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Ct Scan Results- Need Doctors Opinion

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blakemurray

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Joined: 19 Jun 2006
Posts: 6
Ct Scan Results- Need Doctors Opinion
Posted: 06-19-06 01:21am

Hey guys

could you please review my results and tell me how serious this condition is please....What are best options?


At l3-4 level there is mild diffuse disc bulge. There is no disc herniation

at l4-5 level there is mild to moderate disc bulge which is coniguous within the thecal sac . There is no disc herniation

at l5-s1 level there is disc space narrowing. There is a large disc herniation , which is central and posterior to the left midline.This large disc hernaition contiguous with and compresses the left s1 nerve root .It is contiguous with the thecal sac . The herniated disc extends inferiorly over multiple levels sequestration of the hernaited disc cannot be ruled out



anyone?
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IMShirl

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Joined: 30 Mar 2005
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Posted: 06-19-06 07:50am

Blakemurry ~

hi there! To be honest I am not sure if there are any doctor's on this site???? In your subject line you put "need doctors opinion". You will mainly find just regular people here. We can help you out with what most/all of this means if you are interested in hearing from regular people?

Imshirl
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blakemurray

New User, Becoming EHEALTHy
Joined: 19 Jun 2006
Posts: 6

Posted: 06-19-06 08:57am

Sure any help would be great!!!!!
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krisrench1

New User, Becoming EHEALTHy
Joined: 09 Aug 2006
Posts: 21
Location: new hampshire

Posted: 08-09-06 20:16pm

Did your doctor refer you to a therapist? I am a therapist and a director of rehabilitation and can tell you with all confidence that this is all treated naturally and you should be fine a a couple of months with the guidance of a therapist. The results are just fancy doctor talk for how your disc moved and where it is touching on each vertebrae. You have a bulging disc with a little bit of arthritis. You are prone to reaggravating the disc space and causing the discs to bulge again or even herniate over time, but this should all resolve itself in a matter of weeks with therapy guided exercises. I can steer you towards some resources if you are interested.
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IMShirl

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Posted: 08-09-06 21:06pm

Krisrench1 ~

are you saying you are a physical therapist? I had to ask because I have gone through pt for years with many different therapists and from different groups and in my case and many others I know of from other message board have had the same results with range from helping very little for a very short time period if it helped at all. My guess is what you are thinking is if someone with problems such as blakemurry has that pretty much all they would need is stronger back muscles? So with that said I am thinking you would have someone do muscle strengthen exercises? Do you also have your patients work on the most important thing and that being proper posture? Do you have your patients do water therapy?

I have a question.... May I ask why you come to message boards? Do you come to help others or just to refer them to other physical therapists? Do you your self suffer spine problems? Do you actually give advice which is free? The reason I ask is because you say you can steer people towards some resources when you could just post the resources on the board?

I still have other questions but I will see if you get back to me on these. :)

imshirl :wink:
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krisrench1

New User, Becoming EHEALTHy
Joined: 09 Aug 2006
Posts: 21
Location: new hampshire

Posted: 08-10-06 17:15pm

Wow, you come on aggressively!! I trust that it is ok for me to address you in such a direct manner also? Well here goes...No, I am not a physical therapist, I am an occupational therapist with special training in naturopathic approaches and holistic healing. I am terribly sorry that all of the "many different therapist from many different groups" have not been able to help you. I do have to ask this question...What type of specialist therapist have you gone too...Or have they just been outpatient therapists recommended by the md? For every patient that you find who is unable to heal from a therapist and is complaining about the results on a message board there are hundreds that get better with no residual pain. In fact, go read the many studies on back pain recovery and outcomes that you will find in the medical literature (try webmd for starters and jama to see for yourself) and you will find that 95% of all back pain is healed in a matter of weeks and that less than 1% of back pain actually needs surgery to find any relief....But I guess that all the medical community, holistic community, and therapy community is wrong and you and your meager social proof is right?

