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  • RWGonzales47
    Member
    Post count: 6

    Just received MRI results. Bilateral L5 pars defects w/6mm spondylolisthesis. Mild L5-S1 disc and left-sided fatty endplate degenerative changes. Significant disc bulge abuts bilateral L5 nerve roots. Greater bilateral degeneration on right. Significant narrowing of bilateral foramina. Any treatment ideas? I am confused with Dr.s’ plan.

    RWGonzales47
    Member
    Post count: 6

    Forgot to mention; Pain has become severe. Am experiencing stop/start when urinating. Also, instead of the usual urge type feeling to go #2, I am experiencing extreme pressure and pain in the low back before and while on the toilet.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8427

    You have provided me with your physical disorder (isthmic spondylolysthesis of L5-S1 with grade I slip, degenerative disc disease and bilateral foraminal stenosis) but you have not told me of your symptoms. Patients with this disorder can display symptoms ranging from no symptoms at all to severe incapacitating back and leg pain.

    Let’s start at the beginning. Do you have central back pain? If so, what makes this pain worse? What makes the pain better? Do you have leg pain? If so, what activities increase this pain and what maneuvers improve the pain? Is the pain right sided, left sided or both? What have you done to treat the pain? What therapy and medications have you tried? What activities (occupation or sports) are you limited to? How has this altered your lifestyle?

    As you can see- you have to be much more specific about your symptoms, what you have done to treat these symptoms and how these symptoms have affected your life.

    Dr. Corenman

    RWGonzales47
    Member
    Post count: 6

    Sorry bout that. Pain is severe in lower back. I can not stand for 20 minutes. Walking helps. When bending over, I can’t get my but back underneath me. Both left and right sides hurt I take 10/325 hydrocodone and they work to a certain extent. Has become more severe in last 3 months to the point where I am icing, laying down, and using electric stimulator for temp releif.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8427

    By your description, you have severe axial low back pain. I will have to assume that you have done everything you can to relieve your pain including an extensive rehabilitation program, chiropractic program, epidural injections and medications. I will also assume nothing has worked to relieve the pain and the pain has significantly affected your life and activities.

    If the above assumption are true, you might be a candidate for surgery. Surgical repair might be a simple TLIF fusion of the L5-S1 level (see website for details) but that depends upon the condition of the L4-5 disc. You will need to see a competent spine surgeon for that discussion.

    Dr. Corenman

    RWGonzales47
    Member
    Post count: 6

    Thank you for your rely. It can be difficult to get “quality time” with a/my Dr. and you are to be commended for the time and efforts put forth.

    Thanks Again

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