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Conditions and Diseases > Back Pain Forum > Instant Pain/instant Cause? Or Gradual Cause?
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Q: Instant Pain/instant Cause? Or Gradual Cause?
asked by: revb on September 7th, 2007
New User
Things "were slow" 2 years ago at work & my longtime employer gave me the option of heavy freight hauling & lifting to keep working while waiting to get back into my electronics job. I was ok for a while but at age 52 I was delivering very heavy boxes in a confined space in a time constraint, in an awkward deep twisting bend. My back INSTANTLY was struck by an excruciating, sharp, intense pain during lifting & putting down a load. I could barely move after that and missed the next workweek; then painfully worked with elastic supports, ice & aspirin. Got my old job back 9 months later. At time of injury, workers comp exam included xray & a diagnosis of "sprain/strain", at which time I was told it would heal and would not last. At times the pain subsided some, while eating high doses of aspirin, and I truly tried to have faith that time would heal me. After ending my late-life occupation as a laborer, I suffered another 6 months waiting for healing and concluded that ending my heavy lifting job wasn't helping, despite what I was told about the short duration of a "strain". I then tried chiropractic treatment and employer denied comp coverage , saying the problem couldn't last that long. Not much relief. Finally 1 year & 8 months out, I saw an ortho specialist who prescribed an MRI. It showed a bulging disc at exactly where the pain instantly started and never left (right side between L4/5 with encroachment, with a smaller similar bulge next L up & next L down. This injury became painful instantly and permanently upon performing heavy lifting and has stayed in exactly the same place. Could it legitimately be attributed to a degenerative process unrelated to the work injury, or could the work injury cause this to happen in one movement? Could the condition have pre-existed without symptoms, then become painful instantly & forever by a motion? Could the initial diagnostic tests have been inadequate in using xray only? I currently have constant pain, my upper body strength is good, any bending is really bad. Can bulging discs happen as a reult of injury instead of degeneration, or would an injury make old buging discs go from painless to painful immediately; if so how? Is my situation influenced by workers comp money/politics?
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rollar64
replied on September 11th, 2007
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Hi reverb sorry to hear of your troubles, gee there are a lot of questions in your post, i will try to give you my opinion on some of them. Regarding whether you had a preexisting injury there is no way to tell, but i would think that beginning a heavy labouring job ( i don't think i could envision a job more likely to induce a back injury than the type of job you describe) at your age would be enough to cause your injury even if you were in perfect health.

I would think that if you had a preexisting injury, you would have felt at least some small amount of pain in the way of stiffness, and some sort of discomfort. You don't mention this.

A standard xray is not much use when it comes to diagnosing a back condition or injury. I think your diagnosis of a sprain/strain was not much better than a guess.

It is possible that disks can rupture sometimes as a result of a slow degenerative process. Sometimes people have a number of ruptured disks, without even being able to recall a traumatic event, but they would usually have history of back trouble.

You asked "Can bulging discs happen as a result of injury instead of degeneration, or would an injury make old bulging discs go from painless to painful immediately; if so how "?

To the first and second questions, yes to both. Disks are made up of a tough outer rubber like layer and have a center that has the consistency of jelly if the disks are subject to to much force they can either bulge or rupture with the jelly spurting outside the torn outer layer, either a bulge or the jelly can interfere with the nerves, or the lack of abnormal disk can cause mechanical problems in the spine.

As for workers comp, money/politics, don't get me started.

Good luck with your injury.
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revb
replied on September 11th, 2007
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Thanks for your thoughtful reply. To elaborate, no, I did not have any discomfort before the instantaneous painful injury. While I won't get into the legal aspects, it seems to me that the "strain" diagnosis was designed to see no evil and served in fact to divert my attention from further, faster diagnosis and treatment. Since I'm not a medical professional, I didn't know that xrays can't find a lot of important back injuries, but those examining me should have known this. It certainly was a traumatic event. If you, or anyone, ever read(s) this: what would you do to treat a bulging disk? I know of one person who had some type of surgery, then resorted to fusion and permanently reduced activity...
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rollar64
replied on September 13th, 2007
Experienced User
Hello Revb, i think you are right about the strain diagnosis being a way to pull the wool over your eyes at least partly. It seems when there is no simple and effective treatment for a condition such as a bulging, or ruptured disks, doctors sometimes downplay, deny, or simply fail to investigate properly the true status of an injury.

As far as treating a bulging disk surgery is usually a last resort, only to be considered after other conservative treatments have failed. If what i have read on the subject is correct, sometimes it is possible for a bulging disk, or even a ruptured disk, to heal itself after a period of time.

Maybe you should start by seeing a qualified medical professional, who knows they might actually be of some help, (fat chance) Smile ,seriously you probably should. I would suggest trying to remain fairly active, and avoid any activity that aggravates your injury if possible. Gentle swimming, breaststroke i think is ideal, stretching, and trying to maintain your joints full range of motion, (hips, knees, ankles, back, and shoulders,) would also be helpful, walking frequently is probably essential, try to avoid sitting for long periods, i don't know how hamstrung you are but you should try to keep as active as you can, as you probably know there is not a lot of hard science in this area so i would also be cautious, you also said one of your disks is ruptured, in that case i would be even more cautious.

Once again all the best revb, if you have any more questions i would be happy to try to help. As far as dealing with the medical profession i will quote Reagan, "trust but verify", one of the few smart, and funny things he said. Doctors have a tough job they are not all bad but they often just don't have the tools to help particularly when it comes to back injuries.
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