Back Again, And Again

I've had back issues for a long time.  This recent episode has been pretty much for all of this year.  I finally had to go to the doctor about a month ago, after nothing I tried was helping.  I spent over a hundred dollars on five different back pillows/rolls, and even gave away my very nice La-Z-Boy recliner to a friend and spent several hundred more dollars on an upright accent chair - that still needs a lumbar roll on it for me.  I've done my back exercises almost every day and have taken anti-inflammatory meds and muscle relaxers.  Still, it got worse, so I needed help.

About a week after I saw my doctor I had a real bad weekend.  Monday was just as bad so I stayed home from work and contacted my doctor's office.  My doctor was out that week, so one of the other doctors saw me and prescribed another anti-inflammatory and a drug for the nerve pain.  She also completed the paperwork for me to be off work until I saw the neurosurgeon.  While off work I continued with exercises, and started riding our recumbent exercise bike downstairs for 30 minute sessions every day.  Over the next two weeks the pain backed off a bit, I still felt it, but it was duller than it had been.  I was happy with the progress, but still very concerned about my well-being.

I saw the neurosurgeon about my back this last week, 3 weeks after the referral.  Our visit was very brief and he was interrupted 3 times by call or text as he was also on call with the hospital.  One of the things he did manage to clarify is that it essentially is a disc pressing on my nerve, the same disc I had operated on in 2000.  It was obvious that he knew the course of action he wanted to take, a 'Left S1 Selective Nerve Root Injection.'  A steroid shot to the back.  Now it can be up to two weeks for my insurance to preauthorize the procedure before I can even schedule it, and I was told they are several weeks out scheduling.  Wonderful.  Now, my question is, since he had to review the information to approve the referral, and he had been given no new information, then why couldn't we have gotten this going earlier?  The pace of the process is painfully slow, literally.

As soon as I left I contacted my doctor again.  At this pace I needed to get back to work, and I needed more help to be able to do that.  He essentially doubled my prescription for the nerve pain meds, and that has helped more than I expected.  I still feel when the pain shoots down my leg, but it is effectively dulled, mostly.  The side effect is tiredness/fatigue, and I feel it but it's not a bad thing, really.  It takes me down a notch, where I'm just generally more relaxed.  I need something like this for all the time, I think.

So, that's where it stands.  Far from over, but I am getting by much better.  I'll have to wait and see how the shot works and go from there.

Pictures of my 2011 MRI after the break, for comparison.  I don't have any pictures of my 2000 MRI.