Viewing 6 posts - 19 through 24 (of 24 total)
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  • Deepcove22
    Member
    Post count: 14

    Thank you. I recognize this is a generous offer and will set this up next week when the office is re-open.

    Deepcove22
    Member
    Post count: 14

    Hello again. I am working on obtaining the films for you.

    I have some more information after having a facet block yesterday. Apparently L5-S1 is solid but 12mm out of position…stable though. And my facet joints are in bad shape at L4-5. I was injected with steroid and anaesthetic yesterday and no change in back or leg pain yet, but it is too soon. MRI and surgical f/u next month. Thanks again, from Vancouver.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    I hope that the CT scan was appropriately read. The degenerative changes of the facets at L4-5 can be a pain generator however I am concerned with your response to the injections.

    Injections need to be recorded for pain response (reduction of pain) in the first three hours. To have a valid test response, you first need to aggravate the pain prior to the injection and then for the first three hours after the injection, continue with that aggravating activity. If the pain drops substantially during this time, this is a diagnostic result (the structure injected and numbed is the cause of the pain).

    If there was no pain relief during this first three hours, the structure injected is not related to your pain. Even if you get relief in two to three days, this is not due to the structure injected but by the steroid effect. Steroid takes between one to five days to work as this substance has to dissolve out of it’s natural form (a precipitate). When the steroid dissolves, it can become systemic (covers an area greater than its injection area).

    Therefore, by your description, the structure injected is not your pain generator unless you were not instructed to pay attention to your first three hour response and you cannot remember what your initial response was.

    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.
    Deepcove22
    Member
    Post count: 14

    Hello,
    I had brief (1 hour) decrease in leg burning pain post injection along with muscle weakness. The usual burning I feel is icy…dry ice..like standing in a river in winter. When I was injected, on that side my leg went warm for a few seconds.

    Since then, the leg pain is usual intensity and location pre-injection. I have increased back pain and new onset sciatica ( activated during injection). This is 3 days after injection day.

    I am not usually able to replicate pain with a movement. I am always in pain. When I walk or stand I will feel increased pain or sometimes delayed by a hour. I wake in pain. But I know what helps: sitting if I have been walking, lying down if I have been sitting. Driving is painful

    Squatting and TENS machine relieves back pain and traction and ice reduce leg pain. Traction can reduce leg pain and make back pain worse. My physio says this is a goal.

    There is usually a “hot spot” to touch over about L4-5 and ice helps.

    So, summary, I am worse than I was pre-injection

    Thank you from Vancouver

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    There are very rare circumstances that an injection can increase the pain. Many factors go into that result. Your response of only one hour of relief after the injection makes me believe that the injection was not diagnostic.

    I hope your films are in the mail. Your case is a dilemma based upon our communications.

    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.
    Deepcove22
    Member
    Post count: 14

    Hello Dr. Corenman,
    I had to order and pay for my films. You should have them by now, although they will be under my name and not my forum user name.
    My initals are LR and I am from Vancouver, Canada.
    Thank you again, LR

Viewing 6 posts - 19 through 24 (of 24 total)
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