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Findings:
There is motion artifact.
From T11 to the cacrum was imaged. Vertebral height and alignment are maintained. A small hemangioma is identified within the L3 vertbral body, hyperintense in signal.
At L5/S1, there is disc desiccation with preservation of disc hight. There is a concentric disc bulge with posterior central annular fissure causing minimal thecal impression. No limiting central or foraminal stenosis is present.
The remaining intervertebral disc spaces are well-maintained. The conus terminates at T1 and is normal in signal and in caliber.
Impression:
1. Disc bulge with annular fissure at L5/S1.View Thread
A selective nerve block injection approaches the affected nerve at its exit point from the foramen. Both an anti-inflammatory medicine and an anesthesia are injected and a live X-ray is used to determine whether the injection has been done at the correct spot. Immediate relief from the pain is an indication that the selective nerve blocks treatment was just injected in the particular nerve. There is no definite guarantee that the pain will be removed permanently; in fact, in worse cases, it can lead to lifelong pain in the legs.
View Thread
A selective nerve root block injection approaches the affected nerve at its exit point from the foramen. Both an anti-inflammatory medicine and an anesthesia are injected and a live X-ray is used to determine whether the injection has been done at the correct spot. Immediate relief from the pain is an indication that the selective nerve blocks treatment was just injected in the particular nerve. There is no definite guarantee that the pain will be removed permanently; in fact, in worse cases, it can lead to lifelong pain in the legs.View Thread
the pain has gotten worse sometimes I wish I would not wake up the pain can get that bad.Nothing the doctor has tried has worked I have gotten pain blocks injections pt and medication I am getting so depressed.I just
want to be able to raise my children and not be in so much pain I feel like it runs my life.Anybody that is dealing with this have any advise how to live life in pain?
Thank you
dd1020
View Thread
1) Have lower back pain that has persisted for weeks/months/years at a time with seemingly no cause?
2) Have you attempted to get X-Rays and/or MRIs to diagnose this problem and gotten a "clean" bill of health, even treated like your problem was unimportant or, worse, not real at all?
3) Are you double-jointed or more flexible than others?
Then you might want to read on - I might have an answer for you.
Hi,
I have struggled with lower back pain since I was a teenager, with a worsening in intensity as I have hit college years and my mid-twenties. It became so excruciating that I found myself going home immediately after classes to lie down, as that was the only way to get some form of relief. Any type of job has required me to be on a substantial amount of pain medication every day just to handle standing on my feet. We all know that pain medicine is harder and harder to be prescribed these days, and it is not ideal to take long-term anyway, as it is not a solution to the problem.
Anyway, I was becoming frustrated as I went to a chiropractor, which provided no relief, and then a spine doctor, which only afforded me a very expensive MRI and some X-Rays, both of which showed nothing except for some slight scoliosis (curvage in my spine). I have been informed by more than one doctor that scoliosis is not as scary as it sounds to most, and that a lot of people have it without any symptoms.
Finally I went to a physical therapist. I described my frustrations to him and he said, "I know what you have without even looking at you". He described something called Hyper-Mobility Syndrome to me which apparently occurs in many more flexible people, especially double-jointed individuals. He said that he has treated many dancers and gymnasts for this condition. A person with HMS has more flexible ligaments, which is good because it makes it much more difficult for us to break things, but bad because if the muscles in the lower back are weak, the ligaments start to stretch and strain in attempts to hold the spine in place.
At first I was skeptical after so many years of not having an answer, but I have been going to physical therapy for about six weeks now and I can actually feel a big difference. It's not excruciating to be on my feet for more than a few hours anymore, and I feel like with a few more weeks of work and continued exercise I will reach a point where I might only need my pain medicine on "bad days". My physical therapist said that there is no cure, only treatment, which is namely exercising one's core and doing aerobic exercises to keep the muscles in the back strong, but it is a manageable condition and doesn't have to control one's life. He himself has the disorder and is obviously very successful and lives a very normal and enriched life.
