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    Neuropathy or herniated disc pain??
    flo801 posted:
    Ok answer me this.. How can I tell if its pain from herniating a disc in my lower back or if its neuropathy due to diabetes??? Or could it be fibromialgia....(is that spelled right)lol
    mrscora01 responded:
    Typically, pain from a disk tends to be quite severe and also often radiates down the leg. Peripheral neuropathy usually starts in the far extremities (toes and feet) and usually starts with some numbness.

    I once had pain starting in my groin and going down the inside of my leg. I went to the ER and they told me it was "femoral neuropathy". That I had neuropathy in the femoral nerve, even though I didn't have any in my feet. It turned out to be a back injury.

    You should see a doctor and have tests done. Best of luck.

    dianer01 responded:
    Hi Flo,

    For me, I believe my neuropathy was caused by back injuries. I have a history of ruptured discs. The numbness and pain were worse while the discs were pressing against the nerves and was somewhat less when the discs were removed. For me the pain and numbness is affected more by activity and does not seem to react to higher or lower blood glucose levels.

    The ultimate result is the same, pain, numbness and tingling. I do not believe the neuropothy has increased since I have had my back issues resolved. That may be another clue.

    Do you currently have nerve pain and has anything helped you?
    auriga1 responded:
    No one can tell you what is the cause of your pain. You need to contact your doctor and have them check it out.

    Is your pain stationary or radiating down an arm (cervical disc)or a leg (lumbar disc)? How intense is it? Is it constant or come and go? Do certain activities aggravate it? There are a bunch of questions your doctor will ask you regarding your pain to determine what type you have and the culprit.

    Some doctors will do body manipulation to see which positions cause the pain.

    The only way to determine if it is a herniated disc is through a CAT scan and/or MRI. Much better today than in yesteryear. I had two herniated discs in 1980 and had to have a myelogram where they take out spinal fluid and inject a dye into the subarachnoid space of the spinal column. Let me tell you - not much fun. This procedure showed that I had two herniated discs pressing on my sciatic nerve. This caused radiating pain from my back, through the hip area all the way down to my big toe. It was so bad that it affected my life, and I had to have it repaired.

    You need to see your doctor for the source of your pain if it is really bad and you cannot tolerate it.
    flo801 replied to dianer01's response:
    Well I do know that I have a herniated disc in L5-S1. So I know some of the pain I feel is from that, but what my doctor cannot tell me is if its neuropathy or the my back injury. I currently take Gabapentin for the nerves which dont seem to help and also taking lorab for the really bad pain which is constantly everyday whether I am working or resting. I fell like I'm in a lose lose situation.
    flo801 replied to auriga1's response:
    Well I know I have a herniated disc in L5-S1 and did not show any signs of a herniated disc. No weakness in the legs maybe a little tenderness is all. So my doctors just shrugged me off and blamed it on my diabetes. They also believed that I was there just for pain meds. Until 3 years later did one doctor finally set me up for an MRI. You should have seen the look on his face! A picture worth taking.
    I feel like since the diagnoses I am much worse, mind that was last year. I also feel pain in my upper back, neck, side and arms. Thats why I was wondering about fibromyalgia. I did ask my doc, but she said that there are no tests available to check for fibromyalgia ..
    IDK I guess I just feel lost...Thanks for the reply. I hope you can understand my confusion....Thanks again:-)
    auriga1 replied to flo801's response:
    Flo, I can understand your confusion. It's very hard to deal with pain constantly and not know what is causing it.

    My two herniated discs were discovered when I was 26. The doctors wanted to do surgery, because I could no longer function, meaning I needed help to get dressed and couldn't do much of anything. They were between L4-L5 and L5-S1. I did have them repaired up in Canada with a procedure using chymopapain, which is comprised mainly of the enzyme from the papaya plant. I was one of the lucky few that it worked for. They started doing the procedure in the U.S. in the '80's and then stopped again, due to reactions from the enzyme.

    Could your doctors tell from the MRI if the herniation is pressing on a nerve? Your right about the diagnosis of fibromyalgia. There is no diagnostic test.

    Nerve pain is excrutiating. If you can't get relief, would you consider looking for another doctor? That is no way to live.

    I wish you luck.
    dianer01 replied to flo801's response:

    If you haven't already, you may want to consult with a spine specialist either a neurosurgeon or orthoprdist. They are both a good place to start. If you read info about back pain a large number of people over 50 have significant changes in their backs which may or may not cause pain. Unfortunately there are no guarantees with any procedures and most doctors will not preform surgery to cure pain because it has such a high failure rate. You may also ask for a referal to a pain management doctor who is a specialist in dealing with long term pain issues.

    Web MD also has a back pain board with some very supportive members.

    my best to you
    garybartel replied to dianer01's response:
    I have had pain and numbness in my feet for 15 years. I was always told it was peripheral neuropathy , but I have no history of Diabetes.
    garybartel replied to flo801's response:
    I feel exactly the same!
    mrscora01 replied to garybartel's response:
    You can have neuropathy without diabetes. There is "diabetic neuropathy", but you can get it without blood sugar issues.

    T1 1966, Dialysis 2001, kidney transplant and pump 2002, pancreas transplant 2008
    garybartel replied to mrscora01's response:
    My feet pain is directly affected by my activities. It can come on immediately.

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