Join Our Community!
Share
What structures make up the spine? We review basic spine anatomy here...before identifying potential causes of back pain....
Click here to learn about the most common causes of back pain, and things that increase your risk of backache. We cover lower back pain and upper back pain....
Back pain symptoms may seem obvious. But do you know when symptoms of back pain are more serious or when to see a doctor? Learn what action to take & when...
Avatar
Q: Spondylolysis
asked by: Disneygirl on December 22nd, 2008
New User
So I went to the orthopedist today. He said that I do have unilateral spondylolysis. He forgot that I told him that I have pain! I told ohim once again that I do have pain and now every it's everyday and it radiated to my left, right or both legs. Then he said that since the defect is only on one side, he will not treat it, even though I have continuous pain. I insisted on the pain and he ordered to get a CT scan.

Do you agree with him? I mean not treat it? So he's just waiting for the other side to break to start treating it?
I am really disappointed with him.

What should I tell him the next time I see him?(January 14)
Any advice? Please.



Oh, and Merry Christmas!
Did you find this post useful?
|
Replies(11)
Avatar
littleonefb
replied on December 23rd, 2008
Extremely eHealthy
Get another doctor and get another opinion. Better yet, get a third and fourth opinion before you decide that this doctor is correct.

He isn't listening to you, you don't sound like you trust him or believe what he is telling you.

I don't have any personal experience with what your spine condition is, but the issue is really that you don't believe what he is telling you. You aren't satisfied with his opinion and you are questioning everything he is telling you.

If he can't remember what you are telling him, I personally wouldn't trust him. I wouldn't get the CT scan either that her ordered. that is an extremely high dose of x-rays that you have done if you really need it.

Sounds like, to me, this doctor doesn't know what he is talking about.

Go see another spine specialist, either another orthopedic surgeon that specializes in spines only or a neurosurgeon that specializes in spines. After doing that, go see another one as well.

Take all of your records with you, results of all tests that you have had done and get those other opinions as soon as you possibly can.

Fran
Did you find this post useful?
|
Avatar
Disneygirl
replied on December 23rd, 2008
New User
thanks for the reply. I have told my mother that I do want anthoer doctor but she just said that the others will say the same thing. I've read and read on my condition and the usual non-surgical treatement option is exercise and bracing. I was really sure that he was going to put me in a brace so my lumbar spine would be limited from movement and would give the fracture time to heal.

He ordered me the CT scan to how irratated my nerves were because of my leg pain. I guess that I'll have to wait yet another 6 months to se if he puts me on a brace.I will update and tell you the results of my CT scan.(I will have it on Dec. 29)-results are usually 2 days after.

Thanks for caring and what you have told me will stay in my mind.

-Claudia
Did you find this post useful?
|
Avatar
littleonefb
replied on December 23rd, 2008
Extremely eHealthy
A CT scan will not show the nerves or if they are compressed. It will show how much room there is for the nerves to pass through the areas of the foramen of the vertebrae.

MRI scans are done to see if there is nerve compression.

I would think that your doctor would have ordered an MRI to determine if there is nerve compression.

Your research is correct about conservative treatment and it is possible that another doctor would say the same thing as your present one is saying.

On the other hand, you could get very different opinions as well, and it's important to have more than one opinion, especially when you are not comfortable with the doctor or the doctor's advise.

My concern for you is that your present doctor is ignoring you, what you are telling him you are feeling and where your pain is.

A good doctor will be listening to his/her patient and what the patient is saying, where the pain is located and what the patient is feeling.

x-rays, CT scans, MRI scans are only tools to use in the diagnosis of a patient, and they should be used only as a guide to help the doctor match the symptoms that the patient is experiencing and finding the cause.

From what you are saying, your doctor is using the x-ray pictures only to diagnose you and is not listening to you.
The x-ray pictures diagnose a specific spinal problem, but it is not explaining why you are in the pain you are in.

You should try and explain to your mother that you understand that she thinks any other doctor would say the same thing, but your doctor is not listening to you and is not suggesting the appropriate treatment for your known spinal condition. Your doctor is not using the usual protocol to treat you and the best thing you could do is get a second opinion before fully following the advise of your doctor.

