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  • awickenk
    Member
    Post count: 2

    I’m a 29 yrs old female. I was very active until about a year or (year and 1/2) ago (boot camps, tennis, jogging, skiing, etc at least 4x/wk). Had a few episodes of back problems but was not severe or limiting until a year and a half ago. I went through 2 months of chiro care where I didn’t do much more than walking for exercise. The pain subsided. I attempted a boot camp (running, lifting, jumping)after day 2, I was out again for another month secondary to my pain in the lower back. The pain was very limiting and made it difficult to walk, lie down, and get up from bed. Stretches/massage did not help alleviate the pain. It has been very difficult to get relief. The pain began in the lower back but would change from right to left sides and even felt in the bilateral hip flexor area. I again saw a chiro but never felt relief from care or adjustments. It seemed the jumping/high impact exc’s caused the limiting pain, so I avoided these activities. This has really affected my active lifestyle as I have not been exercising as I did in the past. Most recently I played tennis once and went for a slow jog and I have been in pain (affected sleep & mobility) for about 2 weeks. I saw a DO (who had prescribed an oral steroid for me in the past for the pain) and I finally got an MRI. The MRI showed an L5 hypertrophic facet joint as well as congenital stenosis in this area. My DO explained that I had something most women my age do not have… an arthritic facet joint. Paired with congenital stenosis this is causing pressure on my nerve…I think? He did not see evidence of a fracture in the L5 but thinks I might have bruised or hurt it at a younger age since my other joints appear fine. I was prescribed pain meds and muscle relaxers. He next referred me to get an injection. I’m finally starting to feel mostly pain free and do not feel the injection would do anything at this time. I am also aware that this will not fix the problem but instead offer relief to allow me to rehab. I plan to work on my core (I have done this in the past) and will continue to just walk. I would like to fix this problem so I can continue the activities that I love. My questions are: What are my options to get this fixed? Will I need to make permanent life style changes (no jogging, etc) for the rest of my life or will fixing this allow me to feel normal again? The pain has affected the quality of my daily life and I don’t know what my next step should be. Thanks for your time.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8460

    Back pain is generally not related to congenital stenosis if the back pain is central (middle of your back). This pain however can be related to a degenerative facet. Standing X-rays including flexion and extension views can be helpful to look for a degenerative spondylolisthesis (see website) which is associated with a degenerative facet.

    If your pain is located in the sacroiliac or buttocks region, this could be either from disc and facet or from nerve compression. Impact that aggravates your pain more likely than not is from disc incompetency.

    I cannot comment on any activity modification you would need to make without a diagnosis. You are welcome to send your X-rays and MRI to me if you so desire.

    Dr. Corenman

    awickenk
    Member
    Post count: 2

    Thank you for the reply. I have sent/faxed my MRI and report to you. My pain is low on the spine (sacroiliac/buttocks). I was told there didn’t appear to be a disc problem on the MRI but the main concern was the arthritic facet (hypertrophy) at L5-S1 causing nerve compression. I would really appreciate any clarification with my diagnosis/symptoms. I would like to find out my options of how to move foward. Thanks again for your time.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8460

    Please call the office to find out when the images have arrived. I will throw in my two cents when I review the films.

    Dr. Corenman

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