A Happy Surprise and New Exercises

I got a happy surprise with the results of my lumbar MRI—only one slight, diffuse disc protrusion at L4/L5. Everything else looked fine! After suffering through debilitating back and hip pain for 13 months, I feared the worst. I knew my neck was bad, but I still didn’t expect the MRI to show what it did several years ago—three herniated discs. Because of my neck and the severity of my back pain, I tried to prepare for the worst with the lumbar MRI results. It’s hard to prepare for bad news when it I already feel like so much of my life is either stolen or diminished because of health issues, but I readied myself for one more piece of bad news. Instead, light!

There’s still no good reason for my back and hip to be so messed up. Idiopathic muscle spasms—possibly related to the cervical dystonia diagnosis I got a few years ago?—started torturing me seemingly out of nowhere last year. Sometimes I truly wonder if a fibromyalgia diagnosis is just a doctor’s way of saying she doesn’t really know what the hell is really going on.

In the face of misery—misery that is compounded by pain and spinal dysfunction keeping me from doing the vigorous exercise that makes me happy—I’ve discovered a random piece of exciting news. I can climb stairs without much pain. Lots of stairs. I walked up nine stories a few days ago and felt great. Today, I walked up outdoor amphitheater stairs ten times. Walking down sucks, and if it weren’t for having to walk down, I think I’d walk up a lot more. The building where I went up nine stories has an elevator, but I have major death trap phobia about elevators so it’s not practical for me to ride down. Maybe I’ll reach a point where I either get over the elevator fear or can better tolerate walking down, but until something changes, I like the outdoor stairs. I can walk up them and then walk down a grassy hill to start over.

I started another new adventure this week. I’m now working out with a trainer at the 24-hour gym where I hold a membership. I’ve already found that I haven’t been giving good trainers enough credit. This guy knows what he’s doing and is putting forth a lot of effort to help me correct the ridiculous anterior pelvic tilt that worsens my back pain. I have a second appointment with him tomorrow, and while I prefer independent exercise, I’m pretty excited about having a professional ensure I’m not making myself worse.

Meanwhile, the pain persists. I finally agreed to a round of bloodwork, which is something I’ve avoided for a couple of years now. I got very tired of getting the same old results—low white cell count and low red cell count and anemia—without anybody nailing down a cause. It just didn’t feel worthwhile to open a vein anymore, but I’m ready to look for answers again. I’ve also agreed to a few non-invasive tests, but have yet to decide if I’ll actually go through with them. Sometimes the worst thing about having health problems is the time it takes away from the good parts of life. But I know how lucky I am to live the life I lead, so I’ll just complain a little bit then get on with things.

Piroxicam and Tizanidine

Piroxicam 20mg

After ditching Lyrica, I resolved to do whatever I could to stay off prescription drugs. Very rarely, I took one Skelaxin for muscle spasms. The side effects weren’t worth it most of the time, but sometimes I would be so bad off that I had to take one. As the one-year anniversary of my back and hip issues neared, I couldn’t take the daily pain and stiffness anymore. I made an appointment with the doctor who’s worked on my neck in the past. He’s smart, isn’t afraid of the latest medical technology, and perhaps most importantly, he actually spends time with his patients and listens like a human rather than a hurried robot. Unfortunately, those attributes make it very hard to get an appointment, and I waited two months despite being an established patient.

When I did finally see him, he examined my back and hip and told me a few things I already know, like I have tight muscles and joint laxity. He decided to order a lumbar MRI, which wasn’t a surprise. He also talked me into filling a couple of prescriptions because he was very worried about my high pain levels and lack of sleep. I left his office with two scripts I’d never heard of before—Piroxicam and Tizanidine.

I thought I might not fill the drugs, but pain wore me down and I headed to the pharmacy. I figured I could try them once or twice and get off them quickly if they sucked. Piroxicam is an NSAID pain reliever and Tizanidine is a short-acting muscle relaxer. I was given instructions to take the Piroxicam once per day and the Tizanidine up to three times per day. I took one of each the first night, and was asleep within an hour.

Going to sleep quickly is a big deal with a body wracked by chronic pain. Hell, going to sleep at all is monumental. When I woke up the next morning, I didn’t feel hung over at all—I just felt better. I felt genuinely rested, unlike the crappy, forced sleep that comes from some drugs.

Tizanidine 4mg
Tizanidine 4mg

For several days, I took one Piroxicam in the evening and one Tizanidine before bed, and I felt great. I hiked 21 miles one weekend, and began to feel hopeful about a mostly pain-free back, neck, and hip. As always, I follow a healthy diet and use my hot tub as much as three times per day. The good food, warm water, and new prescriptions gave me a feeling of freedom from pain, and it was priceless.

That feeling was also short-lived. After almost a week, I noticed my back pain was getting more intense again, and my neck felt badly out of alignment. This seems to be the curse with my fibromyalgia—something new helps for a little while, but before long, I’m back to hurting.

I took a break from my nightly muscle relaxer routine and didn’t notice much of a change. However, I’m now on day two of no Piroxicam, and I feel like crap. I haven’t decided yet if I’m going to start taking it again, but I’m leaning toward yes. I’m scheduled for the MRI this afternoon, and if I get stiff having to lie still for it, I’ll probably come home and pop a Piroxicam.

Have y’all tried either one of these medications? If so, what’s been your experience? I’d love to hear from you.