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Dr. Andrew Rynne

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Reason for pain getting increased after IUD insertion?

I delivered my last child on August 31, 2010. Eight weeks after, I had my post-partum check up and had an IUD inserted. By the end November 2010, I started noticing a pain in my left flank area. It was a dull aching pain, but when massaged deeply, would go down my back, wrap around the front of my hip and make the front of my leg go numb. I went to the chiropractor for about two months, then with no results, visited my primary doctor. Blood and urine tests were fine. MRI showed slight bulging in the RIGHT L5, S1 discs. Went to 25 physical therapy visits with still no relief. I gave up for a while on finding out what was wrong. By February 2012 (guessing), I had my Mirena pulled out by my OBGYN. I had been having lots of stomach pain and my husband had a vasectomy, so I really didn t need the birth control anymore anyway. By October 2012, I believe, I had an ultrasound because I was having lots of pain and cramping in my stomach. Results were normal. By then end of 2012, I was experiencing extreme fatigue and visited my new primary doctor. We tried different antidepressants until I stayed on Effexor XR beginning April 2013. I started seeing a massage therapist once a week beginning in probably August of 2013 for my back, with no relief at all. Extreme fatigue continued and after blood work kept coming back fine, he sent me to a cardiologist. In November 2013 I was diagnosed with Postural Orthostatic Tachycardia Syndrome (POTS). I was put on 5mg of Midodrine 3 times a day. My fatigue disappeared almost immediately. The pain in my back has always been there since November of 2010, but I was ready to try again since I was seeing a new primary doctor. He sent me to a pain management doctor who has now done 3 nerve injections, all with no relief from the flank pain (Deep massage did not seem to bother and make the front of my leg go numb though). Another MRI was ordered, and this one had the same results as the first, except I had a mild dehydration on the left side at L4,L5. My primary doctor still did not believe it was the cause for my flank pain, so he ordered a CT. Those results came back this week showing I had a swollen uterus. Since I am up do date with my pap smears and I had an ultrasound that showed nothing about 18 months prior, he does not believe this is the reason for the left flank pain either. I am completely at a loss and don t know what to do next. The pain management doctor said that it could be from the POTS. It has been going on for so long now that want to go down every avenue and rule everything else out before I just accept it as a POTS symptom. Sometimes when lying on my stomach, it seems to relive a little bit of the flank pain. The massage has just been aggravating it lately, and also laying on my right side seems to aggravate it. Since I can pinpoint when the pain started, I ve wondered if it could have had something to do with my last delivery or even the epidural from the delivery. I could use any insight or ideas that could maybe trigger an idea for my primary doctor. It has been almost 4 years since I realized the pain starting (and I have a high pain tolerance, so it could have been there for longer). I know this is a lot of information, but thank you in advance!
Tue, 21 May 2019
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General & Family Physician 's  Response
Hello,

As per your history, it may be due to infection.

For that you can take tablet acetaminophen.

Watch for symptoms like irregular bleeding, fever, abdominal pain, vaginal discharge.

In that case, you may require gynecologist opinion and IUD removal.

Till that keep yourself hydrated. Do regular blood pressure monitoring

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shyam B. Kale, General & Family Physician
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