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Went back to doc, more info

ajamiesonaajamieson Posts: 65
edited 06/11/2012 - 8:37 AM in Lower Back Pain
It has been 2 weeks since my riding accident. I returned to the doctor today (my doctor, not the ER doctor). He told me that in addition to L2-L5 being fractured and having spodolythesis, I also have 2 bulging disks, degenerative disk disease, and the hole where the sciatic nerve comes out (fren something or other it is called) was crushed. SO, no wonder I am in so much pain. He said there really isn't much they can do until the fractures heal and then I can have cortisone. He gave me nortryptyline for the nerve pain. I am curious if anyone has any thoughts or suggestions about this. Thank you.


  • Glad to hear from you again, though I'm sorry to hear about the additional problems.

    I know that steroids and NSAIDS inhibit bone growth, so his opinion on the fractures healing first may be right on the money. However, I would ALWAYS seek a second opinion from a board certified spine surgeon, either ortho or neuro(I would personally prefer ortho if it were me.) I know there's different approaches to healing vertebral fractures, including using some sort of bone cement.

    If you have bone impinging your sciatic nerve, I would be concerned that waiting too long might cause permanent damage. Not sure how steroid injections would help crushed bone compromising your sciatic nerve, but I am not a doctor.

    It cannot hurt(except financially) to get another spine opinion, even if you really feel like your doc is an expert. Like I said, if it were me, I'd really be concerned about the sciatic nerve pain and long term problems.

    Please continue to post updates. You sound like a very active person who is highly motivated to recover to the fullest extent. Good luck to you, I hope you find relief and answers soon!

  • :H Just wanted to let you know that I took Nortrptypline for many years for tension headaches -- given to me by a neurologist. It was a saving grace for me and eventually was able to get off it.

    Hopefully,it will work as good for you for your nerve pain.

    I agree with Angie, I'd want an opinion form a spine specialist if the doctor you saw was just your primary care physician. Ouch, I know you're in pain if the hole that the sciatic nerve passes through is crushed.

    Good luck to you and keep us posted on your progress. And, always, we're here for you if you need to vent.

  • This is an online journal I subscribe to, might find some information here to ask your doc about regarding the cement type compound for vertebral fractures.

  • Thank you both ernurse and deltalady. I really appreciate your responses and will get a second opinion. I am trying to not get frustrated but the lack of mobility and pain are very annoying. I know I am lucky not to have been more seriously injured but I keep thinking this time last year I ran a marathon. Life sure changes quickly. I knew I probably had a limited running lifespan due to my horrible knees but I didn't think my back would be a problem. Oh well.
  • http://www.strykerinterventionalspine.com/vertebroplasty/vertebral-compression-fractures/treatment

    I do not in any way endorse Stryker, but came across this article on vertebroplasty for osteoporosis compression fractures as well as traumatic fractures. It has an education page as well as links to research articles.
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