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  • Tuthmover
    Member
    Post count: 3

    [map]41 yo male, 8 days ago, was doing stretching exercises and while doing Cat’s meow (flexion) while standing, felt pop and lightning up and down back and legs. Could barely hobble fo bed. Spent next 24 hours in bed, unable to move without pain. Taking 800mg IB q4h and Norflex 100mg BID.

    Next day was able to get up and take 1-2″ shuffle steps. Visit to MD who showed me slight narrowing of posterior disc space of L4-5 and recommended MRI. Discontinued IB & Norflex, added Medrol 4mg Dosepak, Soma 350mg TID and Oxycodone 7.5mg. Fearful of addiction, I put the Oxycodone away.

    Within a day my hip joints started feeling bad so on the day of the MRI, I told doc that I would like to go back to IB 400mg q4-6h and discontinued Medrol. Also switched the Soma to Diazepam 5mg TID. Also, began to get 1st symptoms of leg involvement, though intermittent with no weakness. As suspected, disc pathology.

    With minor exceptions, I have been getting better. In the beginning, sitting was extremely painful on the lower back. Standing is also hard on the lower back. But I can now step a little better than toe to heel. I try to rest on bed 1 hour than walk/sit one hour. Sometimes I can go for two hours. Sitting has actually gotten easier on the lower back and I just do a lot of squirming. I find the easiest position is leaned forward at the dinner table.

    I was going to get the epidural steroid, but backed out since I read that some of the side effects were similar to what I had on oral corticosteroids. I am trying to see if I can do this with starting physical therapy alone. But if I need surgery, perhaps it is best to do this quickly. I do feel my leg symptoms have gotten a little worse, but after laying down they usually go away. No pain, just some mild numbness. Sometimes left is worse than right.

    I have a dental practice that I am afraid I will have to sell since I have heard surgeries can keep you out for 6-12 months. Also, my wife expecting child number 4 in almost 6 months. Thank goodness for long term disability insurance.

    I have saggital views, but do not know how to add photos.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    You note disc pathology but do not describe the pathology. Is it a herniated disc, disc bulging, lateral recess stenosis or???? Read off the radiologist’s report to determine what they think.

    If I had symptoms like yours, I would have an epidural steroid injection. For your type of pain, it is the quickest, most effective single treatment available.

    Any surgery would depend upon the pathology. A disc herniation surgery is generally a simple surgery to recover from (back to dental practice in one to three weeks part time to full time). A fusion takes more time but probably back to part time work in three to six weeks.

    Dr. Corenman

    Tuthmover
    Member
    Post count: 3

    Sorry I forgot to mention. He mentioned during the post-MRI consult, that it was a bulging disc with annular tear. The technical term was lumbar displacement. The axial view showed pretty much straight posterior. I do not have the radiologist report with me…only the CD of the MRI. Is their a way to load the MRI saggital slices?

    Tuthmover
    Member
    Post count: 3

    Was able to post 6 saggital slices 8-13, with 10-11 looking to worst.

    w w w DOT flickr DOT com/photos/charlestonbraces/

    Hopefully you can view the pics. In my last post, I answered your request for the disc pathology as “bulging with tear”, but after reading your extensive website material on anatomy and disorders, is that just the same thing as herniation?

    Anyway, worried about the epidural steroid gaining rapid access to the periperheral circulation. After only 10 tablets of 4mg Medrol in two days, my hips do not feel great. And I think it is more than sciatica related since there is also some popping of the hip joint (L >> R) and occasional minimal popping of my R ankle.

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