Lower Back Pain..somone Advice.. Posted: 07-12-05 14:34pm
Hi all, I am new on here just thought I
would ask some questions.. I have this
back pain to my lower right side of the
spine (t9 ). This pain is elevated when I
sit for long time at work. It is at one
particular place. This pain also happens
when I play some sport and try to jump , I
feel like a catch or pull there. And it
hurts so bad that I have to relax ofr like
3 mnts for the pain to go off and then I
am back like normal to play again(with the
pain still inside but not really hurting
much after relax).. Also this pain
triggers if I climb the steps and my left
leg trips a step and the catch at the same
location again. This has been ongoing for
more than a year.. But no increase or
reduction in pain or health condition
except that if I sit long I start getting
the ache on that spot . This pain is not
really in the external surfce of my back .
Somehere deep inside is the pain.. I can
really feel there if I sleep on my stomack
and if someone just pushes that area down.
.. And I am like .. Oh my god.. That
hurts.. But the pain relieves down once I
sleep on the stomach for like 15 mnts..
Also this happens if somone has to push me
from my back without my consious . If
someone just goes on pressing the spine
joints with their hand at about t9 I can
feel the light pain . Also if I try to
strech and bend towards left side I fell
that pain.
So now to the treatment part. I visited
like 3-4 doctors.First ortho recomended
that I take t9 spine mri , ok comes back
wihtout anything major. Just says normal
wear and tear. No nothing really that
says there is problem. Doc recomends
chiropractic. No help after 5 visits.
Doc recomends therapy. Had therapy with
electric thingy with 5 visits. No help.
Back to square one.
So went to another famous ortho .. Takes
another xray of spin and suspects
shaurmen's ?? And send me to back pain
rehab with advanced theray ... No luck ..
Then had one muscle pain reliever
injection I think.. The injection was
really mild dint feel nothing when
inserted just inserted to my musles on the
lower right side..No help witht that
either. .... Went to another spine
specialist. Takes lumbar spine mri. No
nothing on the report. All normal..Doc
suggest that I go back to play and bear
the pain becos he doesnt see anything
wrong.
So my question is why cant any one find
the pain in my back.. Is there anything
thats advaced that can find my pain in the
back.. This pain is killing me really! I
am in my late 20's and I want to go back
to play the sport. Is there anyone who
have had similar problem and has any
advice..
Can anyone please advice me what should I
do..
Tj
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proboy74
New User, Becoming EHEALTHy
Joined: 17 Aug 2005 Posts: 3
Lower Back Pain Posted: 08-17-05 23:03pm
What would you recommend with an mri
report like this:
technique:. Multiplanar mri of the lumbar
spine was performed using spin echo
technique. T1, proton density and t2
weighted sagittal images as well as t1 and
t2 weighted axial scans through the l1-2,
l2- 3 l3- 4, l4- 5 and l5- s1 disc spaces
were performed.
Findings:. Coronal imaging demonstrates a
normal appearance to the spine. In the
sagittal plane however there is obvious
malalignment with a first-degree anterior
listhesis of l4 on l5. The etiology is
bilateral pars interarticularis defects.
(the l5 vertebra is sacralized; a small
diminutive l5-s1 disc is present and
normal.)
at anatomical t1 2-l1, l1-l2, and
l2-l3, there is a normal appearance to the
disc margin, to the contour and size of
the thecal sac, and to the exit foramina.
At l2-l3, there is some fluid in the soft
tissues immediately posterior to the left
facet joint, likely a small synovial cyst.
The canal at this level is normal.
At anatomical l3-l4, there is desiccation
and narrowing of the disc height. There
is circumferential bulging of the
posterior disc margin, accompanied by some
osseous sparring to the left of the
midline. Mild impingement on the base of
the left foramen is present.
At the malaligned l4-l5 level the medial
aspect of the right foramen is moderately
narrowed; because of the rnalalignment the
foramen is elongated in the
anterior/posterior dimension and narrowed
in the superior/inferior dimension. On
the left side at this level a severe
degree of foraminal impingement and likely
compression of the exiting nerve root is
observed. In addition, lateral recess
narrowing is present. Some stress
response in the left pedicle of l4 and in
the left lamina of l5 is seen as t2 signal
increase.
Impression:. 1. A transitional
lumbosacral vertebra, with sacralization
of the l5 vertebra and a normal-appearing
but small disk at l5-s1 noted.
2. Just above this level, at anatornical
l4-l5, bilateral pars interarticularis
defects have led to a first degree
anterior listhesis of l4 on l5. Moderate
right and marked left foraminal narrowings
are observed. Lateral recess stenosis is
present bilaterally but the canal itself
is not compromised and demonstrates
typical anterior/posterior elongation.
3. At the anatomical l3-l4 level, the
disc shows narrowing and desiccation.
Mild left foraminal impingement due to
left-sided osseous ridging is seen. The
canal is normal in size at the disc space
and shows some mild coronal narrowing at
the upper endplate of l5.
4. All of the visualized interspaces
above anatomical l3-l4 are normal. Each
of the vertebrae, including l4 and l5
demonstrate normal contour and signal in
the marrow space.
This is what a ct scan said: bilateral
spondylolysis and a resultant grade 1-2
anterolisthesis of l5 on s1. Mild
proliferative changes in the facet joints
at this level together with the
spondylolisthesis is resulting in a mild
posterolateral central spinal stenosis.
Otherwise normal computed tomography of
the lumbar spine from l1-s1.
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proboy74
New User, Becoming EHEALTHy
Joined: 17 Aug 2005 Posts: 3
Low Back Pain Posted: 08-19-05 21:02pm
I am 30 and I am a customs officer at jfk
airport. I work mornings which are not
that busy and I am not required to exert
myself that much in the area that I work.
I have been in a few car accidents but
don't remember having any back pain
associated with them. I played football
in high school but watch most games from
the sideline. I weigh about 240 and I am
5'10 tall. The weight doesn't help I am
sure. I am concerned about the fact that
my general physician told me the
orthopedist he referred me to would just
recommend pt and that surgery was the last
resort. This was of course before I had
my mri. The orthopedist told me that I
needed surgery and that pt would not do me
any good in my situation. I know one is
a specialist but the differing opinions
doesn't help matters. I still opted for
pt for a few weeks because the thought of
a laminectomy(spelling?) and spinal fusion
scare me to death. If after a few weeks
of therapy I feel no improvement or feel
worse I guess I will go for another
opinion and work from there. I have had
two pt sessions so far which consisted of
heat pads and electric stimulation on my
back and then stretching exercises for my
back afterwards. This helps but the
relief appears to be only temporary. I
know I have to keep at it so i'm not
throwing in the towel yet.