Viewing 6 posts - 1 through 6 (of 7 total)
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  • l5s2
    Member
    Post count: 4

    Hello Doc,
    I am suffering on back pain since May 2011 and live in Germany, Duesseldorf. I am 36 years old and my L5S2 intervertebral disk is broken.

    I have attached some MRT pictures.
    Do you think a DiscoGel threatment could relief me from having pains.
    Especially the sciatica on the left side hurts and when I wake up from bed it always takes time to relief me from my pains. I do back swimming and physiotherapy. Especially abdominal muscles training and distension of my sciatica are my current treatments. I also had four injections on my nervs under MRT injections and serveral normal injections from my orthopredic doc.

    l5s2
    Member
    Post count: 4

    ww.azfar.de/images/phocagallery/1_azfar-l5-s2.jpg

    ww.azfar.de/images/phocagallery/2_azfar-l5-s2.jpg

    ww.azfar.de/images/phocagallery/4_azfar-l5-s2.jpg
    ww.azfar.de/images/phocagallery/5_azfar-l5-s2.jpg

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    You first have to identify what your symptoms are and how these symptoms have affected your life. See the thread “How to describe symptoms” under “Conditions” to allow an accurate description of your symptoms.

    You note “sciatica” but on your MRI images (which are incomplete), there is no obvious disc herniation. You might have lateral recess stenosis or foraminal stenosis but these images are not included in the ones that you had sent.

    The discogel treatment is one that I have not personally investigated but I have read the manufacturers write-up. This “injection” includes a material that breaks down the nuclear proteins and this causes me some concern. Also, the mixture injected has to withstand the forces of shear, rotation and compression. What is the data to understand how this substance will respond to these forces?

    Remember that the annulus has to be intact for this substance to work and most times, there are substantial tears in the annulus. I am also uncertain of the longevity of this material. Finally, what is the toxicity of this substance to nerves?

    With so many questions regarding discogel, my decision is that I will not consider it on one my patients until peer reviewed longer term studies have come out.

    Dr. Corenman

    l5s2
    Member
    Post count: 4

    What is the quality of the pain?
    –> I have nerv pains in the buttocks and pain in the left leg. I feel a prickling in left calf and shinebone. I also have pain which goes to the left side of the groin.
    Sometime I also have buttlocks pain on the right side but this is very irregular.

    Is the pain burning, stabbing, sharp, shooting, dull, aching, electrical, gnawing or pins and needles?

    –> Pain in groin is like stabbing or pins, buttlock pains are aching especially when I do special movements such as streching myl legs while lying on my back.

    Does the quality of pain change with activity?

    –> yes, sometime when I stand, sometimes when I sit, sometime when I lie in bed. pain increases if I sit too much at my office desk or stand too much.

    Is the skin hypersensitive to touch? No

    Are there associated skin changes like thickening, color change or nail changes? not to foot or lower leg

    Percentage of Pain by Location:
    8 to buttlocks
    6 groin
    4 back

    How did the pain start?
    I complained because of back pain last year before that I had intermittent pain at my back
    Was it a gradual onset over years or was there one specific activity or injury that caused it? No really.
    When did that injury occur? May 2011
    Describe the activity or action that brought on the pain. Was it a lifting injury, a bike accident or did the pain onset come on gradually?

    How long have the symptoms been present and have they changed in quality or intensity? For nearly one year. They are always present but sometimes I can not stand the pain or can not sit on my desk.

    I hope this helps you. I am planning to create new pictures with the MRI. As soon as I have them I will post new ones.

    Best,
    Saad

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    Based upon your complaints, you have more radiculopathy (nerve pain) than lower back pain. The images you sent did not demonstrate severe nerve compression (but the images were incomplete). More complete images might lend a clue to your disorder but you also may have a neuropathy which does not originate from the lower back.

    Dr. Corenman

    l5s2
    Member
    Post count: 4

    Hello Dr. Coreman,

    please visit this site
    ww.azfar.de/index.php/fotoalbum/category/4-spinal-disc

    there you will find new updated pictures from my MRT diagnostics from today.

    Are these new pictures better?
    Regards from Germany

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