Bad Back Pain Day.

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Yesterday was a Bad Back Pain Day and that means I didn’t write the post planned about how red wine can help back pain.

As R helped me into the shower while I yelped loudly as my back muscles spasmed, pretty much carried out of the shower I thought going to work was a good idea. I had deadlines to meet and my colleagues would be pissed at me if I didn’t go in.

I had to fire Summer Girl as my dressing assistant when she got distracted by a lego toy on the floor, while I was standing with one leg half in the trousers she was meant to be helping me into. R suggested that if I couldn’t get my trousers past my hips and down again, then going to the toilet would be interesting at work. But still I ploughed on through the crippling pain.

I hired 5 year old Winter Boy to pick up the hairdryer from the floordrobe, turn it on at the plug and help dry my hair standing on chair while my back muscle spasmed and my back locked up was causing me to yelp from time to time. Turning around was robotically done to avoid inducing further spasms. But, work would be fine once my medication kicked wouldn’t it?

After threatening to hide my car keys, R finally succumbed to my stubbornness, drove me to work (no way was I able to drive the car), on the condition I got my reports done then came straight home, and I slowly, slowly, pigeon stepped my way to my desk, breathing sharply every time I opened a door, or when the lift jolted.

By 1:15pm, after cancelling all my appointments, having coffee made by colleagues, being helped to the toilet by colleagues (they didn’t help me with my trousers and it took all my effort not to yell as I pulled my too tight trousers up again), my boss was walked with me out of the building as me legs lost their strength and my back pain was so immense I could barely walk. But not before giving me a stern me off for persevering in such pain and immobility.

By the time Ross picked me up and drove me home, I was in tears; my back pain and back lock was so severe I couldn’t lift my feet up a single stair to get to bed, screamed in agony as I tried to get onto the sofa and screamed in sheer pain when anyone touched me. R considered calling an ambulance as I Could Not Move.

Instead, I necked maximum doses of all the painkillers I had in my armoury, (avoiding red wine, shame) and lay in an awkward but still painful position on my side with legs bent at an angle, praying through tears that the pain would subside, before finally passing out through pain and medication. Goodness knows what would have happened if I needed the loo before my meds kicked in as I would have hit anyone trying to move me.

Today I can walk, slowly, as long as it’s not far. I can’t lift anything heavier than a coffee cup, and going to the toilet remains interesting and any movement is careful and considered. I am not in work, instead I am watching The Lego Movie for the millionth time with Winter Boy while R has taken Summer Girl to by some school things.

It might have been a stupid idea to go to work with acute back pain, but at least I got my reports done by their deadline.

If you find yourself having sudden unbearable lower back pain, it can be very frightening. You need to keep as still as you can, in the most comfortable position available. If you have already had this before, you should have an emergency medicine box (if not, get one now), with Diazepam and Ibruprofen or similar NSAID medication in (if you can take NSAIDS) as your minimum medication. And don’t forget trusted paracetamol.  Take these as soon as you can, and apply heat to your back. If you don’t have anything stronger/opiate based, call your GP or other primary care provider immediately who will provide stronger medication to cope with the pain (normally codeine or similar if you can take those). You will likely be woozy with the medication so you won’t be able to do driving, chores etc (not that you can with that much pain) so try to get someone to be around to help you.

Don’t be afraid to call your local Out of Hours care providers if your GP is not available, or even 999 if your pain is unmanageable at home with maximum painkillers doses that you can safely take at home, as unmanageable pain is a medical emergency in itself.

The chances are, the cause of your lower back pain is a muscle spasm and will subside in a day or two (hopefully to more bearable levels within a couple of hours).  If however, you have red flag symptoms, specifically, but not exclusive those of Cauda Equina Syndrome, you MUST call 999 immediately, as this is a medical emergency. If you are unsure about the symptoms, don’t take any chances and call 999. The hospital will do the necessary checks to rule it out/in.

Most of all, try not to panic, as that can tense your muscles even more and increase the pain. Easier said than done I know. 

Thank you runawaycerbera…

I am writing in response to the fabulous post in ‘comments’ by runawaycerbera on my last post ‘my husband stabbed my leg!’ She has spoken about her own experiences with backpain in such detail, I felt my answer to her was so long and in turn detailed that it should be written for people to easily read. Maybe they will be more aware of how serious a lumbar disc prolapse can be, and what backpain and nerve pain might mean long term if we don’t address it, which neither of us knew before.  Luckily in runawaycerbera’s case it was not too late but for many people it is especially if they experience Cauda Equina Syndrome which is a serious form of nerve damage that can leave you with permanent parasthesia if you don’t get it treated straight away. Check out the NHS website for details if you need more info, it is a really helpful site.

I read everything runawaycerbera has said about the debilitating back pain and the fog it creates and it sounds just like me! I had the caudal injection into my epidural region of the lumbar spine in March, to stop sciatic nerve pain, which luckily for me worked, altough for only or two weeks and was very painful for days afterwards but at least it was not excruciating to go in, just a bit humilating with butt in the air (not even a friday ;-). I was told by neurosurgery team this injection is too random and often goes wrong and is rarely accurate enough to do good. Too late after it was done, although the osteo/gp who administered it advised it was 50/50 success. Funnily the numbness and pain I now have down my left leg is different to the pain I had in my right. The pain shifted once I started physio in August (yes it took that long to get a referral to physio) and started the intense exercises recommended by the spinal pathyway physiotherapist. I went from stooping badly and pain in the right leg, to standing straight with intense pain in my buttocks, thigh, hip, leg, foot. The prolapse is central so I suspect it has shifted in it’s prominence/increased it’s prolapse, as does the spinal pathway team. Or maybe another disc has prolapsed, that is quite common once one goes I have heard.

I so hope I don’t suffer as runawaycerbera  has done, with the bladder problems and in agony for so long, but I have had issues with ‘other areas’ that has been ignored and I am not hopeful I will be spared any of the anguish she has experienced. I was told by many people in the last few months, that I should have gone to A&E at christmas and again in June, instead of accepting that any movement would make me cry and that was ok. The emergency GPs felt it was not that bad, but they didn’t physically see me. If/when it happens again (it is very likely I have been told by the spinal pathway team) R and I have agreed, no calling out of hours doctors for more diazepam and extra tramadol or codeine, I will go straight to A&E.

I just feel that as I am walking and not in the serious acute phase, the medical teams seem happy that there is no longstanding damage. I worry that they will wait untll it is too late before it is sorted. It is not healing itself. It is not getting better. I am just managing the pain better by avoiding living my life how I want, and by taking a lot of drugs. I agree with runawaycerbera that I am not sure how much of my tiredness is drug related and how much is that I am so ground down, yes a lot of it is the drugs, but much of it is not. Like she said, I hurt so often, I don’t think I realise how much anymore.

I am very scared that I am never going to be me again, that I am never ever going to see an end, and that even the brief periods of relative pain-free existance is just a short term until it goes again and this is how I am going to live my life, in fear of the most horrendous agony I have ever experiened returning. It is worse than my experiences of childbirth and I say that having given birth to my son with only entinox as relief and having had a ventouse delivery with my daughter. I simply cannot bear the prospect that my once active life has disappeared forever, that my children see this shell of who I really am, that this is their mother. This is not who I want them to see as their mother, it is not meant to be this way for them.

But runawaycerbera you have given me some encouragement that it won’t be forever, that one day I may find someone will listen and remove the fucking thing. I will, without a doubt being making a trip to A&E at some point in the future. I hope like you, it is not too late when that happens, and the nerves has not been permanently damaged.

ok, that was a lot of me there. an outpouring shall we say! phew. thanks !