hope_20022000MemberNovember 15, 2012 at 12:10 pmPost count: 1
I am experiencing very bad back pain so I had an MRI and see a spine specialist soon. I have had back pain since I was about 14 years old so for about 15 years now. It seems to be worse now. Things that have been tried are physical therapy, a steroid injection (this made the pain worse), tens unit, anti inflammatories, and a back brace. My pcp gave me vicodin 5-500 and said take 1 twice a day until I see the specialist. These don’t seem to take the edge off at all. I have also been on ultram which doesn’t do anything at all for it. I have a dip in about the middle of my back and this is where the pain seems to start but moves down to the top of my butt. The pain in the dip feels like someone stabbing a knife through my back and into my stomach then twisting it. I also have some numbness that comes and goes in the bottom of each foot. I am going to post my MRI results in hopes that someone can give me some idea of what it means and what might happen next in the treatment of this. Any information would be much appreciated as I’m in the dark on all of this and kind of freaked out since I’m only 29 and having all these issues. Thank you in advance.
Alignment is anatomic. The paraspinous soft tissues are normal. Incidentally noted is chronic, mild ectasia of the distal thecal sac. The distal spinal cord and nerve roots of the cauda equina are normal in appearance. No bone marrow pathology is seen.
No significant abnormality is demonstrated at the T10-T11 through L3-L4 levels. There is no lumbar disc protrusion, spinal stenosis, or foraminal narrowing.
L4-L5: There is a posterior annular tear and a small, broad-based, left foraminal disc protrusion. There is mild left lateral recess narrowing. There is no nerve root displacement. There is no significant facet arthropathy. There is no spinal stenosis or foraminal narrowing.
L5-S1: There is disc degeneration and mild disc bulging. There is mild bilateral facet arthropathy. There is no spinal stenosis or significant foraminal narrowing.
The visualized upper sacrum is unremarkable.
Again thank you in advance to anyone who has any input for me.Donald Corenman, MD, DCModeratorNovember 18, 2012 at 3:42 amPost count: 8652
You have degenerative disc disease and consequent lower back pain. You need to start with a thorough rehabilitation program associated with Pilates core strengthening and ergonomic education. The judicious use of epidural steroid injections should be included as well as medications such as NSAIDs.
Dr. CorenmanPLEASE 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.
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