shortonMemberAugust 7, 2011 at 1:03 amPost count: 2
I have had lower back pain for the past several years. I fell in October and the pain has gotten a lot worse. I cannot sit, stand, or lay in bed for any length of time. I sleep a total of maybe 3 to 4 hours a night due to the constant pain. My doctor prescribed a 7 day steroid pack, tramadol and flexeril. The medication had NO effect at all. My MRI results were:
Narrowing desiccation of the disc at L3-4 and L4-5 is seen along with mild bulging. The neural formina appear adequate. The facet joints bone marrow and paraspinal muscles appear intact. Some degenerative reactive change of the endplate is seen inferiorly at L1. The distal spinal cord and thecal sac appear intact.
Impression: Mild degenerative change. No neural component compromise demonstrate
My doctor said there was nothing wrong at all, just a little arthritis. Could something have been missed? There is no way for me to be in this much pain and it only be mild arthritis. There have been days my wife had to help me to stand, lay down or sit because the pain is so bad. My sons weigh 38 and 39 pounds. I cannot pick them up or carry them because the pain is so bad.
At this point I don’t know what to do.
Could you please help?Donald Corenman, MD, DCModeratorAugust 7, 2011 at 2:12 amPost count: 8506
Your low back pain could be from many sources. The discs are possible pain generators and there are other disorders that can cause lower back pain. Sometimes- findings on an MRI can be overlooked. I would not expect to find nerve compression on the MRI as you have no leg pain complaints.
If you desire, you can send in X-rays and the MRI to my office and I can evaluate them. Call at (970) 476-1100 and ask for Diana or Sarah.
Dr. CorenmanshortonMemberAugust 13, 2011 at 6:19 amPost count: 2
I do have pain in both legs, mainly the right leg. If I am not able to sit when the pain starts, both legs start to go numb. The numbness stsrts at the front of the thighs then moves down to the feet. I am unable to stay in any one position for more than 30 to 45 minutes. This includes trying to sleep at night. The pain starts in my lower back, if I am unable to move the pain increases rapidly until I can reposition myself.
Can I send a copy ofmy MRI to you for a second opinion? Could it be possible nerve damage that an MRI might not show?Donald Corenman, MD, DCModeratorAugust 13, 2011 at 12:56 pmPost count: 8506
Please call my nurses Diana and Sarah at (970) 476-1100 for information regarding sending your MRI. Yes, the MRI may occasionally not show nerve damage if damage is inflammatory or stretch trauma to the nerve.
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