I took the time to post about this to spread awareness in case there was anyone like me that has been suffering from mysterious back pain and felt that there was no answer in sight. I hope this is helpful to even just one person out there looking for answers. I for one never knew that the ability to touch my toes to the back of my head and bend my thumb all the way flat to my wrist could mean a painful physical condition, but I feel much better for having found out.View Thread
Take the Poll
I have immense pain in lower back and right leg . As per my doc and MRI report/NCV test , my right lower limb nerve is pressed by disc l5 and S1 .in my NCV test sensitivity in right leg was negligible .
My MRI report.
1) Loss of lordosis.
2) Mild posterior bilge of L4-L5 and L5- S1 disc .effacing the anterior epidural fat, abutting the thecal sac ,encroaching upon the neutral foramina and intending the nerve roots.
3) the AP canal diameter ,are as follow , L1-L2 : 1.68 cms , L2-L3 : 1.64 cm , L3-L4 : 1.46 cms ,L4-L5 : 1.29 cm , L5- S1 : 1.02 cms.
NCV test (lower parts ) :
1) left side : 26.5 ms.
2) Right side : absent .
My right side leg nerve have no any sensitivity.
[br>BLOOD TEST : HLAB27 : NEGATIve
I just want to know is it possible to treat my pain with yoga and PT. Or I have to opt any surgery.?
View Thread
Take care ~~ God Bless ~~
~~ Joy ~~
when you made your account with WEBMD you agreed to the guidelines set forth which state you cannot mention hospital name/personal physician names etc.,
We would like to hear your story, however keep in mind that you cannot mention personal information.View Thread
Take care ~~ God Bless ~~
~~ Joy ~~
My now 16 year old had a spinal fusion and decompression when she was 14 from L4-S1. She now has 2 broken screws which happened within 2 months of her surgery. We have no idea how they broke and neither does the DR, the other 4 screws are fine. Since the breaking of the screws my daughters pain has gotten worse by the day. We are being told the pain is due to nerve damage from the broken screws. My daughter, as you can imagine, has had a horrible time dealing with these issues. She has had to be taken out of school and does not have a social life because of her horrible pain and limitations. I do not want to put her on pain meds if I can help it and so we have been doing everything else possible trying to get her reliefe. I just want my daughter to be a teenager. Her friends are at the mall and she is in bed because she can not stand, walk or sit for more than 5-10 mins at a time. I have had a hard time finding any groups she can join for kids her age that have chronic pain. does anyone have any suggestions? Thanks you so much before hand.View Thread
For the passed 3 months my back has been stiff when bending over and doing some movements, not to much pain jus thtness and soreness if I have just worked out the day before...
I saw a orthopedic and he said wait 6 weeks and it should be fine, now six weeks later its probabley the same maybe a little better.
this problem didn't occur after a injury or trauma which really baffells me...ive been doing stretches and icing and not much benefit.
what really scares me is I have this small bump on my back which I found a month or two before the pain (under skin) does not cause any pain . I had it checked by my primary and he said its just a sebaceous cyst. I don't know if its related to my stiffness but im scared I have like back cancer or something...
I want to see my ortho again but I couldn't get an appointment for another month
what could my problem be ? help?View Thread
So I'm supposed to have my second lumbar medial branch block test done next week. I had the first one yesterday and it was successful in that my back pain was relieved almost completely. For some reason they have to do this horrible test again before doing an actual rhizotomy. I'm scared to death about the rhizotomy. This test hurt pretty freakin bad and the incredibly uncompassionate nurse working with me yesterday told me that " Oh no the rhizotomy is worse. Yeah they can't give you sedation. Some people tolerate it just fine, and some scream through the whole thing. You know, some people just have a lot of anxiety. If you change your mind just call and cancel". Wow, really Nurse Ratchett? Thank you! So tell me people, how much worse is the actual rhizotomy that the test? Also, from what I've been reading the CAN give you some sedation, as long as you are alert enough to tell them when you feel pain. Can anyone give me some insight here? I'm more freaked out about this than I was about having bypass surgery because at least there I knew I would be anesthetized!View Thread
I do not have a lot of experience in posting to these forums but will give it a try
For starters here are the diagnosis I have
Lumbar Spinal Stenosis (3 levels) 3 bulging discs a L1/L2. L2/L3 & L3/L4 with spinal cord effacement Full loss of spinal curvature in the lumbar region Thickened ligament flavem Facet Joint Hypertrophy of all 6 of the facet joints in the lumbar region with fusion starting Suspected Anklyosing Spondylitis (Dx testing underway) Crohn's disease Microscopic Colitis (CC)
As far as meds
Note: can't take NSAIDS with the Crohns and Colitis per my Gastroenterologist
Imuran 100mg daily Allopurinol 100 MG daily (to help the Imuran) Atenolol 50 mg daily Oxycontin 15mg 2x daily / every 12 hours for pain Lidoderm patches for the lower back
I have been seeing a pain management doctor who is a anesthesiologist who is trained in pain management. He does not work full time in PM doc but like all of the doctors at this PM center gives a certain percentage of his time to the group.
