r/Firefighting 3d ago

General Discussion L4/L5 Herniated Disk - looking for advice

Any fellas in here dealt with a herniated disk, specifically at or around the L4/L5 area? Pain started Saturday morning 8/23 when I woke up at the station before shift change and progressively got worse throughout the day to the point I couldn’t sit, stand or lay and could barely walk. Decided to go to a small urgent care/ER that night and had an xray done which showed nothing, they gave me a steroid injection and muscle relaxer injection and prescribed me Methylprednisolone and Orphenadrine. No relief whatsoever from the injections or the meds. Woke up the next day (Sunday), same amount of pain and symptoms. Went to a chiropractor that afternoon, did some twists and pops and told me to up my water intake and keep icing it. No relief. Monday (8/25) I decide to go to an actual ER for CT scan or MRI just to at least get some answers. Did the CT scan which showed the herniated disk. Gave me a dose of Vicodin and a lidocaine patch which didn’t touch the pain. Physical therapist came into the room afterwards and did some stuff, actually felt a bit better after that. Getting up from sitting or laying still hurt but walking was actually less painful. Hospital switched me from methylprednisolone to prednisone and continue taking orphenadrine, but neither seem to help.

Fast forward to today, pain comes and goes but when it comes it’s rough. I start physical therapy this afternoon and hoping for some progress from that. But just posting to see if anyone here as some insight or advice on what worked for them. Just looking for some light at the end of the tunnel.

P.S. take care of your backs.

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u/4machineguns 2d ago

I ruptured a disc in 2001 and had a couple herniated ones. This I don't believe was from my mis stepping going up a set of stairs with rails, but an accident I had years earlier that weakened something and had been problematic for the previous 2 years with muscle spasms and at one point leaving me unable to stand and laid on the floor for a solid week unable to walk. I'm a contstruction worker in drywall and framing industry....so the herniated disc I may have had for a couple of years giving me a fit off and on until finally rupturing....believe me when I say it's a game changer when you have that happen....a few months of percocet and I said just do the operation, I can't take those pills anymore they make me so damn hyper I couldn't stand it. Surgery and I was back to work in 3 weeks! Don't ignore it like I did as it could evolve into a rupture. Best wishes, it sucks to feel the pain of this no doubt! No matter how you lay, sit, stand bend....the pain persists...losing sleep and ability to focus on what you're doing.