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  • Chris
    Post count: 1

    I have lower back pain for the past 4+ years. On april 4,2008 i was walking and my back just gave out. Since that day,its been chronic pain. I have tried every simple thing-epidural injections,vicoden,advil,rest,inversion,traction,pt,chiro…nothing has worked. One time i got an epidural injection and i was pain free for a week or so. I am tired of the band aids. I am strongly considering surgery,IDET or the stem cell/regnnex procedure. I have seen one surgeon and he only would do a fusion. Fusion is impossible for me. I own an electrical and mechanical company, so there is no way I can be layed up. I also love racing dirtbikes. So,here is my, MRI report: @ l5s1 disc eextrusion left causing left anterolateral thecal sac effacement and impingement on the proximal left s1 nerve root. Right neural foraminal stenosis. Central spine diameter normal. Facets and ligaments normal.

    @l4l5 posterior annular tear and posterior central disc protrusion. Mild broad based disc bulge causing mild anterior thecal sac effacement. Slight impingement on proximal right and left exiting l5 nerve roots likely. Facet and ligament flava appear normal. Mild central spinal stenosis and bilateral neural foraminal stenosis.

    @l3l4 right posterolateral disc extrusion causing right anterolateral thecal sac effacement in impingement on the right l4 nerve root. Facets and ligaments normal. Mild and minimal stenosis mild acquired central spinal stenosis.

    So…with that said, i cannot see any abnormalities in the mri images. I have done 2 mri and xrays. My pain is is center of my lower back and raps to my right hip and groin. A month before my back gave out, i had extreme testical pain and knee pain. I still have the pains sometimes,but mostly just a constant burn in bottom center of back. Heat and traction help for the moment,but soon as I stand up its back. Pain hasnt gotten better or worse.mri pics i have received are hard to read/see. Pics of mri i saw at surgeon didnt even look like the ones i have.

    Pleas someone guide me in the right direction. I am 32 and have made a very successful life and i need to get rid of this pain. I want to ride my dirtbike again and provide for my family. If this pain keeps upmy life is ruined.-

    Donald Corenman, MD, DC
    Post count: 8660

    You have chronic lower back pain that radiates to your right hip and groin region. You have reported significant prior right knee pain and testicle pain. What you do not report is percentage of pain and what aggravates the pain. Is the pain greater in the back vs. the hip and groin? What is the percentage of back vs. hip and groin? What is the 0-10 pain scale? Do you have more pain with standing vs. with sitting. See the thread “How to describe symptoms” to fully describe your symptoms.

    You have a disc hernation on the left at L5-S1 which should not cause right sided pain but can cause lower back pain. The L4-5 level has a degenerative disc with mild canal stenosis and neuroforaminal stenosis. The report does not indicate the severity of this stenosis. The L3-4 level has a disc hernation that causes right L4 nerve compression. This nerve commonly refers to the anterior hip and groin.

    Without further information, this is only speculation but if your groin and hip pain are at least 40-50% of your total symptoms, you might be a candidate for a simple microdiscectomy at that level.

    Good luck

    Dr. Corenman

    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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