-
AuthorPosts
-
Hello Sir! I’ve been having this problem for the past one year.I was cleaning my room and suddenly as i was bending down to clean the floor, a “tuck” sound was heard in my back with a feeling of something shifting. and from that very day i am facing problems.The doctors here told me many things like you have a disc slip etc, but i dont think it is the problem. The X-Ray says that:
Sacralization of L5 noted.
Vertebrae are in alignment and show normal cortical outline.
I.V. disc space between L5/S1 is reduced,due to sacralization.
Pre and paravertebral soft tissues are normal.
Pedicles are normal.
Please help me as i am a computer engineering student,the more i sit to work, the more the pain increases.It doesnt go to the legs,Yes it goes to the Buttocks and i feel relieved when either standing or lying down.
Quality of the pain is high when i sit or bend down.
The skin is not hypersensitive to touch.
When i am sitting on a chair,i cannot straighten up my legs as it pains directly in the back and it gives a feeling as if some muscle or something is being compressed.
Pain the back(in the region between L4 to S1)-90%
Pain in the buttock-10%
While i drive a bike my groins start paining as if they are being compressed,probably due to compression.
When bending,the pain is about 8-9 VAS.
Buttocks(upper region)- 2-3 VAS
The injury occured in november 2012
I was an athlete but now if i walk much, after an hour or two,my back starts paining.All my details of previous treatment are uploaded here:
https://drive.google.com/folderview?id=0B3YaQdywNj9-cVpHUTNmQmlobVk&usp=sharingThe physiotherapist told me some exercises but the more i do those exercises,the more it pains.
Sacralization means that the L5 vertebra has taken on characteristics of the sacrum. This generally means that the transverse processes of L5 (see website) articulate with the sacrum and the disc at L5-S1 is non-functional. This is why the disc at L5-S1 is “reduced” by report.
Normally, this sacralization pushes the stress of motion up the next level. I would suspect that your pain is generated by the L4-5 level. The symptoms of pain with sitting and bending relieved with standing and lying down match a disc herniation. If the nerve compression is “mild”, pain will only occur in the back and radiate to the buttocks.
You might ask your doctor to consider oral steroids for a short course (5 days). This is what I do for some patients who have your symptoms, no contraindications for steroids and do not have an MRI at that point.
If you have the wherewithal, an MRI would be the next step in treatment.
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.The only medicines suggested to me were Pregabalin(75) mg and ibrufen(painkiller). I live in a place where there are only a few doctors and none of them are specialists. They only take a good amount of consultation fees and then say that “you have fever,take this medicine(paracetamol) and you’ll be fine. I cannot rely on their suggestions and prescriptions at all.Can I get a steroid suggestion from you?
If I suspected a nerve root origin of pain, I would give my patient Decadron (dexamethasone) 4mg twice a day for 5 days.
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.Do I need to do a long term course of medicines to cure the disc herniation and sacralization? Orwill it be cured in a short span of time. And are there any back exercises required?or if I don’t have to put Any stress on my back, for how long should I not put any stress.?
Without knowledge of the disorder, be it HNP, foraminal stenosis or even spondylolisthesis, I cannot recommend a specific therapy. In general, core strengthening exercises are important and can be performed in the face of most disorders.
Medications are generally prescribed for symptom relief. Steroids are the exception to this rule.
I cannot predict what your course will be without knowing your diagnosis or evaluating you as a patient.
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. -
AuthorPosts
- You must be logged in to reply to this topic.