I Hurt My Back And Need Surgery, What Now?

Perhaps you are just like me and hurt your back at work.  I hurt my lumbar spine (low back) after a work related fall and had to undergo two lumbar spine surgeries over two years.  It began with severe leg pain and modest back pain.  Perhaps you thought that you hurt your leg and not your back because of the shooting pain, numbness or tingling in your leg.  This is not unusual.  After an MRI and referral to a surgeon you have may been advised to have surgery like me.  What now?

The first time around, I tried a short course of physical therapy and steroids without any success.  I underwent surgery with an excellent neurosurgeon and had great results.  Unfortunately I had a second injury resulting in an even larger disc injury at the same level. The second time I tried to do everything possible to avoid surgery.  I tried physical therapy and two different types of steroids to avoid surgery.  I couldn't sit for long periods, couldn't sleep and was absolutely miserable.  One of the medications I was prescribed resulted in an unpleasant side affect called steroid psychosis which was absolutely frightening!  I relented and underwent a second surgery.  The second surgery had a number of unexpected complications but eventually my luck changed and I have made a good recovery.  Though I still struggle with leg pain and some other issues, I have been able to put in long hours with my legal practice, bike and even run a half marathon. 

Surgery is a serious decision and I counsel clients every week on THEIR decision to have cervical surgery (yep, I've also had neck surgery), back surgery, etc.  Let me help you with your work related injury and counsel you on your options and how surgery will affect your future employment and workers compensation benefits.  Our lawyers have decades of experience each and you will receive personal attention to your claim.  How many lawyers give you their cell phone number to call them with questions?  I do, my cell phone is 651-324-9514.  I look forward to hearing from you.  Feel free to visit our website as well www.mndisability.com or call 651-414-0678 to make an appointment.

What Is SI Joint Pain?

Sacroiliac joint pain

What is Sacroiliac (SI) joint pain? SI joint pain has gained a lot of attention in the last ten years as an under appreciated cause of back pain with some studies indicating it is responsible for 15% to 40% of low back pain. The increased attention is due to the increasing knowledge of the SI joints intimate role in pelvic stability. I hope more physicians consider SI joint pain in their differential after reading this article.

Pathophysiology

SI joint dysfunction due to inflammation within the joint itself is called sacroilitis. Pain from within the SI joint is common in rheumatoid patients and spondyloarthropathies.

The other cause of SI joint dysfunction can result from instability of the SI joint following a work injury. Many experts feel that SI joint pain is a component of a larger problem of pelvic instability. Pelvic instability has traditionally been underappreciated as a cause of low back pain, buttock pain, groin pain, and leg pain. Physical therapists and doctors of osteopathic medicine have been teaching these concepts for years but only relatively recently has this dissemination of knowledge trended towards mainstream thinking among medical doctors.

The SI joint complex (the SI joint and its associated ligaments) is the major support structure of the pelvic ring and is the strongest ligament complex in the body. The complex consists of interosseous sacroiliac ligaments, iliolumbar ligaments, posterior sacroiliac ligaments, and the sacrotuberous and sacrospinous ligaments. The SI joints are two of the three joints involved in the stability of the pelvic ring. The pelvic ring is the meeting place of the force vectors from the upper body and the lower extremities. The third joint in the pelvic ring is the pubis symphysis. Pelvic instability causes pelvic rotation which can also cause twisting of the pubis symphysis. Coupling this with its anterior location appears to provide an explanation as to why patients with SI joint instability can also experience anterior groin pain. Anecdotal evidence for this is seen when patients undergo a successful SI joint intra-articular injection relieving all of their posterior back, buttock, and leg symptoms but the patient still has groin pain. Groin pain is almost never eliminated by SI joint injections unless pelvic symmetry is corrected.

If the SI joints are unstable, it can lead to significant pain and discomfort over the SI joints as well as numerous referred areas. If an individual affected by SI joint pain has pain only over his or her SI joint, he/she should be considered lucky. Most often SI joint instability causes unnatural strain on the entire low back and pelvic region causing a sometimes confusing clinical picture. Pain referral patterns of SI joint pain are often confused with L5 or S1 radiculitis or radiculopathies.

If you suffered a work injury let Atkinson Law Office P.A. & Minnesota Disability help you obtain the answers you need TODAY! We have worked with physicians and specialists throughout Minnesota to help injured workers find the answers to their injuries for nearly two decades. Contact attorney Thomas Atkinson directly at 651-324-9514 or email at tom@mndisability.com You may find additional information at our website www.mndisability.com