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Originally Posted by Hopeless
Hi Sinisterporpoise,
Welcome to the forum and sorry to hear you are suffering with MP. Yes, you have it exactly correct.
That depends. Some people have a spontaneous resolution, some live with it forever. In my opinion, as long as the LFCN remains compressed, one will continue to experience the symptoms of it being compressed. IF excess weight is what caused the compression, then losing weight will be beneficial. If one's weight has nothing to do with it, then weight loss is not going to change anything. The key is to remove the cause of the compression.
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Losing 50 pounds caused it. I was doing fine with excess weight. The fat was protecting me.
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It is a purely sensory nerve but can certainly cause pain. Standing will exacerbate it in many people. If standing is what precipitates an episode for you, and you must do that for your work, you may try to keep the affected leg bent by propping it up on something and shifting your stand to the other leg. That was the advice given me by a neurosurgeon. Sit whenever possible. Are you allowed to sit if you have no customers from time to time? Does sitting help resolve the pain? Many years ago, the only time I would have episodes of intense pain was upon standing or walking. Sitting would resolve it in a short time until I stood again. Then it progressed to pain in all positions. I did not have to stand to experience the pain. Sitting would bring it on and then even laying down. Then it began to interfere with sleep.
If you have not had MP for very long, there is a very good chance that it could resolve on its own. The longer the nerve is compressed, the less likely it will resolve. It can take months for recovery.
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At the moment, I'm almost at the two month mark. I hope it does resolve on its own.
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Physical therapy is an option. (Especially aquatic) Pain patches help some people. Wishing you better days and hoping you can have a spontaneous and complete resolution. Remember, the key is to avoid compressing the nerve.
How your LFCN became compressed is important for knowing the prognosis.
The trick is to keep the LFCN "happy". As I call it after many years of dealing with MP, when the LFCN gets angry, it will let you know. You need to find out how to make it happy. My LFCN hates me and I can no longer make it happy. Hope you can find a way to appease the monster.
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Someone asked what medication the doctor prescribed. I went to the emergency room initially. They said it was muscle spasms and gave me 800 milligrams of ibuprofen. The ibuprofen did nothing. The second doctor prescribed nothing. He only said to lose ten more pounds. Because it was an unusual encounter at a free clinic, I understand their reluctance to prescribe expensive pain medications.
During this time, I did break into some pain medication left over from a kidney stone. I was reluctant to keep it, but it did work. Fortunately, I only had a small amount left. If anyone wonders, the pain from the kidney stone was worse, but this is almost as bad at times.
As for work, I am going to have to do something. The job requires standing the whole time, although I'm sure I might be allowed to sit down with a doctor's note. The supervisor is letting me sit down from time to time, but it's not helping when I need to stand for long periods of time. I also have to go off the floor to do it. In the meantime, I've started using a cane to relieve some of the pressure on the nerve.