General Discussion Triathlon Talk » Lumbar disc woes! Rss Feed  
Moderators: k9car363, alicefoeller Reply
2009-07-07 4:01 PM

New user
8

Subject: Lumbar disc woes!
I've been reading the other lumbar spine threads, and by now I sort of get the idea that each lumbar disc patient is "an experiment of one", but I guess I need some moral support!

I'm 52, female, have done an ironman a year since 2004, and was training for a double century when I blew out a disc climbing a steep hill on a wet bike in March.  Had bilateral leg pain, MRI with left L5-S1 smallish herniation, bulging non-torn disc at L4-5, non-bulging L3-4 disc but with small annular tear at that level.  Five days oral steroids had horrible side effects(muscles turned to butter!) but seemed to turn it around, had bike refit (twice, they modified it as I got better), core PT, stuck to swimming, gradually back to biking, and in fact successfully did my bike double century in May!

With follow-up by sports PT, gradually returned to walk/run plan and was able to get up to 80 minutes of 4 minutes on/1minute off, then had bad flare-up.  Stopped running, switched to walking fast -- but the latter seems just as intolerable, and in fact just walking around vertical seems to be what does it.  Now pain is in the right, not left leg, so I'm scared I exctended the herniation or else blew out one of the upper levels.  Scheduled to see the doc tomorrow -- I want an epidural this time instead of taking the pills!  Not sure how soon it is safe to resume core exercises -- just yesterday the back pain was so bad I nearly felt like throwing up.  I started ibuprofen in high dose (800 three times a day) then, till I can see the doc tomorrow, and it seems to have helped.  Even swimming and aquajogging cause muscle burnning and twitching (later that night) since this flare-up, and forget about riding or even walking far -- scared to even try.

All this considered, I REALLY don't want surgery!  Especially since 3 of my discs are marginal, they'd probably want to do a fusion.  I am in the medical field, and I see all those failed back surgical patients and don't want to be one!  Has anybody out there made a decent recovery from MULTIPLE bad discs without the knife?  (And I'm willing to give up running and speed walk the run legs of races, if it means no operation!)  The president of my cycling club is a competetive double century rider, despite a disc herniation 3 years ago, and he's been very supportive.  But I think he just had one blowout, and now it looks like I've had two!

Interestingly, after just 24 hours of high dose Motrin, I already feel a lot better.  Suppose I feel great after an epidural -- how long does one wait to try riding again?


2009-07-07 8:39 PM
in reply to: #2268423

Veteran
142
10025
South Jersey (Cherry Hill)
Subject: RE: Lumbar disc woes!
I've never had lumbar problems, but had even rarely thoracic disc herniation.  Also, have cervical spine herniation which presently flared up bc I was carrying two >50 suitcases plus two kids car seats. 

With that said, when I really had a c-spine flare up, it took me about 4 months to get back to feeling normal.  Psychologically, it took about 8 months.  Surgery should be the measure of last resort, and if advil-like anti-inflammatories seem to be working then stick with that plus icing, heat, massage and rest before surgery.  Get to a good pt, but don't let them manipulate your spine.  And, if the pt has you do an exercise that hurts afterward, then question it.  It might be exacerbating your condition. 

In totality, you gave clues to your direction when you stated that anti-inflammatories seem to help.  Good luck!
2009-07-08 9:17 AM
in reply to: #2268423

User image

Veteran
274
1001002525
outskirts of town
Subject: RE: Lumbar disc woes!
Sorry to hear of your back problems. I've been battling L5 S1 issues for years. Currently have tingling burning sensations in both legs and the bottom of both feet, as well as the groin area. I feel for you! It's been 16 years of injury, and 6 with the tingling thing, but no surgery for me. Had the MRI etc etc, which confirmed what I already knew...my back is screwed.

So, I think your body is telling you to back off (pun intended)! The current wisdom is that moderate amounts of light exercise are better for you than just lying around doing nothing. In your case, I think you might want to stop exercising completely until the inflammation/pain gets down to the point where you can function better. Surgery is a crap shoot, and since you are against that option, prepare to live with some form of back pain for the rest of your life.

