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  • melbrock12
    Member
    Post count: 2

    dr coleman URGENT REPLY IF POSSIBLE have procedure for nerve block set for wed early am

    i have had back pain on my left side for over one year now. they thought it was my abdominal wall and i had steroid injections but no relief. Went for cat scan and nothing showed. Had MRI again and it showed at the l4-l5 level, moderate disc dessication. Annular bulge noted at this level. This contacts both of the ventral nerve roots without compression. There is narrowing of both neuroforamen secondary to a subtle retolisthesis of l4 on l5. This is also present on the previous study. The facet joints are intact and there is thickening of the ligamenta flava.

    i have had xrays of my back that show an extra vertebrae in sacrolliac region as well as i have had sacorilliac injections.

    the tingling down my leg is constant and i cannot sit at all. please advise
    i am wondering if i do have the spondolythesis and if i should go through with the nerve block. i had an epidural and it did nothing.

    what is the difference between an epidural and a nerve block

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    I am somewhat confused. I am not sure where your pain is located. Did you have abdominal wall pain or back pain or both? Where was your pain and what brought it out? Please see the section on the website under “Conditions”- “How to describe symptoms” to understand how to describe the symptoms you are experiencing.

    Is the tingling down your leg related to the lower back pain? I need to know the percentages of pain also. Referring to the section I previously mentioned will clear many questions up.

    An epidural is an injection into the spinal canal and a nerve block is an injection directly onto the nerve as it exits from the spinal canal. See the website for a description.

    Dr. Corenman

    melbrock12
    Member
    Post count: 2

    Pain in abdominal over your same back although on and off for a few years

    Pain intensity abd when sitting is 100 also if tighten muscles or walk limp makes pain worse over 10

    Radiating pain down left leg constant 100 and have swelling in lumbar region. Weakness in both legs and I hope I am explaining this right

    Pain doc said spondylolithesis is this what I have.

    Sorry taking pain meds to alleviate pain

    Only thing that helps is lying sideways on couch

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    The abdominal pain you experience is unlikely to originate from your lumbar spine. Pain and weakness in your legs and pain in your lower back are both consistant with a spondylolisthesis. There are many different types of spondylolisthesis and treatment depends upon the type and severity that you have.

    You need a thorough work-up from an experienced spine surgeon.

    Dr. Corenman

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