You should tell her that you are not comfortable with your present doctor, he doesn't listen to you, doesn't seem to care what your symptoms are and doesn't remember things that you told him, including the pain you are in.

Those are all signs of a doctor that is not doing his job, is not treating you properly, doesn't respect his/her patients and you need to seek out a second opinion and do it right away.

Good luck and keep us posted on how things go.

Fran
Did you find this post useful?
|
Avatar
Disneygirl
replied on December 23rd, 2008
New User
okay, i will update. thank you so much for answering back!

Merry Christmas!
Did you find this post useful?
|
Avatar
painfulbanter
replied on December 28th, 2008
New User
I too have a spondy.
I am 26 years and have had this all my life. I have been to countless Doctors and two years I am at my peak of my pain. I recently gave up all my old pills only to see that my pain is really much worse then I thought, and also that doctors don't trust your pain scale. You could go to another dr but I have been to about 80 dr appointments these last two years. and have like ten different x-rays, 3 sets of ct scans, two mri's, a bone scan, pt, ejections and been addicted to methadone while on the fenetal patch. I will soon see a specialist in u.c.s.f. and I hope to get my long awaited new life back. The ct scan I think is to see how far your bone has slipped(grade) I wish there was more I could say try all other alternatives before going under the knife
pt
injections
acupuncture (did help a lot but can't afford it.)
exercise
stretching
massage
herb
I hope this helps keep your head up, it can't rain all the time.
Did you find this post useful?
|
Avatar
forumnut
replied on December 29th, 2008
New User
Spondy can be caused by many things but it's usually trauma to the back. In my case, a skiing accident caused it but you can suffer from it as a baby from simply learning to walk and falling on your bum.

See as many doctors as it takes to get diagnosed - it's BS when they talk about one side or the other. Your spine is not locked together anymore, and it sounds like you do have vertebral slippage if you're suffering sciatica. Spondy usually comes with spondylolisis - the inflammation that causes alot of the pain. Aspirin or some other anti-inflammitory can help.

If surgery isn't an option (it's one i'll never choose unless i'm headed for a wheelchair) then you MUST and I can't stress enough MUST get your lower back muscles built up. And don't wait to do it - there is no miracle cure for what you have - you have to live with it.

Does your pain feel like burning in the hip that radiates down either leg? hard to pinpoint the pain? My sciatica was localized in the right hip and it felt like someone was holding my leg in a fire. The only relief I could get was holding myself as tight as I could in a fetal position.

Get yourself to a chiropractor, one that comes highly recommended by friends or whomever. You will need a physical adjustment, yes the back cracking and it will probably get worse before it gets better. A bad one can ruin you for life - he/she can send you for x-rays and give a proper diagnosis - they are the back specialists and can be your salvation. I told the one who fixed me up i'm going to kidnap him and take him with me Smile You need to get good side on xrays for proper slippage measurements.

Drugs never helped me much over the years, T3's did nothing, robax is totally useless, morphine and demoral put me over the edge. I was told about a drug called Mersyndol - an over the counter med that worked wonders for me.

Try something - when you're having pain, squat down and get into a very tight fetal position, then stretch your back out - does it help?
Did you find this post useful?
|
Avatar
Disneygirl
replied on December 30th, 2008
New User
thanks for replying. My pain just starts in the lumbar back as always and then goes to the hips and goes to my leg, then intensifies in the knee, and then continue down. As for my lumbar pain, sometimes it's in the right, left, or just general.
My doctor says I don't have slippage, I just have the crack. but's it's only on one side so he said that it's "untreatable." I did have a CT scan yesterday and results will be in tomorrow so I will tell you what it says.

I usually take Motrin for the pain but it doesn't really take it away. And I don't want to depend on Motrin because it's too powerful and I don't my liver to be damaged along the years.

It REALLY REALLY hurts to bend backwards. And I know that's typical. I did start doing some abdominals..hope it works.
Did you find this post useful?
|
Avatar
forumnut
replied on December 30th, 2008
New User
I personally say your doctor is full of it - there's movement - has to be, and you're feeling it. Go talk to a chiropractor - these people specialize in the back, even if you don't want the adjustment at this point.

