I received the results of my bone scan today. Thankfully there are no fractures. I do have osteoarthritis in the hip and an impingement which the previous CT and x-ray showed but for now he just wants to keep an eye on that and re-scan in about 6 months. He believes the pain I am experiencing now is not actually stemming from my hip at all but my lower spine and sacral joint where he believes I may have caused some nerve damage which is affecting my left hip, thigh and groin as I have some numbness on the outside and inside of my upper leg and hip area as well as pain.
He wants to start me on Lyrica at a low dose for a few months to see if that helps with the pain. As I have Fibromyalgia and have been on medications before I am familiar with Lyrica and have been on it at higher doses before. My only concern is the side effects. I was never a fan of them before. Hopefully I can keep it a rather low dose. Between my doctor and pharmacy team I am going to stress I want the dose as low as possible. I can deal with some breakthrough pain as long as it is under control. I just don’t want super heavy side effects.
If this doesn’t help I am going to push for them to look into this more. I don’t know if there is a way to confirm nerve damage and where exactly it is. Sometimes it’s hard cause I am always in pain somewhere and it can be hard to isolate an injury from something else. I thought I had gotten pretty good at living with the pain but sometimes things happen that aggravate or cause other issues that are unrelated but cause more pain. He mentioned I may need more testing and see other specialists. I am not sure what other specialist I can see, I guess a neurologist maybe?
The good news in all of this is that I can go back to work ASAP. I am expecting a call tomorrow from the short term benefits company and we already talked about me starting back this week coming or next on a graduated return. Which would be: 1st week – 3 days x 4 hours, 2nd week – 5 days x 4 hours, 3rd week 5 days x 6 hours and 4th week back to normal. As I am still on crutches for the time being and still in a considerable amount of pain when sitting I am okay with that. I will be weaning myself off crutches as I start on medication at my own pace, he told me to push it a little but not overdue it and take some time to get off them completely. I have a temporary handicap parking tag as well for 6 months to allow me some time to heal. Hopefully it won’t take that long.
He also suggested no physio at the moment as he is concerned that they might aggravate it more if I get a physiotherapist that is not as versed in nerve pain. I think the physiotherapist over the summer I was seeing would be able to handle it and would actually help a lot but I will wait and see how the medication works, besides my $750 a year for physio is pretty much gone so why start something I can’t afford to finish.
I am also going to be possibly switching insulin as well from Basaglar to Toujeo as the Basaglar stings and burns like crap. Last night after injecting it in my thigh it hurt for an hour! I mentioned that while I was there and he said he thought Toujeo would be a better option and is still only once a day. Mom’s on it and I asked her and she said she has not had any issues with it stinging other then occasionally for a second or two as it is going in, not a burning so bad you are rubbing your leg to get it to stop which you should not be doing kind of burn.