Inflammation and pain after having extracorporeal shock wave lithotripsy - back pain has actually become worse since treatment Why?

My partner has suffered with lower back pain for many years, however since having treatment for kidney stones two years ago, the pain has become worse. He is on pain relief tablets every 4 hours, and has been everyday for the last two years! Whats going on, he has been told he also has a nodule of some sort on his lumber spine. One other thing when he was a child he was kicked in the back (kidney area) and had been in hospital due to passing blood in his urine after this incident. I believe there maybe inflammation in this area that is being continually reinflammed due to regular movement. Has anyone experienced anything similar, or could offer advise on what might be going on? He is becoming more and more immobile as the months go by?

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10 Replies

  • Hello

    Personally I would expect the nodule in the lower back will not be effecting the kidney at this time, We do not know the circumstances regarding the kicking He received when young, was damage looked for at that time??

    You say that your partner had stones blasted/removed did the bleeding start soon after treatment or is the blood in urine a new problem, not associated with the operation He suffered in the past. Generally if some blood is still been passed you need to see the GP ASAP.

    With regard to the nodule on the lower back/spine they would have checked and XRAYED, also scanned so they will have discussed their findings with your GP. Again I do not know how long ago you were seen regarding this problem.

    You may need to discuss this also with your GP. Also if your partner has been taking a lot of pain medications He would be advised to see your GP regarding more suitable medications.

    Remember I am not a Doctor,you will need to make an appointment to see your GP, discuss all with Him in surgery

    Good Luck

    BOB .

  • Hi Bob

    Thank you for your reply. I think I may not have explained myself properly, my partner has been seen many times by the doctor and the hospital and his pain relief is prescribed. He has been to a number of sessions at the pain clinic, to seek advise, but now feels they cant help him, hence why we are taking it on ourselves to research it and try to find some answers. With regard to the incident when he was about 12 years being kicked in the kidneys, he was hospitalized for over 3 months and checked and assessed regularly but this was over 40 years ago - that was the time when he was urinating blood, this ISNT happening now! otherwise obviously we would check in with the doctor! what my belief is, that the damage tissue around his kidneys has been made scaring which is compressing on nerves and on his spine causing permanent inflammation, hence why the pain relief isnt working properly, he could take anti inflammatory but long term use of these pills is not favourable. Thank you for your concerns anyhow.



  • Have you discussed your theory with his GP? If so what did he say? Has he seen a urologist or spinal surgeon or orthopaedic specialist recently? What meds is he on and what has he tried? Is the pain just in his lower back?

  • Not discussed my theory with GP. However he saw a urologist who referred him on to a rhematoid arthristis specialist who checked him suggested 2nd veterbrae was the problem he has inflammation on the nerve causing pins and needles down left leg. He was given an MRI scan which disproved what the surgeon had first thought.... so it has been left at that. His pain relief is cocodamol every 4 hours and or tramadol. His pain is like having a fist plunged into the kidney area and kept there, relief comes from trying to stretch out or getting someone to put pressure on the area, but this is very short term..

  • Hello

    Mel, sorry I do not know what to suggest. If he continued with Pain control they would have trained him in the use of TENS and possibly recommended treatments. If is still suffering pain He should ask for a further referral as the whole problem seems to be getting worse. Sometimes a stone can be missed, something like that happened to me as the stones went missing and were lost on removal. Gallstones like mine can move through to different parts and block other areas. I do not know if this could be the case here the GP may ask for further tests.

    With regard to the problems with the spine you will possibly have nerve damage because of rubbing against against them. Most probably again there are operations that can affect relief With regards to scar material that will need to be checked. Nuro pain needs further medications like Amytryptalene. Is he suffering numbness and pins and needles going from Spine down the leg??

    All I really can suggest is if there is damage on the spine you will need to be referred for further treatment,this may have happened in Pain Control as they would have passed him down the line.

    The kidneys and scar tissue or damage needs possibly scans to find out what is going on.

    NSID medications can be taken long term, I have been taking them since 1976, although sometimes it takes a while to get an appropriate one to suit. The only problem MAY be is the kidneys, possibly that may need to be researched by a Specialist,and GP. they may need further scans to see what damage has been caused

    Again I need to explain I am not a GP so I would always bow to their judgment.

    All the best good luck


  • Hi, if you have a good GP, it is certainly worth you discussing your theory. I would ask for an up to date MRI and CT and referral to spinal surgeon or orthopaedic surgeon. A physio referral depending on the scan results may be useful too. A TENS machine is definitely worth trying if he hasn't already done so as it works on nerve pain, also anti inflammatory meds may also help if he is able to take them. The medications he is on are very similar. Has he tried neuropathic drugs such as gabapentin, pregabalin or amitryptiline? If you have a rubbish GP, then find a good one as they can make a massive difference in diagnosing and treating his condition. Good luck and keep us updated. x

  • I really think that had to do with the lithotripsy. I had that done in 2006 for small kidney stones and until this day my muscles that pushes my urine out are dysfunctional. When i was asleep during the procedure, They may have shock me extra times causing the muscle issues.

  • Hi borderriever

    Thanks for your last message. My partner has one stone left in, which the specialist have said should not be causing him the pain he is getting, the pain is not the same. He could have it removed, but they would need to go through his spine or something to remove it, so they have said it would be better left as it isnt doing any harm as it is.

    He has seen a urologist who referred him on to a rheumatology specialist who checked him suggested 2nd veterbrae was the problem he has inflammation on the nerve causing pins and needles down left leg. He was given an MRI scan which disproved what the surgeon had first thought.... so it has been left at that.

  • Hi Sharelle

    My partner has had both CT and MRI scans just over two years ago, not sure if they would tell him anything new? He did use a TENs machine about 10 years ago, but he thinks the pain he has now is from a pressed nerve, the tightness and discomfort is in his back permanently as apposed to intermitently (apologies for spelling). Thank you so much for your suggestions though, they are much appreciated, hopefully something will come up during our discussions, it is a bit of a mind field.

  • hi Eddie1825

    Many thanks for your message, my partner was awake during his procedure, but did not tell them when it started to hurt badly, even though he shouted in pain, he didnt tell them to stop, He didnt realise it wasnt supposed to hurt. So he believes some of his discomfort now has stemmed from that.

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