About every 8 to 12 weeks I have been getting an epidural steroid injection with 80 to 120mg of Kenalog-40 usually at the upper portions of the lumbar region using the transformal approach
I usually get about 2 to maybe 3 weeks relief that is reasonable and a LOT of mood swings, sweating insomnia etc.. and of course each time I usually gain about 7 pounds. Since starting in October of last year I have had 6 of these injections done, each with about the same result.
The pain I experience is mostly in the lower back and pelvic region in the hip joints. Overall making any real activities not possible.. I can't drive for more than about 45 minutes without pain, stand for about 15 minutes without pain and both upper legs going numb from the knees up.
Laying down is the most comfortable, but can't lay on my back without my legs going numb from the knees up and can't lay on my sides without the hips hurting. Overall sleep is a problem.
My pain doctor does not want to increase the dosage and does not want give me anything for the breakthrough pain (due to the Crohns I cannot take NSAIDS) although he wants me in physical therapy which causes a lot of pain the night and day after. He also would like me to consider doing without pain meds altogether and rely on the steroid injections which have minimal long term effect.
My PM doc is willing to prescribe the 15mg oxycontin as long as I'm able to receive the epidural steroid injections.
The 15mg Oxycontin has minimal effect and is only really useful in reducing the pain while I am laying down, it does nothing if I try to become active.
What I am trying to do for myself and is helping a bit, is using swimming as a form of excercise and have a adopted a low carb diet with has worked wonders for weight loss. I also use meditation to help deal with the chronic pain.
Overall I am at my wits end...I have missed my daughters college graduation and my sons graduation from the Air Force Academy. I'm in bed most of the time while I'm not at work. Fortunately I work as a physicist at MIT which accommodates a very flexible schedule. Almost any other job I would have had to leave by now.
The question is what do I do?? Why is it so hard to manage pain from a well documented condition (MRI and CT)
Any suggestions?? I really could use some advice right now. It his has been going on for about 8 years now at a lower level and has been 'critical' for about a year now. It took almost 7 years just to get the MRI and CT.
Thank you in advance
JoeView Thread
The tops of my feet and my fingers constantly feel like I'm stirring them in bowls of sewing needles! I have over the past few weeks come down with a new pain. it's hard to explain but it feels like it's under my shoulder blades and I scream out when reaching for something or sometimes taking a breath. I don't know why I am boring everyone with my problems. I guess, I don't know.
everyone have a blessed eveningView Thread
2012 Lumbar Spin Fusion
FYI. i have had had physical therapy,ESI, trigger point injections....norco 10/325, percocet 7.5.
I am still in the very same pain as when it started.
Meds dont help any more and IM OUT OF OPTIONS
What do I do?View Thread
2012 Lumbar Spin Fusion
FYI. i have had had physical therapy,ESI, trigger point injections....norco 10/325, percocet 7.5.
I am still in the very same pain as when it started.
Meds dont help any more and IM OUT OF OPTIONS
What do I do?View Thread
Since November, I've been much more passive physically and my pain level has decreased. I don't know if it is because I've healed since then or if it is due to my not being as physically active (I spend most of my time in a recliner, though that hurts, it's not as bad as it used to be.) My problem is that I submitted disability paperwork around February of this year. My disability has not yet been approved. I've thought about going back to work just to see if I could handle it, but, I can't afford to start my paperwork all over again if I find out after a day or a week or a month that I can't handle it. I know that once my disability is approved that they allow a person to have a trial period to try to return to work. But, do they offer such a trial period while the disability paperwork is being processed?View Thread
After plenty of online researches i found this really useful website.
