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Back Pain, Taken Epidural Injection With No Relief. History Of Spinal Fusion, Betolotti's Syndrome. Interstitial Cyst?

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Posted on Sun, 26 Aug 2012
Question: Was hospitalized in XXXXXXX for pain believed to me bladder/urethral in nature along with severe back pain. I have history of L4-L5 spinal fusion 3 yrs ago and also have Bertolotti's syndrome with partial sacralization on the left. I now also have a mild disk bulge at L3-L4. While in hospital I had urological workup including urinalysis and hydro distension of bladder. No evidence of interstitial cystitis. Had vaginal ultrasound which was also negative. I had epidural injection at L3 with no relief. Then had a left lumbar facet injection with minimal short term relief. Now scheduled for injection at L5-S1 where Bertolotti's defect is.
Had pap test done on 8/3 and now having same uro/back pain symptoms. Could this be interstitial cystitis even though hydro test was negative and I currently am not experiencing freq/urgency or is this all related to back condition and possibly pudendal nerve? Tired of being tossed back & forth between urologist, gynecologist, & neuro and still experiencing alot pubic pain when sitting.

doctor
Answered by Dr. Vineet Malhotra (17 hours later)
Hello,
Thanks for your query
Interstitial cystitis is occasionally a diagnosis of exclusion, if no other definitive cause for symptoms is found.
I need to know your current symptoms, ultrasound and urinalysis report.
If you don't have frequency/urgency, it is unlikely that interstitial cystitis is your problem.

I hope i have answered your query.
I will be happy to answer any other queries that you may have.
thanks
Dr Vineet Malhotra

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vineet Malhotra (5 hours later)
I don't have access to the ultrasound report or urinalysis results. They were reviewed with me in the Dr's office and there were no clinical findings. My current symptoms are low back/sacral pain, intermittent tingeling in back & (and sometimes front)of both thighs, left foot feels like someone is always gently squeezing it and big toe hurts. I also have pain in crease between thigh and groin area that radiates to pubic bone/vaginal area. It hurts more when sitting but is always there. Gyno & Uro workups were negative so I'm back with neuro & pain management. Pain manangement dr feels issues may be resulting from the partial sacralization on the left at L5? Am I seeing the right Dr?
doctor
Answered by Dr. Vineet Malhotra (5 hours later)
Hello,
Thanks for your response,

Your symptoms are suggestive of a neurological origin of pain. I believe your pain specialist/neurologist/orthopaedician should be able to help you with the problem.

The symptoms do not seem to have any urological origin.

I hope i have answered your query and will be glad to answer any further queries that you may have.
Thanks
Dr Vineet Malhotra
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vineet Malhotra

Urologist

Practicing since :1995

Answered : 41 Questions

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Back Pain, Taken Epidural Injection With No Relief. History Of Spinal Fusion, Betolotti's Syndrome. Interstitial Cyst?

Hello,
Thanks for your query
Interstitial cystitis is occasionally a diagnosis of exclusion, if no other definitive cause for symptoms is found.
I need to know your current symptoms, ultrasound and urinalysis report.
If you don't have frequency/urgency, it is unlikely that interstitial cystitis is your problem.

I hope i have answered your query.
I will be happy to answer any other queries that you may have.
thanks
Dr Vineet Malhotra