You could not be further from the truth about only needing stronger back muscles for blakemurry. All back injury that is not congenital, is resultant from biomechanical asymmetry with resultant improper muscle tension and stability on the spinal vertebrae. This may be caused from bad or incorrect posture, lifting too much weight for your back muscles to handle, lifting improperly, twisting, repetitive use of your back in bad positions (picking up items off the floor all day without bending knees, or sitting at your desk chair incorrectly), or even sleeping on the wrong surface for your body. Yes, I will admit that getting your small back stabilization muscles stronger is part of the process, it is not nearly the whole process. First, there must be realignment of your spinal vertebrae, then there must be retraining of bad habits to help maintain proper posture, there should be an ergonomic assessment of your house done and perhaps some activity modification done...Then comes the strengthening of your muscles to compensate for your newly created ligament laxity (sorry, ligaments do not heal themselves because of the poor blood supply...If you need a physiology lesson please ask for elaboration, otherwise I will just assume you understand this). The furniture you use, the activities you engage in, the bed you sleep in, the way you sit, and yes, even the way that you talk on the phone may need adjustment as postural asymmetry does need to be minimized in order to diminish the likelihood of the recurrence. And that is just to correct the physiological components of the injury...I have not even begun to discuss the other psychological and emotional reasons for bodily injury in this post as I am beginning to get long winded. That will be reserved for another post if you so desire. Just remember that there is a lot more to getting an anorexic person well again than just making them eat...The same holds true for people with back injury...There are many layers of why a body gets injured that are much deeper than just the physiological!!

I do not believe that everyone is treated efectively with physical therapy alone, though I do believe that going to an osteopath as your primary physician and starting with a therapy clinic that deals with only or mostly spines is a good place to begin and then to seek further options if these fail.

I do myself suffer from spine trouble...I have neck spurs on c4, c5, and c6 from my days as a wrestler and judo player and I had bulging discs at l4 and l5 that have since been resolved with correct treatment and have not come to bother me in 5 years...Though I did suffer from intermittent acute pain for 4 years prior to this.

I will give all the free advice that you ask for...I am not here to swindle...I meant that I have worksheets and handouts that I can email over to you if you ask for them. In the future if it is warranted and I find a website that offers a treatment that is similar to what I give, I will gladly post it for you...Perhaps I should give a weekly piece of advice on this forum with some treatment ideas to have for everyones perusal...But I did not want to intrude on the theme of this forum until I had earned my way in to begin with.

If you have any more questions feel free to ask...You don't have to be so aggressive and vehement next time....Just questions will be fine... I look forward to all of your dialogue.

Kris rench, ms, otr/l
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IMShirl

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Hi Kris
Posted: 08-10-06 19:42pm

Hi kris ~

I will be replying to this post but I will start another thread as I feel it is not right for us to take over blakemurry's thread for our conversation. I will be working on my reply as time allows me to do so. I will try to get it out as soon as I can. :wink:

thank you for replying.

Imshirl
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krisrench1

New User, Becoming EHEALTHy
Joined: 09 Aug 2006
Posts: 21
Location: new hampshire

Posted: 08-10-06 19:52pm

I look forward to hearing from you in a new thread...Thanks for allowing her thread to be beneficial to everyone and not having us do battle throughout it...Though I am not sure why I was attacked in the first place...I look forward to learning from you and perhaps teaching you and everyone in here something about holistic approaches to rehabilitation. Let me know the new thread title so that I may be ready for it.

Kris rench, ms, otr/l
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gjzh

New User, Becoming EHEALTHy
Joined: 01 Oct 2005
Posts: 28
Location: ,

Posted: 08-21-06 20:35pm

Blakemurray,

i am wondering if you have spoken to the doctor that sent you for the mri? What has he suggested for you? How are you feeling?

Http://spinetalk.Confor ums.Com/index.Cgi
http://tarlovcspine. Conforums.Com/index.Cgi
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