Physio Conversation: BFS Update

SparkySunshine97

Well-known member
Hi all,Just thought I'd share with you and interesting conversation I had with my Physio. I had an appointment this afternoon at 4.30pm. We hadn't seen each other for over a year and a half and before my first BFS episode. He asked me to talk him through my episodes with BFS, I dumped on him big time, my MRI's and EMG, my fears, tear and concerns. The continual pain in the buttocks and lower back, that I couldn't sit down for long without pain, fasics, toothache like pain in the calfs, numbness etc, etc. He listened quietly then asked me to get down to my boxers and he did an examination. First he told me to stand and face the wall. He laughed and told me my pelvis was up nearly two inches higher on the left side. He then made me lie on the consultants table and put my feet together he asked me to stop him pushing my right big toe down. I did it pretty well. He did the same holding my right foot and good resistance. He did the same on my left and my left toe collapsed as did my left foot. He then got me to lie on my left side and just pressed down on my right thigh (outside of), the pain was incredible, same on the right pain was excrutiating. He got me to lie face down and squeezed my achilles and calf muscles I broke out in a sweat at the pain. He then applied pressure to my lower back, it was painful and like a rock.He got me to lie on my back and do some Knee rolls to level my pelvis and then we sat down to chat. He told me that I had sciatic nerve damage and if I had not got the all clear from the MRI, he would of insisted on one to rule out disc pressure. He told me that both legs had significant sciatic nerve trauma and that could account for the fasics in my calfs, not only that I had achilles heel inflamation and calfs tenderness. It would certainly account for pain and parasthesia and the pins and needles. I told him that I had some fasics fire off elsewhere in the body and he said no problem, anxiety can cause that.He said we needed do two things 1) to see him to get treated for Piriformis, that I had a very bad case of it, the 2nd was to see my Doctor and get conselling for depression!!! It shook me to the core!! He told me that I was on the verge of depression the last time I saw him and 1 1/2 years later I had got worse. Before he qualified as a Physio, he was a psychiatrist with the London Metropolitan Police helping those who had suffered post traumatic stress. It was his studies into an injured mind and the power it had to cause injury to the body that made him become a physio. He told me (i've mentioned this before on this board) that a 4 year study was undertaken of people with bad backs and how to predict those that would get worse. All the volunteers had yearly MRI's in the study, by the end their conclusions were that the people who had the worst symptoms with bad backs were not the ones with the worst spines but those who had the greatest level of depression. His words "an ill mind, will manifest itself in illness in the body". I asked him why my Neurologist wouldn't have suggested something. He said that they do not study muscles and their interactions with nerves. They wouldn't know about this!Kinda hard to admit that I have depression to my Doc, but if it will help cure me then I'm up for giving it a go. Hope this may help for some of you out there. :)
 
Congrats on finding someone with a logical approach (a rarity). I'm told that tight piriformis is common for people who sit a lot. I had this problem for a while; arrghh! beware of the stim thing (it made it worse for me) but the exercises and stretches did the trick. The pressure it can put on the sciatic nerve is enough to cause considerable pain and sensory stuff in the legs and feet. I've always tried to get people to have a check up with a physical therapist or physiologist but everybody is so focused on going to their neuros -- I've pretty much given up on it. He is right that neuros have no training in this - not part of their domain as they see it. Granted, a good physiologist is hard to get in to see, even in a large metropolitan area you need a recommendation....but a good PT is often very helpful along these lines.This idea is not new - that bad backs and ones that don't heal may NOT go hand in hand with MRI results AND also the idea that it is tied into our emotions - there are books written on it. It is a mind-body approach. But it is very commendable that your physio is on top of stuff and great that you have him in your corner. It may not seem like it right now, but this is good news as this type of thinking can put you on the road to recovery. Best of luck.
 
Pete this is an interesting post...For a while I have been suffering with leg issues, aching and a lot of sensory stuff, and oftern a sore lower side of back, albeit only a descreet feeling... Now I mostly get these things when I have been sat for a while, and having a desk job I sit a lot.... When I get up and moving things can get a little better, I click and crunch quite alot in my lower back also... When I last saw my chiropractor (I go for my neck) I mentioned the leg issues and discomfort, he knows about the BCFS.. He did an exam and said my left side was sitting higher than my right ans this would be putting extra prssure on right side and likey to be irritating the sciatic nerve... Similar to what your physio said.. I am seeing him again next month but have also contemplated going to see a physio also.. What sort of treatment plan has yours come up with???Look forward to discussing this a bit further if you wish, you can PM me or Reply on this post..Take care.
 
Peter, thanks for this post. I found it interesting, and did pose some questions as to some of my own issues. My pelvis is out of wack, as I have one leg shorter than the other. Some of the pain you describe I also get. I have major back issues and have had back surgery. Lots of referred pain/sensation cheersRodger
 
Peter - thanks so much for sharing this. I have had back/sciatica issues for 25 years. I will be looking further into this. Keep us updated with any progress.DB
 

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