nmuhammadMemberMarch 7, 2012 at 4:24 amPost count: 1
Hi Doc, please can you help me with my pain. I have back pain since 6-8 weeks, it started off without any particular reasons, and one day when I was moving a few heavy boxes it become severe. In the beginning it was only in the center of the low back but Now when I walk or stand for a long time I feel heaviness in hips, just above hips and thighs, and pinching randomly and occasionally in both legs and sometimes hips. I had an MRI and its findings say I have “central and left para central protrusion at level L5-S1, resulting in mild canal stenosis and mild right and moderate left lateral recess stenosis, also seen ligamentum flavum hypertrophy at this level.” It further says, “At L4-L5 level, diffuse broad based disc bulge seen resulting in bilateral mild lateral recess stenosis more on left side. ligamentum flavum hypertrophy seen at this level” Please help me as to what types of exercises I should do, my doctor says I should not bend forward while my physiotherapist says I need to do all bending forward and backward stretching. I have seen quite a few doctors, orthopaedic and neurologists and they all have different opinions as to whether it is classic stenosis or just a disc bulge causing stenois of mild level. I am from Pakistan, male, age just about 31. Please help.
Many thanks and Regards. Muhammad NaeemDonald Corenman, MD, DCModeratorMarch 21, 2012 at 12:52 amPost count: 8583
You have developed back pain for the last 6-8 weeks after a lifting episode. You do not report motor weakness or bowel and bladder symptoms and I expect you have neither of those two problems.
Back pain and some pelvis symptoms are generally not too concerning in the short term. A good rehabilitation program with core strengtheing (see website for description) and some medications (NSAIDs, muscle relaxants) shoud be quite helpful. A lumbar corset for temporary core stabilization might be helpful.
Allow some time to pass under proper treatment before becoming too concerned. Most of these back pain episodes will abate over time. Unless you have instability of the vertebral segments (and your MRI report does not indicate that), bending is most likely OK.
Dr. CorenmanPLEASE 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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