Sciatica?

lecky

War Hero
As most of us appear to be past the first flush of youth, with similar high impact histories with regard to our lower limbs, I'm wondering if anyone can identify and possibly advise me on a substantial pain in my upper right leg.

It's on or in the femur, and starts below the hip joint at the back of the leg. It runs from the back of the bone at the top (about where the bottom edge of a rear trouser pocket would be), down the back of the leg and then finishes a couple of inches above the back of the knee, still on or in the femur.

I only appears after I've been walking for about 15 minutes and gets progressively worse as I continue to walk and lasts for about an hour after I stop. Sometimes it flares up in bed, when I haven't changed position for a while.

Pre-empting the logical first question..... yes, I have obviously mentioned it to the docs (two of them actually) and it was kind of shrugged off as "probably sciatica" by both of them any any suggestion of further investigation and treatment being limited to taking pain-killers when required. I have asked Dr Google, and the advice is all over the place so is effectively worthless. There is also the fact it could also be arthritis or rheumatism which complicates matters.

For other reasons I have been less than active over the past year and wonder if it could be a result of that. My current plan is to try and walk through it and see if it gets better, gradually increasing the distance until something improves (or not). I can take pain killers to get me through the daily walks.

One reason behind all this is that I have a lunatic wish to build my health up, and clear my mind, by walking the Coastal Walk around the UK (doss bag and bivvy bag style) for charity, and obviously a good set of pins is some what essential. I don't mind doing it, but it's going to be a tad tricky on my hands and knees.

So, if any helpful Arrser has experienced anything similar and can give any advice, either as to a likely cause for it all, or for any treatment that might be successful, I'd obviously be extremely grateful.
I had identical symptoms to you.
Turned out that I had a form of spondylitis in Lumbar vertebrae Number 4.
The partly crumbled bone irritated and inflamed the nerve in my spine, that was responsible for putting phantom pains deep in my right hip.
I had weeks of limping back and forth to the MO, with him manipulating the joint in my right hip in all manner of ways... and me, genuinely not feeling a thing, until I walked away. I think he was as confused as me, until he called for the physio, who had a right go at my back. The physio started driving his knuckles up and down the back bone, until something went "click" in it. The look of horror in his face told me something was definitely wrong and he knew he had over done it. Still, at least it stopped all the faff about.
MRI scans later revealed the problem.
It took months of rest for the inflammation to calm down...and that was only after I binned the anti inflammatory and pain killers for good. I reasoned that I needed to know my limits and just how much exercise would cause the problem to flare up, not have it all hidden by the drugs, only to have it all flare up again when I finished the course.
Things have got better since I left the mob.. I know what sort of sustained physical work or exercise levels I am capable of, having gently increased the levels over the years. At the first sign of it erupting again, I stop doing anything physical for weeks, before trying it on again.
Cushioned soles, orthopaedic mattresses, walking/ running under 5 miles, lifting nothing very heavy, exercising a little and often... in short, I live with it, manage it and just except it as part and parcel of getting old.
All that said, of course the reasons behind your sciatica are as yet unknown, if it is indeed sciatica...but insist on seeing a back specialist early doors, particularly if your GP looks bemused at your symptoms.
 
I had over two years physio treatment for a similar problem, whole hog from three week intensive physio in Pompy with the Navy rehab clinic to acupuncture.

Most things relieved the pain but no long term solution from traditional methods of treatment.

Then someone suggested I sleep with a pillow between my legs, this causes the hip to be positioned slightly differently, it works and apart from the odd moment when I've been silly lifting things I've been pretty much pain free for the last ten years.
 

Awol

LE
Spinal damage back in the day , now manifests itself in numbness or tingleing sensation in buttock and thigh.
Have you smashed your spine at any time ?
No, I've never had any serious injuries, even after coming of bikes several times in the past. I'm going to ask the doc to refer me to a specialist (which will probably take weeks) and in the meantime I'm going to walk a couple of miles a day and see if it improves. If it gets worse, I'll stop and wait for the appointment.
 
