About 3 years ago I injured my back throwing a large piece of construction equipment into a van at work. I saw a workers comp lawyer who sent me to a workers comp doc. The doc did nothing, absolutely nothing. His goal was to keep me in pain to drag out the court case and land himself a bigger pay day. He said the Xray was clean and that the damage was tissue related.
1 Year later I realized this doctor was a sham. His business quickly closed down. I began bouncing from one uneducated physical therapist to another, getting the usual exercises you can print from google images. No real help or diagnosis, just a full year of bed rest and poorly performed exercises that were not monitored or supervised.
2 Years after the injury I found out I was suffering from active myofacial trigger points in my spinal erectors, upper back, rectus abdominus, and intercostal muscles. At this point I realized that bed rest was not helping. My core muscles were deactivating and any time I tried to get out of bed I would suffer extreme spasms and nerve pain. To point where suicide was a daily option.
Most doctors would not give me pain killers because of my age (mid twenties) and the fact that my tissue damage was not visible to the naked eye or on an xray. Dry needling helped but only temporarily because it would hurt so bad I would go right back to bed and my core muscles would continue to stay inactive.
3 Years after the injury I finally found a great physical therapist. Apparently I had an EXTENSION injury and I was a CHEST BREATHER with little core strength, pain was attributed to active Trigger Points. Everything in his office usually goes right. Occasional flare ups were usually do to work or other outside factors. A few times we over did it in PT and I was left with some pain to deal with.
They had a great dry needling doctor on board who did amazing things for me, one time even deflating my right lung on accident, but I didn't blame him he was the biggest help in my life. A savior. He eventually left the office and I was placed with another great doctor who knows his shit. Only issue is I get no more dry needling.
I am midway through year 3 and have suffered a recent flare up that has somewhat sent me over the edge. While lifting something very heavy at work I threw my back out and it locked up on me. PT was no help, every exercise made it worse.
Soft tissue work- Done with a PVC pipe and/or tennis ball. This is done a few times a day and after PT.
Percocet 5mgs for pain- Terrible, I lost a brother to an OD earlier this year. Not to mention opiates suppress testosterone even when used acutely. Withdrawal is also hell and can leave your pain receptors with "rebound analgesia". I can rarely take this drug for more than 2 days straight without losing myself in it.
Baclofen 20-40mgs for spasms/spacicity- Cool drug but hard to tolerate. It releases a GH pulse after you take it and it also raises LH. Problem is it has a super short half life, is very addictive, and has a nasty rebound after cessation. Also clogs my sinuses up and makes me look and act drunk. Not something I can take daily. I'm also not sure if muscle relaxers are counter-productive to activating the smaller core muscles needed to support the spine.
I have no proof but I think it's possible that while they relieve spasms they also make things worse by messing with your mind-muscle connection or activation of core muscles.
Physical therapy- A must obviously. I have to stay mobile. I have to keep working on strengthening my core. But this is difficult when I am in so much pain or an acute spams occurs. I have been with these great doctors since March-ish. I know that 3 years of damage can not be fixed in 6 months so I will continue to work with these people.
My question, or prayer, is that anyone here has any advice or ideas or strategies. Anything. I would do anything, and I mean anything, for just a little relief. Any drug, routine, stretch, supplement, or magic elixer. Any words of advice, positive thoughts, anything. Please. I was a lifelong athlete before this and it kills me every day to live like this. Anything would be appreciated. Thank you.