched or cramp conditions brings it on.

I've never really had treatment but if you can lie flat on your back in bed it can help. Also hanging by your arms from the stairs or tree branch so you spine is being stretched can offer temporary relief.

Good luck - back/arse pain can be a bastard.
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stinkwheel
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PostPosted: 23:16 - 15 Aug 2020    Post subject: Reply with quote

Regular, well taught tai chi/yoga/pilates will increase you core muscle tone, body awareness and range of movement as well as improving your posture and alignment.

The neuromuscular pain will then by and large take care of itself.
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BigTim
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PostPosted: 08:45 - 16 Aug 2020    Post subject: Reply with quote

these may help
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kramdra
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PostPosted: 09:24 - 16 Aug 2020    Post subject: Reply with quote

https://youtu.be/9SKuFe2SERs
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Riejufixing
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PostPosted: 09:52 - 16 Aug 2020    Post subject: Reply with quote

arry wrote:
at your height 15 stone is classified obese (yes really). I was 15st when my issues happened and I'm same height as you. I have slimmed down to 13st 3 ish and I'm still bordering on overweight

https://www.nhs.uk/live-well/healthy-weight/bmi-calculator/

HTH.
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wr6133
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PostPosted: 06:40 - 17 Aug 2020    Post subject: Reply with quote

Listen to Arry, if you have fucked up disks you want to know. I ended up with multiple knackered disks in the lower back from a bike crash. The NHS kept me smashed off my tits on progressively stronger opiates for almost 2 years. Then they decided they should send me for an MRI.....just short of 2 years to get a scan. Scan confirmed a load of mashed disks causing chaos with nerves, it'll now never fix properly. Go private get a scan, if it shows damage go jam the scan down your GP's throat (though once you mention "go private", he'll go from dishing out 10 minute slots of pointlessness to being your best mate).

Also what kind of shit truck you driving that doesn't have an air seat? You know there is a shortage of HGV drivers, if your firm is giving you a rotten old shit box to fester in, go and work for a better one. Or get a sick note, I had a driver once that had actually managed to get a sick note excluding him driving MAN's Laughing
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dransy
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PostPosted: 19:18 - 17 Aug 2020    Post subject: Reply with quote

🤣🤣 driving about in a beat up Renault premium .

First day back today . Yesterday I seemed to be getting on alot better but back in the truck today I was in agony when sitting down so I wonder if it's the seat thats causing it ?

Ive ordered a memory foam seat thingy ma bob and I'll wait for physio on Thursday and take it from there .

Stopped with painkillers think they give me heart burn . Plus they don't work
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BigTim
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PostPosted: 19:50 - 17 Aug 2020    Post subject: Reply with quote

dransy wrote:
🤣🤣 driving about in a beat up Renault premium .

First day back today . Yesterday I seemed to be getting on alot better but back in the truck today I was in agony when sitting down so I wonder if it's the seat thats causing it ?

Ive ordered a memory foam seat thingy ma bob and I'll wait for physio on Thursday and take it from there .

Stopped with painkillers think they give me heart burn . Plus they don't work


Voltarol Works! i took some today my back pretty bad this AM. Luckily in laws live in Spain and had just sent some in the post Thumbs Up

you can only get gel in UK now apparently.
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wr6133
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PostPosted: 07:03 - 18 Aug 2020    Post subject: Reply with quote

dransy wrote:
🤣🤣 driving about in a beat up Renault premium


Sick

That thing should be a yard shunter or in Africa by now. Is it the noob wagon at your place?..... in which case tell your TM he can have it fucking back and you want an FH16 750 Laughing
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Robby
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PostPosted: 14:17 - 18 Aug 2020    Post subject: Reply with quote

I've had it for the last few weeks, gradually getting worse. I'm 6ft, 12 stone, and exercise regularly. I think the thing that did it for me was changing my kitchen (2 weeks of very long days), and just not moving enough since lockdown began. Usually at work I would walk a couple of miles a day and spend a lot of time on my feet. Now I only need to walk down the stairs occasionally.

Moving helps. Sitting is very bad, so I've makeshifted a standing desk.

Anti-inflammatories help.

Walking and some exercise helps.

Getting a referral to the right people will take time. Then getting an MRI will take even longer.

I don't know about your specific case, but driving a big truck could be dangerous. Mine is down my right leg, the one that does the throttle and brakes. I'm not driving while I have little control or strength over that leg.
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kramdra
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PostPosted: 15:36 - 18 Aug 2020    Post subject: Reply with quote

If you have nothing on record with docs, worth taking out a bupa policy (ask your boss to provide, benefit being minimum time off for appointments compared to NHS who seem to waste as much working time as possible, about 400 quid a year). You will get the MRI quick. They wont cover pre existing meds but its ok to have non diagnosed pain that you have tried non quackery options for.
Post MRI I have found consultants to be utter arseholes, they got paid without having to do any real work. Make sure you have a copy of the MRI on cd. I never got even a letter, report or any official results for my leg MRI's Mad only what I was told in a 5 minute consultation (plus the images).
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Ribenapigeon
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PostPosted: 09:22 - 23 Aug 2020    Post subject: Reply with quote

My Dad had sciatica so severe he had to have morphine injections. I got him a Tens machine and it really helped him and he was able to stop taking his pain meds.

Off topic, I was thinking of doing HGV training, us it worth it? What level licences should I go for, full on articulated or lower weight? Roughly what cost/hassle/timescale? Cheers.
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