Donald Corenman, MD, DCModeratorMarch 26, 2012 at 4:14 amPost count: 8427
A back brace or corset is a double edged sword. On one hand, the brace increases pressure inside the core which stabilizes the lumbar spine somewhat. On the other hand, instead of tightening the abdominal muscles, patients who wear the brace tend to push the abdominal muscles into the brace which over time weakens these muscles.
If you wear the brace part time only or only when significant flair-ups occur, it is unlikely that you will weaken the abdominal muscles.
Dr. CorenmanhrosatelliMemberDecember 26, 2012 at 2:51 amPost count: 11
Merry Christmas Dr. Corenman. Can you tell me why my lower back, buttocks and left leg feel like they are on FIRE? I mean its burning. Thank youDonald Corenman, MD, DCModeratorDecember 26, 2012 at 5:03 amPost count: 8427
Please see the section under “Conditions” regarding “How to describe symptoms” so that you can convey what symptoms you are having specifically, the history of the symptoms and what work-up you have undergone.
Dr. CorenmanhrosatelliMemberDecember 26, 2012 at 9:43 pmPost count: 11
BODY=Report Dictated By: Blake,Meghan MD||EXAMINATION: MRI LUMBAR SPINE WITHOUT CONTRAST|HISTORY: Chronic back pain radiculopathy.|COMPARISON: None.|TECHNIQUE: Sag T1/T2, Ax T1/T2.|FINDINGS: There is a moderately severe rotary levoscoliosis of the |lumbar spine with apex at L2-3. There is prominent endplate bone |edema and peripherally directed spur rightward along the concave |margin of the curvature and the disc at this level is markedly |degenerated and narrowed. Conus and cauda equina are normal.|Level by level analysis:|L1-2: Minimal bulge.|L2-3: Moderate to moderately severe right-sided foraminal stenosis |from right lateral endplate spurring. Remodeling and edema-like |signal change along the bony endplates suggests active motion segment |instability.|L3-4: There is a 2 mm broad-based protrusion, very mild facet |hypertrophy and mild foraminal narrowing.|L4-5: Thickening of ligamentum flavum and facet capsular tissue with |mild left subarticular and left foraminal narrowing. There is a 1 mm |broad-based protrusion.|L5-S1: Disc is desiccated and significantly narrowed, facets are |overgrown and there is moderate to moderately severe left and |mild-to-moderate right foraminal narrowing, disc desiccation and |height loss with vacuum disc phenomenon and more limited reactive |marrow change than seen at L2-3 here left at midline. There is also |a small annular fissure. Overgrowth of the left facet is associated |with mild capsulitis.|IMPRESSION:|1. There is degenerative change along the concave margin of |scoliosis at L2-3 with disc desiccation, large lateral endplate spurs |and reactive endplate change which suggests motion segment |instability. The right L2-3 neural foramen is stenotic.|2. At L5-S1, there is leftward endplate spur and lesser reactive |marrow change also with significant disc dehydration and height loss |and a moderate-to-moderately severe left foraminal stenosis.|CREATED=01-16-2012 04:20 PM
I have tried physical therapy, inversion table, pain meds and muscle relaxers, just recently tried acupuncture and it did not work. I get really bad pain in my lower back, left hip down to my foot, for the past two days my lower back and hip has felt like they are actually on fire, the burning feeling gets so intense.Donald Corenman, MD, DCModeratorDecember 27, 2012 at 6:03 amPost count: 8427
It appears you have a significant degenerative scoliosis of your lumbar spine. I have to ask how old you are as these changes take many years to occur.
The degenerative changes have created what sounds to be lateral recess stenosis and foraminal stenosis on the left at minimum of L5-S1 (see website for all these conditions). I would assume that the leg pain is much worse with standing and walking and improved with sitting and bending forward. This is called stenotic leg pain.
You could have some benefit from epidural steroids and traction but these might be temporizing measures. There are times that surgery might be the only long term solution for this condition but I do have some patients that can manage with this condition without surgery.
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