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#5995 In reply to: 3 years of sciatica |
If your were my patient, I would take standing X-rays and flexion/extension views to determine the effects of gravity and load on your spine. You do not sound like you have foraminal stenosis as this would cause pain with standing and walking. You might have chronic radiculopathy, lateral recess stenosis or instability causing dynamic compression (see website for these descriptions).
You need a second opinion for further information on your condition.
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.#5992 In reply to: 3 years of sciatica |symptoms:
Variable/changeable over the period since my microdiscectomy (which was November 2010 – 17 months ago)
Pain in lower back. (sciatic) Pain radiating from right buttock through leg thigh, hamstring, groin (occasionally), through calf, permanent pain at the bottom of right foot. (this foot pain was not permanent before the microdiscectomy… it was occasional)
I get ‘minor’ muscle spasms in my leg, often feel cramp in it and generally there is mild pain. The pain is not terrible and is generally bearable. However, it prevents me from exertion or exercise, as this can aggravate it or even cause a relapse. It is restrictive and this is what I would like to fix. I had trained to be a ski instructor and played soccer as well as keeping fit… but have not really been able to do any of this for 3 years now.average intensity of the pain is currently 1-3 most days, but has probably been up to a 7-8 at worst. I had a bad relapse in August and it has been slowly, but progressively better since then, but I think this is largely because I have ceased any kind of exertion, for fear of relapsing again, as well as having paid for treatments including a steroid injection, physiotherapy and an ablation.
Walking/sitting/lying… I am currently ok with. Pain is always there. not much difference in each… however, walking is better, perhaps because it takes my mind off it… but whilst jogging it begins to return to mind.
I have no x-rays. Might these be a good idea? I have had 3 MRI scans: 1 in 2010 and 2 in 2011.
Thanks.
#5986Topic: Stooped posture, heavy force etc. in forum BACK PAIN |2 months ago I hurt my back at work. I am a stucco plasterer. I apply cement to exterior walls 8 hours a day 5 days a week. The required motion of applying the mud forces me into a stooped posture at all times, as well as my height of 6ft 3 and then my hard hat and boots adding to my height also forces me to stoop when on scaffolding with a scaffold deck above my head. I apply the cement with my right hand using a trowel, arms extended out 12 or more inches and reaching as high and low as I can to the wall before moving down the scaffold. I do more than 10 lifts a minute in this posture and while spreading with my right I am holding 10 or more pounds of mud in my left hand with my tool called a hawk and therefore am lifting that as well especially when stooping low. I also bend further and further to reach into the bucket the mud is in to begin with. At the time of injury it was cold out, feb 10 in Canada. I was doing a high pace repetitive task at a speed 4 times faster than normal because we were skimming the wall. I was at the end of a 390sq foot wall and stooped right over applying to the bottom part of the wall. As I stood up I felt intense pain 9 out of 10. And have been in constant pain since, couldn’t even talk for 2 weeks without pain and have lately begun getting intense pains in my calves my buttocks my thighs and feet as well as my whole back. I have been for an MRI and am waiting for the results, after the long weekend. Workers compensations doctor claims that my work activities are not injurious, that there light duty, and that I was not doing anything heavy or awkward or outside of my range of motion and therefore was denied benefits. I need the compensation so I can afford the physio or whatever I need. And so I can contribute for my family again. I am 26 years old and shouldn’t be having back problems already. What I want is an expert opinion on wether my work activities as a stucco plasterer would have caused my back injury and wether or not the incident on gen 10 would be significant in causing an injury. The medical adviser noted to that I hadn’t been working long enough that day to cause the Injury. Even though I spread 390 sq ft in 40 mins. Any head ice would be greatly appreciated thank you so much and I really find this site informative. Keep up the good positive work!!
#5974 In reply to: 3 years of sciatica |Let’s define your symptoms. Do you have pain with standing and walking or with sitting? Where does the pain start and where does it radiate to? What makes the pain better? What is the average intensity of the pain on a 0-10 scale and how bad can it get?
Do you have standing X-rays and flexion/extension X-rays? If so, is there an angulation on the AP of L5 on S1? Is there any slip of L5 on S1 with the flexion/extension X-rays?
The MRI report notes foraminal stenosis of L5-S1 on the right. There also may be lateral recess stenosis but many times, this goes unidentified by the radiologist so we cannot assume this to be present. Remember that the MRI is performed in the supine position (lying down) so the standing X-rays give important information regarding the effect of gravity on the spine which may not be noted on the MRI.
Do not use stem cell treatment. This is a current fad in spine treatment that needs years of refinement if it is to be useful. Right now, I think it could be dangerous.
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.#5907 In reply to: extruded disc |I cannot tell you how long it will be to pick up your baby boy as this depends upon the surgeon’s technique and particular requirements for rehab. I would say that in my practice, you could hold him while you were sitting on the couch immediately but could not pick him up for about 5-6 weeks.
Genetics tends to be the culprit. The tensile strength of the collagen is the factor at play.
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.#5894 In reply to: L5 S1 and rowing |If there is a fracture of the pars interarticularis, then your daughter most likely has spondylolysis and the fracture is causing the pain. This would change the treatment as extension loads the fracture and makes the pain increase. She would have to change her rowing style to prevent full extension at the end of the stroke.
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. -
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