Have struggled with low back pain on waking L5/S1 told facet joint related for 10 years. Last 5 years low back pain appears to be forcing into anal region, especially on waking after lying on my back. I do not have sciatic nerve pain down the leg. The early morning back pain gives me bowel urgency in the mornings, however intermittent. The early morning back pain is chronic I have 6/7 hrs sleep, but when up and mobile I am better. This has all lead to immense sitting discomfort in my anal canal and lately incomplete evacuation. I appear to also have some prolapse issues, which may or may not be the driving problem. Surgery is mesh related for internal rectal prolapse and may not be successful, The surgery is complex (ventral rectopexy) including a spinal fixation and I fear my early morning back pain could worsen if I have surgery. (For those of you who understand prolapse my womb is at entrance of, and bladder well down. If I have a hysterectomy this could speed up the internal rectal prolapse. There appears to be no definite answers for prolapse when you reach 60 as internal ligaments are not as strong as they were when you were 30. The gynaecologist says one thing and the colorectal surgeon another.
Could a medication for arthritis help delay this inflammatory process in my spine?
Past blood tests showed RA positive, high ANA. Rheumatologists were dismissive some years back and I was dicharged.
I also have C5/5 narrowing, little pins and needles in hands, aches in arms at times normally morning after lying on my back and some knee pain and swelling behind left knee.
My medicine has been swimming which I do regularly. The healthy drug which has kept me sane.
Any advise most welcome.