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  • sheryltc
    Member
    Post count: 6

    In late 2009, my son complained of back pain. He was a high school cross country runner – running approx. 50 miles per week. He would take a few weeks off due to the pain – then he’d feel ok – and then start running again. The pain would return. In April, 2010 my son (18 yrs old at that time) was diagnosed with 2 stress fractures in the L4 vertebra. He wore a back brace for 6 months – we were told that the back had healed all it would heal. However, my son was still in pain. Since then he has seen 2 other back specialists, 2 chiropractors and a pain management dr. He also did a core-center exercise program as prescribed by one of the chiropractors. None of the treatments have helped with his pain. I continually search the internet for info. I found your website. We live in the Atlanta, GA area. Do you have any physicians that you can refer us to that are in our area? I read on your site about the pars defect repair. We have MRI, CT, bone scan and bone density tests. All the drs we have seen tell us there is nothing they can do. My son is now 20 years old – and has pain daily. Anything you can do to help us will be greatly appreciated!!.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Pars fractures can heal if there is healing potential but many of these fractures do not heal in spite of brace treatment. Pain from these fractures can originate from the fractures themselves or from the disc if the disc has been injured (not uncommon).

    Unfortunately, I cannot recommend anyone in the Atlanta area (not that there are not good doctors there but I am unaware of who has experience with this disorder and pars repairs).

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    sheryltc
    Member
    Post count: 6

    What is the type doctor that we should get an appointment with? We’ve seen 2 orthopedic back specialists. And we saw a dr at a spine center that deals with sports injuries in the back.
    Would you recommend a neurologist? spine surgeon? What?? I just do not know who to call now.

    texasspondy
    Member
    Post count: 25

    Sheryltc, I don’t speak for Dr. Corenman, and I am not doctor, but I did sleep at a Holiday inn last night, just kidding. I have spondylolysis, aka pars deffect at the L5-S1 level, and done a ton of research as well as educate myself from Dr. Corenman’s site.

    What I have gathered so far is a pars fracture is a mechanical defect, like any bone that breaks if braced properly in a timely manner, you might be able to avoid further complications, hence why your doctor put your son in a brace. But trying to keep the bone from moving while we live are daily lives without hardware, can at best heal up with some scar tissue/bone formation, not perfect.

    I’m sure Dr. Corenman will reply to you soon enough but just wanted to tell you, I know your son’s pain. You are encouraged to seek specialtists of the spine, being a an orthopedic doctor that has additional training (residencey I believe) in spine care, which is what I believe Dr. Corenman is, an Orthopedic Spine Specialtist. You could also seek a Neurosurgeon, that specializes in the spine. Sounds like you have seen two Orthopedic Spine Specialtists, did their information compare with each other? Hope you find some relief for your son..

    sheryltc
    Member
    Post count: 6

    Thanks for your reply. We saw a dr at a large spine center in Atlanta – he specialized in sports injuries related to the spine. He tried an injection for the pain (which did not work at all), then an Exogen Bone growth stimulator (which caused more pain) and then he suggested pain management. All 3 back specialists left us with these words “the next step is surgery, but I don’t recommend it due to your son’s young age).
    We went to a pain management clinic – he referred to 2 different chiropractors. My son did have some relief from the last chiropractor’s regiment – which was an exercise program dealing with core strengthening.
    It’s going on 3 years now since my son first started having pain. He deals with it daily. And it has affected his emotions as well. He fights negativity & depression now. He did see a counselor for about a year. He’s just very discouraged from the pain.

    sheryltc
    Member
    Post count: 6

    And I failed to ask you in my other reply – how are you doing? Do you have pain from your injury? If so, how do you deal with it?

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