I have had low back pain since 2007 now. Now i'm acknowledging it has become chronic pain.
I never had any problem until 2007 (i was 27 at the time) where i overtrained at the gym and had a major episode of lower back pain. From then on...
I feel the pain mostly on the gluteus (especially the left side), hips and all the area around L4-L5. Most of the pain come when i sit down, and i have to force myself to stand up as long as i can.
I took X-Rays and MRI and there's no sign of major problems, only the facet joints seem a bit deteriorated but they told me it's normal giving my age. I also i have a bit of scoliosis but it seems it's irrelevant. I have been told my spine is straight and it's a bit of a problem. Still i feel this doesn't justify all the problems.
The back pain is affecting my life very much and i don't know what else to do. I quitted football, snowboarding, swimming and a lot other sport activities i used to do. I have problems travelling because when i sit down too much i have this severe episodes of back pain i cannot control. My social life has worsened.
I saw chiropractors, osteopaths, physiotherapists and orthopaedics, it's very expensive. Everybody somehow agrees it's because i have no core muscles, my spine is straight, i'm very skinny, and have fairly bad posture.
However, i started about 4 years ago to regular exercises, every holy day: yoga, pilates, specific stretching and back exercises, i wear feet insoles and i just bought a back support (which i don't really want to use).
Still, for a nothing, i get into this episodes of back pain. Actually there isn't 1 day that i wake up fine. I rest: pain, i work out too much: pain.
I know that many people suffers from terrible bad conditions, i just wonder why i have all these problems if the exams show there's nothing serious in my spine.
I'm only 33 and this problem is definitively affecting my life psychologically.
Any advice would be appreciated,
ThanksView Thread
Salient Facts:
from 1975 to 1978, undiagnosed Lyme Disease, elbow locked in place twice, knees drained of fluid twice, symptoms stopped when given antibiotics for another condition.
In 1986, 22 years old, injured rhomboid muscles on right side using Nautilus back machine and the beginning of lifelong trigger issues on both sides of my back.
1986 to 1993, continued problems with shoulder, upper back and neck stiffness and strains, off and on weight lifting and cycling. Saw numerous orthopedic and sports medicine specialists to no avail.
1993, received a cortisone shot in my right shoulder in Budapest, Hungary, 30 minutes later had a reaction of burning pain and dizziness. Was told the symptons were not consistent with a reaction to the shot.
1999, MRI by Orthopedic Surgeon found cyst in right shoulder/upper back and operation to remove (twice). The surgeon has since died and his records were destroyed.
2000 to 2007, Heavy Weightlifting, Cycling and Triathlon, periods of upper back soreness and stiffness, trigger points in rhomboid muscles on one or both side. Difficulty in pull ups and instability in push ups.
2008, after laying in bed with a bad cold for two day began to get pains in my left shoulder and then could not sustain weight with my left arm. MRI showed collapse of C5, C6 and narrowing of the spinal canal. The physical therapist discovered the winged scapula on my right side. Diagnosed confirmed by second neurologist based on presentation, he did not want to perform an EMG as the nerve runs close to the lung. The neurologist said that branch nerves are less likely to regenerate. There was so much focus on getting the radial nerve in my left arm working that not a lot of thought was given to the right long thoracic.
Decided to revisit the situation and from everything I read a permanent wing scapula seems rare. Should the neurologist have checked for impingement at the brachial plexus? Is there total paralysis of the serratus anterior muscle? How successful are nerve replacement surgeries?
View Thread
i.m a 56 year old male. i had a minimally invasive l 4/5 inter body fusion.
i,m 5 weeks post op and in one week will return to work. no leg pain at all
i can do a lot of things that i could,nt do before my procedure. i work in surgery, so i have to be on my feet for long periods of time. my director will work with me on that. i,m feeling pretty darn good! the only problem that i have, is laying down! no matter the position, i just can,t be comfortable enough to sleep for more than a couple of hours at a time.
it takes a couple of pain pills to get me going in the a.m.
is anyone having this same problem?
thanks, vinceView Thread
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