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I need some insight on my condition...

5 months ago I was diagnosed with Myofascial Pain Syndrome. The anti-inflammatory and muscle relaxant were effective for the pain and so after a week I started feeling okay. 3months later, I started having the same pain again. But I was having tingling sensations through my hands and feet, so I had an MRI.
FINDINGS & IMPRESSION:
There is straightening of the normal cervical lordosis likely due to musclular spasm.
Decrease disc hydration signals are observed at the levels of C3-4, C4-5 and C5-6 with mild disc disease at C4-5.
Focal central disc bulge at the level of C3-4 indenting on the ventral thecal sac.
Disc bulge slightly asymmetric to the left at the level C5-6  slightly indenting on the ventral thecal sac with mild left neural foraminal stenosis.
Mild bilateral ligamentum flavum hypertrophy at the levels of T4 to T9 mildly indenting the posterior thecal sac.

I was back for an evaluation after 6 PT sessions and a month long cocktail medication. I reported that I am having shooting pain from my buttocks to my toes, with some weakness on both legs, and also from my arms to my fingers. So, the doctor doubled my dosage of Lyrica, which I should actually take for two weeks. I saw on my medical certificate that she's considering sciatica.

Today is the third day of my intensive Lyrica treatment. I sometimes feel I may need a walking stick/cane because when the pain starts, my knees would just buckle and I would just freeze, take deep breaths and pat on my affected leg.Though my doctor nor my PT didn't suggest it, I feel that I need an assistive device to aid me through the pain while I'm mobile, as I fear I might fall. Do you think it's necessary at this point or should I talk this out with my doctor/PT? As far as the symptoms and the treatment I'm having, do you think I have to seek a neurologist for a second opinion? I don't think the rehab doctor sees the disc bulges as a problem, but my PT does. So their views are kind of conflicting in this matter.
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Avatar universal
Thank you so much for taking your time to write your views and this useful information. I'll surely be at the neurologist this week. The pain is just awful, I don't think I can get back to work after 1 week of bed rest.
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Avatar universal
yeah a really cool four-wheel-drive cane! And a neurologist too.I Agree with Niko---what can it hurt and wow--what can it Help!   omhome
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1530171 tn?1448129593
Hi nakajaps and welcome to the forum.

My suspicion is that your MRI results do not fully support your
PT's view, but rather your rehab doctor's.
The generalized reference of the straightening of the spine, is not very useful without mentioning any specifics and all the other observations do not point out to anything significant enough, to justify allocating the cause of your new symptoms to nerve compression, ddd or sciatica.
I would probably suggest to rule out first tension myositis syndrome.
The only hesitation with this is, that you are in the Philippines and
since TMS is not mainstream medicine yet, I cannot see how you can
get this done there.
You may want to check it online. Just search for Dr. John Sarno.
he is the world's leading expert in TMS.

Because of your intensive treatment with Lyrica there may be some serious side effects affecting your balance among many others, so yes, your idea to get a device to help you with your balance and  prevent falls is warranted.
I would seek a neurologist, if I were in your situation, for further investigation.

Wish you well, and keep us posted.
Niko

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