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  • rey
    Participant
    Post count: 1

    hello doctor. my lower back pain comes again after a few years… my result xray that doctor said just muscle injured. whatshould I do ? tq

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    I need much more information to give you a direction. See the section “How to describe your symptoms” to better convey what you are suffering from.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    GolfinJ98
    Participant
    Post count: 1

    Good Afternoon,

    I have had a bad back since i was 15. I had a herniation at L5/S1 with severe sciatica that was treated with a chymopapain injection back in 1996. I have had back pain on and off since, but nothing that would really affect daily activities. I now have pain in my low back. I have a recent MRI that shows herniations at L4/L5, L5/S1 and a small bulge at L2/L3. The doctor told me that the symptoms are caused by the 2 lower discs. I have been going through spinal decompression and physical therapy for about 5 months. The main symptom I was having this time around was severe back spasms. They have decreased significantly with this treatment but still have issues with my back or SI Joint locking up. I know many people try and manipulate their backs by rotating their spine when sitting or laying down. I don’t do that. Sometimes when I stretch before my workouts I get a pop or two but I don’t force it. Getting from a sitting to a standing position is the main problem I have. Once I am up and moving around I am fine. Sometimes it feels like the spine is locked. What I do is lift myself up on my cubicle wall at work and let the lower portion of my body go limp and decompress that way. More often now, when I do that, I feel like a separation in my low back, but not a forceful pop or anything. I will be starting some McKenzie physical therapy next week. What could this separation feeling be? Is it the bones? Muscles? It feels good when it happens, but I am sure that when it goes back to a compressed state the muscles or overworking to stabilize that part of the spine. Any information would greatly be appreciated. I am a 35yr old male who hits the gym on a regular basis and in very good health.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Your history is consistent with mild instability. The pain you have from sitting to standing could be from facet degenerative change as the facets have to slide on each other to go from a sitting position to a standing position. The “pops” or “releases” you feel may have to do with the vacuum that occurs in the joint that releases when you move.

    This is similar noise to the “pop” that you get when you take a wet glass off of a glass coffee table.

    Chymopapain injections (papaya enzyme that dissolves the nucleus of the disc and is sucked out) will cause significant premature degenerative changes. My bet is that the L5-S1 segment is the main pain generator.

    See IDR (isolated disc resorption) on the website to see if this condition might fit your symptoms.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Your history is consistent with mild instability. The pain you have from sitting to standing could be from facet degenerative change as the facets have to slide on each other to go from a sitting position to a standing position. The “pops” or “releases” you feel may have to do with the vacuum that occurs in the joint that releases when you move.

    This is similar noise to the “pop” that you get when you take a wet glass off of a glass coffee table.

    Chymopapain injections (papaya enzyme that dissolves the nucleus of the disc and is sucked out) will cause significant premature degenerative changes. My bet is that the L5-S1 segment is the main pain generator.

    See IDR (isolated disc resorption) on the website to see if this condition might fit your symptoms.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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