That's unusual that the pars is only cracked on one side, i know a few people that have spondy, and it's a full break on both sides. Your situation is probably worse in that you're getting torsional movement instead of full slippage and the added strain on the unbroken side of the pars. I can imagine that would cause some wonderful flavors of pain - not to be a smart arse here.

My spondy was only diagnosed when it was at it's worst - the break and slippage was clearly visible with 10mm of movement. If I had an xray today, it may not show cause my back has been 90% for many years now. Were your xrays done on the worst of your days? cause that's the only way they will really know the extent of the damage and movement.

Have they checked for a slipped or ruptured disk to go with your pain? have they done the xrays on both sides from different angles? Have you sat down and talked about your condition with a chiropractor - discuss your options with the people who know it most. You may be dealing with a pinched nerve as well - do you get any numbness in your limbs at any time?

There is aways hope with these conditions Disneygirl, i've had my share of pain and drugs over the years but today i don't need to take anything. Was told by the chiro that fixed me up that i could be in a wheelchair by the time I get to my 40's - i'm 37 now. i live my life normally and i don't baby my back - always pushing the limits and always working it hard. I don't have much pain anymore and at most, my lumbar region will get tired and a little sore from inflammation from time to time. But again, my lower back muscles are strong and you HAVE to rely on your muscles to keep your spine aligned. It can't do it by itself anymore.

Please do post back. the more information you give, the more you can get Smile Good luck and keep smiling.
Did you find this post useful?
|
Avatar
Disneygirl
replied on December 31st, 2008
New User
forumnut, you have showed great concern and I really appreciate it. Okay so I got the results today.
It says: There is minimal spondylolisthesis to L5 and bilateral L5 spondylolysis.
And the other things it says doesn't mater. It says that everything else is okay.

So I don't get it. So the other side broke within a week? I did have a huge pain on the right side one day, maybe that's when it happened. Anyways, my appointment is on the 14, but my mom is trying to get it sooner.
Did you find this post useful?
|
Avatar
forumnut
replied on December 31st, 2008
New User
It concerns me to no end disney - I went through hell and back for years with this... And when you bring mom into the equation....

First of all, how old are you Disneygirl - I get the impression you're in your teens? And how long has this been going on - how long have you been in pain? Are we talking months or years? Was there a traumatic event prior or did it just appear one day?

I was 15 when the accident happened and didn't get a diagnosis for 10 years - was told it was all in my head and yeah, my mother believed them (they are doctors - you are not). She didn't understand the pain that came with this condition.

Short of surgery, there really isn't a heck of a lot any doctor can do to treat you for spondylolisthesis, and that's an unfortunate truth. Surgery isn't an option I would look at unless this condition would drastically affect my lifestyle. Spondy is like a broken rib, tape it and hope it heals and the body compensates.

If this is a new condition for you, then yes, a proper diagnosis is what you need. You don't want to exacerbate the condition if there's a chance of it healing and maybe a chiropractor can make it worse for you. Never know. You know your body better than anyone, and you probably know what makes it better and worse at this point.

I've tried corsets and other braces to no avail. It's something you have to learn live with. BUT the proper diagnosis of grade is the key.

20 years down the road and I feel great - but I haven't had an xray for 12 years now and I don't know the status - maybe it healed, or maybe my body has compensated for the injury - I don't know. I can still feel the L4 vertebrae protrude when I bend over - some days it's worse than others.
Did you find this post useful?
|
Avatar
SponilolesthesisSufferer8
replied on January 2nd, 2009
New User
Hey guys I am a gr 2 already fused spondy
My life is terrible and I have contemplated suicide several times due to the pain I have to live with everyday of my life, my pain is not only physical but mental and emotional as everything I loved in life was snatched from me when I was diagnosed with this condition and since the surgery my life has been hell. I used to snowboard, skateboard and breakdance and they were a big part of my life and things that I really enjoyed doing in life. I guess I'm just lookin for people who can relate with my pain because no one can and it just upsets me everyday of my life, I am on disability because of it. I just want my life back.

Darren
Did you find this post useful?
|
Quick Reply
Search