JillgaMemberApril 21, 2012 at 11:12 pmPost count: 3
Dear Dr Corenman,
I have just discovered your wonderful website and your location.. I live in Denver.
I am an RN of 31 years, injured on the job 11/10, now I am being told I have arthritis and there is nothing more they are responsible for.
I still have significant symptoms , improvement for a short time after 2 RFs. Low back pain that radiates to vice like pain in hips and thighs, which I take norco 10 TID, occasionally dilaudid. I was very active prior to the incidence and if I even try to be that active now, am laid up in incredible pain for days. I do excercise about 6-7 hours a week with meds. I am unable to work – cant sit or stand for long periods.
My Mri 11/10 showed edema in paraspinal musculature at the L4 L5
L2-L3 annular ter and shallow L posterolateral disc protursion
L3-L4 disc bulge mild canal narrowing L greater tha R lateral recess narrowing
L5-S1 Annular tear w no associated disc herniation
there is heterogeneous T2/STIR hyperintensity withing the paraspinal musculature at the L4- L5 levels, charateristic of edema
I have been told that basically I had an injury that is healed and I am not dealing w degenerative processes
Do you think the injury can cause the extended pain Ive been experiencing?
I am most grateful for your replyDonald Corenman, MD, DCModeratorApril 21, 2012 at 11:56 pmPost count: 8455
An on the job injury that creates pain that was not present before the injury is a workman’s compensation issue and not from “arthritis” that was present before the injury. Preexisting degenerative changes which are present but asymptomatic in a substantial portion of the population make injury more likely.
The pain that radiates into your hips could be from the foraminal or lateral recess stenosis at L3-4. Is your back pain greater than your hip and thigh pain or reverse?
Dr. CorenmanJillgaMemberApril 22, 2012 at 12:12 amPost count: 3
It usually starts w severe back pain then radiates to the hips and thighs. The hips then seem to hurt the worse, or I notice it more.
So, is the foraminal or lateral recess stenosis at L3-L4 from injury or arthritis?
Thank you for the quick response!!Donald Corenman, MD, DCModeratorApril 22, 2012 at 12:36 amPost count: 8455
Again, symptoms that are only present after the accident can reasonably attributed to the accident. Regardless as to the presence of the spinal disorder prior to the accident, if it was asymptomatic before the injury and symptomatic now, it is injury related. The only caveat is that if the disorder could be predicted to become symptomatic regardless of the injury, then it would not be related to the work comp injury.
If your pain is mainly lower back pain, this would most likely be a discal or instability problem and not from nerve compression.
Dr. CorenmanJillgaMemberApril 22, 2012 at 12:43 amPost count: 3
Thank you Dr Corenman,
The instability in my back I can feel. It actually moves and pops… I can have R sciatica or L depending on where it wants to go. BUT I never had this prior to the injury…..
How is the caveat predicted?
I so appreciate your comments and I am hoping to be approved for a consult with you
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