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Protrusion in l5s1

AnonymousUserAAnonymousUser Posts: 49,900
edited 06/11/2012 - 8:26 AM in Lower Back Pain
Please read my novel!
aight so im 22 years old, i do gymnastics and parkour (urban acrobatics) Ive had a bulging disc now for about 7 months now ill be the first one to say it I'm young and naive and i don't know crap about this back stuff and how to get it fixed. Everytime i go to a doctor i get rushed out the door wondering what just happened. So maybe some of you guys will be able to help me out.

My mri (word to word) says slight disc desisscation with loss of disc height and minor endplate spondylosis without facet arthrosis. There is a posterior disc protrusion lateralezed to the right. there is approximately 3mm subarticual extension behind s1. The approximate dimension of the disc protrusion are 5mm x 10mm There is impingement of the traversing right s1 nerve root and potential impingement of the traversing let s1 nerve root. The approximate ap diameter of the thecal sac sujacent to the protrusion is 10 mm. There is no significant impingement of the bilateral neural foramina (i only have a vague since what all this means)

Im not in to much pain maybe about 2-4 on a scale to 1-10 all day( and the pain is more of just a bulge feeling then like a sharp pain). Ive been seeing a mckenzie style pt for about 3 months now with a little bit of success.

Just today I went and saw a chiropractor and he imidatley told me that my posture was messed up (from the pictures of what he said a good spine looks like mine looked pretty bad) now would a chiro actually help with this problem? he read my mri results and he just said they were bad, and he proceded to tell every one in the office how bad they were, which kinda sent me a warning sign that this guy just wants my money and cant really help me. But again i don't know a whole lot so maybe correcting my posture would shape me right up i donno.

So what should i do as my next step should i consider surgery ive herd of idet and other micro surgery and they sound pretty cool, or maybe stick with this chiro for a bit and see what happens i know strength training and core exercising is good so ill keep doing that. Or should i just thank my lucky stars that im not in terrible pain and just stay away from those actives (even though there pretty much the center of my life)?

Any advice for me would be so awesome it would make me sick!

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Comments

  • Can you get a second opinion from another Orthopedic Surgeon? If you have a feeling about the Chiropractor maybe you shouldn't go to him. Did your Dr. say it was okay to see a Chiropractor? I would try a Pain Management Dr. first and go conservatively with shots, idet. Have you any numbness or tingling or pain in your legs? If so your Dr. should refer you to a Neurologist. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • I'm sorry you got hit with this so young. From what your MRI said, it looks like you have nerve compression at SI on the right, and potentially on the left Due to that, and the other things listed, I would see a spine doctor ASAP. They can provide conservative treatment like injections, meds,and PT. Chiropractors are more suited for minor problems and they are not qualified to deal with complex back problems like yours, especially if there is nerve involvement. They are very delicate and you don't want to wind up with permanent nerve damage. If necessary, a spine surgeon (orthopedic or neurosurgeon) will perform surgery to decompress the nerve. You have to be evaluated by a specialist to know the extent of your back problems. Whatever you wind up doing, I wish you the best. This is very important and you need to get looked at by a qualified spine specialist soon.
  • i have seen one pain management guy, i asked him about the surgery's and he said i was way to young for it he said he could give me drugs and shots. Like I said I don't feel a whole lot of pain just like a bulge feeling in the center of my spine, no pins and needles and no numbness. I never did ask my doctor about going to see the chiro, I actually don't really have a doctor or atleast one i see regularly. I keep reading this is such a common injury for athletes, and there only out for a few months, but why dont i see an end in site, do all these people opt for the surgery for a quick fix?
  • Well, the surgery is important if you have serious neurological deficits, or if conservative measures aren't helping. The wait period is around 4-6 weeks and in that time you would be having PT, meds, and injections. The hope is that the disc will heal itself. You have to have a regular doctor for this. A lot of surgeons seem to think that operating on people your age is out of the question. The problem is that back surgery isn't a cure all and there is no 100% guarantee it will take away the pain. They don't want to run the risk of disabling someone young. I had decompression surgery last year, and I'm in my thirties. It didn't help me, and this is after I went through all conservative measures. I was sent to pain mgt afterwards. Now, 7 months ago, I had a 2 level fusion and decompression, with hardware. My pain is still severe and chronic and I take several meds. I have been disabled by the chronic pain in my back and don't know if it'll ever be pain free.
    Keep in mind that everyone's circumstances are different and everyone heals differently. Surgery is never a quick fix. It's a long recovery and it may take around a year or more to recover. But the back itself will never be the same as it was.
  • Awesome this is getting better and better! this injury sounds like a death sentence to my activates. has anyone had an injury like this and still highly active? Has anyone tried the IDET, or any of the other surgerys where its basicly just a shot in the spine to remove part of it? Ive also herd of the thing called regenexx where they inject you with your own body's stem cells anyone tired or herd of something like that?
  • It's all about whether your insurance will pay for those procedures. I have heard of IDET, but not of Regenexx and it sounds very experimental.
  • yes its a very new thing i was just hoping some one might have herd of it.
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