All that said, I believe you can return to training, but you need to give yourself some time to listen to what your back is telling you, and exercise at the appropriate level. It takes time.

Get some rest.

jelly

2009-07-08 11:51 AM
in reply to: #2268423

User image

Master
1993
1000500100100100100252525
Riverside, IL
Subject: RE: Lumbar disc woes!
I'm going to concur with pretty much everything Jellyman stated in his post.  I too, suffer with chronic L5/S1 issues.  I have grade 2 spondylolisthesis (my L5 vertebra has slid forward off of my S1), and to complicate things further...I have no disc material left at that level, it's grinding bone on bone.  At one point, I did have sciatica problems in my right leg due to severe spinal stenosis, but thankfully I have managed to keep it under control with the daily use of my inversion table.  But the fact remains the same...I deal with constant low back pain on a daily basis.   OTC pain meds like Advil, Aleve, or Tylenol don't do much for my pain.  I've tried a muscle relaxer (Soma), but don't like the groggy feeling the next day.  And at one point, I was on Tramadol (synthetic opiate) for about 6 months...which worked fairly well, but I felt that I was becoming too dependant on them and so I quit cold-turkey (had horrible withdrawal symptoms).  Not a smart thing to do, since it has SSRI (anti-depressant) qualities in it, so it really messed me up. 

Anyway...in regards to training and exercise...I do what I can.  My running is rather limited for the most part.  It hurts my back to run on hard surfaces, so most of my running is done on a treadmill...which sucks because it's so boring.  Biking, is less painful on my back overall...but if I do longer distances (50 miles or >, then I have to incorporate frequent stretching breaks so that I don't tighten up.   Swimming can sometimes bother my back, since I normally only swim freestyle and the slightly hyper-extended position of freestyle will occasionally cause me pain as I am supposed to avoid ANY type of extension exercises or positions. 

Every doctor I've seen has said "fusion w/laminectomy"...but I want no part of that!  Like Jellyman said...surgery is a crapshoot.  It might fix you...then again, it might make things way worse than they were before you had surgery.  That's a risk that I'm simply not willing to take...at least not right now.   I'll keep doing my stretches, using my inversion table, and keep moving as much as possible because I know that those are the things that work for me to keep my pain at a tolerable level. 
2009-07-08 12:12 PM
in reply to: #2268423

User image

Master
1843
100050010010010025
Roswell, GA
Subject: RE: Lumbar disc woes!
I had a fusion w/laminectomy 3 years ago (I am 49 years old) at L4-L5.  Best thing I have EVER done for myself.  I was a runner and could run all day but I could not stand or walk without major pain.  I am now doing my first HIM in August.  I know I am one of the lucky ones who is back 100% but if you have structural damage you will live with some sort of pain the rest of your life with quick fixes here and there (I tried them all) that don't last - I wasn't willing to do that.  When I had the surgery I figured I was giving up endurance sports but did not care if I could live my regular life with little or no pain.

Just my 2 cents.

2009-07-09 2:24 PM
in reply to: #2268423

New user
8

Subject: RE: Lumbar disc woes!
Thanks everybody.  I saw my doc yesterday who ordered a new MRI for later this week -- he wants to rule out that I reherniated something, though says it's possible this is just an inflammatory flareup. 

For some reason, the pain is way worse in the back in mid-morning, then improves a bit, even though I'm taking the Motrin on a regular 8 hour schedule, and I'm not any more active in morning than any other time.  I do still get in the cold local lake and do some slow aqua jogging every day after work -- maybe that is what helps at night (maybe I'll see if they're open before work).  I tried an inversion table in the store back when I had my injury this spring, and also my PT tried gentle manual traction -- both things seemed to really flare me up and feel like something was tearing in my back, so unfortunately those aren't options in my case, though they help others.

Has anybody tried Chi Walking?  My run club president suggested I investigate this, at least while I'm still flared up.


New Thread
General Discussion Triathlon Talk » Lumbar disc woes! Rss Feed