No, I've never had any serious injuries, even after coming of bikes several times in the past. I'm going to ask the doc to refer me to a specialist (which will probably take weeks) and in the meantime I'm going to walk a couple of miles a day and see if it improves. If it gets worse, I'll stop and wait for the appointment.
Different problem to mine then.
One thing I have learned is that after some gym work, 20 minutes in a sauna, including tucks ( trying to make my knees touch my forehead) stretches the damaged area and provides much relief.
 
Apparently (according to a consultant) my sciatic nerve runs through my piriformis muscle in my left thigh.
It’s a recipe for fun I can tell you - either an electrically painful leg or a floppy foot!
That's going to need reconstructive surgery if you don't address it. Had the same and it gave up on me sleeping on crappy beds in Dushanbe. Went home eating pain killers like Smarties and seven second opinions later I realised I had to let them cut me.

Woke up from surgery and the pain was gone. Immediate relief. Bit of a Meccano set keeping my spine and my pelvis together, but it's pretty bulletproof.
 
I had Sciatica back when l was 30 in my left leg.....it felt like a constant giant Toothache.
I couldn't move my left leg much at all and standing still made it worse.

The Doctor told me to take Ibuprofen for the pain which worked but l could not run as fast as l used to be able to there after.

I wish you a Speedy Recovery.
Now have a friend who was my Physio . Been working for the military for 30 plus years , or I should say has worked with military people for 30 plus years.

Myth number 1 . Military people are fit ...

No due to the job and being military they , we , I are actually more likely to have problems as running a 10 mile “ march” in DMS with 25 KG of weight will damage your body.

Myth number 2. Military Drs are good.....

No , prescribing Ibuprofen is a good thing. No it’s a Shiite way of getting military people to carry on with a problem for the short time.

He also hates most Drs as there is a way , most times to prevent injuries , if those in charge thought about what they wanted to achieve.
 
Now have a friend who was my Physio . Been working for the military for 30 plus years , or I should say has worked with military people for 30 plus years.

Myth number 1 . Military people are fit ...

No due to the job and being military they , we , I are actually more likely to have problems as running a 10 mile “ march” in DMS with 25 KG of weight will damage your body.

Myth number 2. Military Drs are good.....

No , prescribing Ibuprofen is a good thing. No it’s a Shiite way of getting military people to carry on with a problem for the short time.

He also hates most Drs as there is a way , most times to prevent injuries , if those in charge thought about what they wanted to achieve.
Military doctors are amongst the best, if not the best, in the world.

At trauma - see BSN R3 for numerous examples or page @dingerr.

The minor scrapes and japes they see at RD? Not interested ergo here's two jumbo pink horse tablets and carry on.
 
Various things can cause sciatica. In my case, slight scorliosis combined with having a cartlidge removed in my 20s means I stand and walk slightly crooked according to my osteo.

A good mattress / bed i.e. one that doesn't slump in the middle plus periodic stretching exercise. I have been recommended to try yoga but my fvcked knee doesn't like going anywhere near a full lotus position.

These days I try to keep walking and minimise any heavy lifiting as this can set it off. In my case goes down the inside of one or other leg from groin to knee. Occasionally works its way up into my lower back.

Osteo gave me various stretching exercises to keep my back loose which work.
 

Mrsheeny

War Hero
@Awol My mate has something similar, what he was told was to sit on the floor against a wall with your back flat to the wall and your legs flat on the floor out in front of you with them both together. Then slowly look down to your belly/touch your chest with your chin until you can feel it pulling the sciatic nerve.

What it would do it ‘gently’ stretch it so that it isn’t so tight which may have tightened up with a recent lack of mobility.
 
It's unwise for 2 mentally challenged people to have sex. The repercussions are having something like you unleashed on the world.

The point is you're handing out medical advice to people when you are not qualified to hand out medical advice - that's all.
 
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