CoachK

Thank you for the prompt reply, Dr. Corenman. I apologize, the retrolisthesis is at the L5-S1 level. I am 64 years old and approximately 30 years ago I had significant sciatic nerve pain that progressed to muscle weakness and initial signs of ‘foot drop’. I was diagnosed via myelogram as having bulging discs at L4-L5 and L5-S1. My surgeon was considering a chymopapain injection at that time. He wanted to try an ESI first which ultimately provided near complete resolution. The ESI was repeated approximately 3 months later, and until now I have had no recurrence of any leg pain. Over the years I have had my share of lower back spasms. These have been either self limiting or have responded to chiropractic treatment, massage therapy, and/or hydrotherapy.

I assumed that given my prior history, as well as having a very physically active lifestyle, that degenerative disc disease at my age was likely. This was confirmed via a lumbar X-Ray, ordered by my primary a little less than a year ago, when I had a back spasm that wouldn’t resolve. The intervertebral space at L4-L5 was noticeably narrow, and L5-S1 was very narrow. At that time my primary explained that I had “moderate arthritis” and recommended anti-inflammatory medication. The current MRI clearly shows degeneration on T2 images at both levels. The disc height at L5-S1 is extremely narrow, more so posteriorly.

My current problem started with a ‘stabbing’ pain centrally at my belt line upon a simple forward leaning movement. I almost immediately felt tightness above my belt line (erector spinae?) and believed I had another bad spasm. However despite massage, chiropractic, and muscle relaxants over a period of 8 days, the muscle tightness and associated lower back pain would not resolve. During that 8 day period I had two additional instances of the ‘stabbing’ pain, again upon forward leaning, ie. tying my shoes while seated. On the 9th day the severe nerve pain in my leg hit me with a vengeance. I can only assume that the initial stabbing pain may have been the actual herniation and in some way triggered the spasm.

My current radiculopathy is limited to the hip, lateral thigh, and anterior thigh centrally as well as superior towards the groin. There is no involvement below the knee and the dorsal aspect of the thigh is unaffected. It is for that reason, in conjunction with the ESI at L3, that I felt this was due to some involvement of the L3 nerve. Since I have not yet seen a spine specialist, this is all conjecture on my part. My assumptions are just that, albeit based on my education and professional experience. In addition, I have thoroughly reviewed your videos as well as those of several other spinal health care providers.

Once again, thank you for your time and for sharing your extensive knowledge on spine health. I am always eager to learn and appreciate any further guidance you can provide.

Respectfully,
Warren Kay