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sciatica after laparotomy anyone? sciatica after laparotomy anyone?

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  #1  
Unread 11-15-2003, 08:49 AM
sciatica after laparotomy anyone?

I had a laparotomy 10-16 for endo and to remove my right ovary, everything else is already gone(2001). Now my Dr. thinks I may have sciatica specifically piriformis syndrome. I haven't seen this on any other posts before and wondered if anyone else has experienced this. It started after my surgery(about 3 weeks out), as I began to feel good I started to become more active, with walking daily and just being up all day. After these walks or after being up for 2-3 hours on my feet the pressure in my pelvic region(especially left sided) has been terrible. As of yesterday I am on Skelaxin and Quinine with no relief yet. Lying flat with a heating pad seems the most comfortable, which isn't very comfortable at all!! I am scheduled for a MRI on Monday and really nervous that I may be facing back surgery. If anyone out there has any insight on this condition PLEASE let me know.

Sincerely, Wepitch
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  #2  
Unread 11-15-2003, 03:20 PM
sciatica after laparotomy anyone?

Hi there,

Your story sounds very much like mine. I had a LAVH on Dec 6th,2002. 6 weeks to the day my back, poof!
Left side, siatica, at 12 weeks I had a MRI, came back ok, but the bginings of arthritis, yippee. Can't do much, I go the the Chiro. 1X week and curves 3X a week, but I am almost a year out and it is still there, I also still have swelly belly, comes same time as back hurts, strange, hu?
Hope you feel better
liz
  #3  
Unread 11-17-2003, 01:21 AM
sciatica after laparotomy anyone?

Hi ,
My back pains became worse after my TAH, almost 4 yrs ago. I underwent an RSO/Lap 12 weeks Post-hyst which landed me in the ER 3 nights later w/ horrendous backpain. I did have what was a possible Hematoma w/ some free-floating fluid in my pelvic area, I was to follow up w/ my Dr. Well, my pelvic & abdominal pain had only wosened One afternoon it became so bad & I had started vomiting. Well, a trip to the ER landed me in the OR, again <sigh>, for emergency surgery for 2 total Bowel obstructions. Due to post-op complications I was in there almost 2 weeks. The back pain was hitting severe highs again so much it forced me out of the bed for 1/2 the days, trying to get some relief. When I was discharged I was referred to a new PCP as well s a Pain Mgmt Dr. A few tests were run but nothing significant was found! I was finally referred to PT...he found I have Scoliosis & 3 bad discs. I was fitted w/ a back brace & given a TENS unit for the pain. It helped for awhile then it was back w/ a vengance. More tests revealed Degenerative Disc disease, spinal arthritis, sciatica & a Rheumy dx'd me with Fibromyalgia<--said to
start in the spine. I've underwent several treatments at attempting to relieve the pain..Trigger points, nerve blocks, massage therapy, physical therapy, ultrasound therpy & traction...I still suffer w/ it:-( I did read this recently that I found very interesting:

  Quote:
Why leave the cervix? The answer to this question is controversial. Historically, the cervix has always been removed along with the uterus when a hysterectomy was performed. We have become more aware lately of the importance of the cervix and thus the importance of leaving it, if it is not diseased. The cervix is a piece of thick connective tissue lined by glands and is attached to many ligaments in the pelvis. It is, therefore, important to the support system of the pelvis. It also seems to have a role in sexual function. We find that the dissection necessary to remove the cervix is responsible for post-operative back pain that women who leave their cervix do not complain of.
www.drwilson.com
I'm sorry I cant be of more help but I can defiantely relate You might consider seeing an Orthopedic surgeon??
Good luck to each of you in finding some answers & relief.....((((hugs))))
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  #4  
Unread 11-19-2003, 09:02 AM
Back pain!

Hi, I had TAH and got everything removed on Dec. 6, 2000. I was feeling great till last year. I noticed that I was having pain in my back and it has gotten worse all the time. I told my about this and an Xray was taken. They found that I have a deterioration in my disc between the 3rd and 4th vertebrae. To add I also have arthritis on my 3rd and 4th vertebrae. I no longer sleep on my back as it hurts tooooooooo much. I sleep on my left side with a pillow between my legs. That I found seems to help a lot. I do find that I have great deal of pain on my left hip. Thus sciatica in my back. I do sleep on my right side but I will wake up at night and have to turn myself over to the left side. I found that I just sleep on my left side all night now. If I move or toss, it just wakes me up and I actually have to lift my body up to move or toss. I take Tylenol #1 and I do find I take too many of them. If I don't do something then it will give me headaches. I have no idea if it is all in my head or not. I sure can feel the headaches. So this is where I stand. He suggested that I take physiotherapy. I have not gone yet as I don't get off work early enough to go.

I hope this helped?

Dale
  #5  
Unread 11-19-2003, 02:22 PM
sciatica after laparotomy anyone?

I have found out recently that the paresthesia (numb areas) in my legs are along the pathway of the sciatic nerve. If your doctor thinks it is from your piriformis muscle pinching the nerve then PT may be helpful (did he mention that?). I just had PT today for my pelvic pain and apparently it is not uncommon for the muscles like the piriformis, obturator, gluteus muscle, levator ani muscles, to become so tight that they compress the sciatic nerves which run in between the muscles down to the legs.... so that is one possibility. That could explain my problem.

I do not have pain in my legs just three numb spots that sometimes feel "hot". I do not have back pain but the Gyn wants the GP to order an MRI on my back to make sure that a disk is not compressing the nerve. The GP is sending me to a neurologist.

My obturator and gluteus medius muscles are very tight and painful.... this is "thought" to be a result of my chronic pelvic pain....a referred reaction or I think the doctor called it a neuropathic process.

I hope that your problem can be resolved without any surgery....ask about the PT if the doctor hasn't mentioned it particularly if he thinks it is your piriformis muscle.... that one apparently (according to the PT today) is frequently a culprit in sciatica.



Sarah
  #6  
Unread 11-20-2003, 06:22 AM
sciatica after laparotomy anyone?

Thanks for the replies, they have all given me some insight as to what may be going on. My MRI came back okay ...so now I'm off to the PT for help with my piriformis muscle which may be pinching the sciatic nerve. Can anyone give me any info. on PT of that sort?? Is it painful and most of all did it help????

Any input would be great!!!THanks to all, Wepitch
  #7  
Unread 11-20-2003, 06:08 PM
sciatica after laparotomy anyone?

Dear (((Wepitch)))

That must be a relief that the MRI came back OK (Yippee!).

My piriformis does not seem to be a problem but some of my other muscles are (in the same area).... I have been having PT for that....

The PT that I have been having is:
- manual therapy (basically massage)... it is a little painful but not too bad... The PT indicated that she did not want to massage too hard as it could backfire...
- Ultrasound with an anti-inflammatory gel
- Electrical stimulation (E-Stim) with anti-inflammatory gel... this actually feels OK and I joke with the PT that "E-stim is the dessert of physical therapy!".

In between visits I am doing a series of stretches. For me, the e-stim seems to be helping the most.

Keep us posted on what you find out!!



Sarah
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