I am a 66 year old male, generally in very good condition. In August I moved a couch. a few hours afterward I had severe pain in my left leg. Having pain when I stand or walk, in various places below my knee. It is very debilitating. I had been seeing a phyisical therapist who had been treating mostly my hip for the last two months, with assorted exercises. There has been very little improvement, so I went back to the orthopedic doctor this week, who order an MRI.
The MRI indicates spinal stenosis- lumbar. Here are the major impressions.
1.Mild discogenic disease at L3toL5.
2.Focal left parcentral protrusion at L4-L% measuring 3-4mm AP which narrows the left lateral recess and may be affecting gthe descending nerve roots.
3.Severe facet arthropathy at L4-L5.
Moderate to severe acquired central spinal stenosis at L4-l5
I saw the physical therapist today who focused more on the spine.
I just made an appointment to see a neurosurgeon to manage my situation.
I hear from others that a conservative approached is appropriate, continuing with physical therapy, but I have very little knowledge of what needs to be done, or the best way to go about treatment. I am hoping for advise and help by others, more experienced with this at this forum.
What type of doctor should I see now? I'm also interested in seeing an excellent doctor. I live in Southern CA, just south of Long Beach, however I am willing to travel if necessary.
Thank you very much for your help.
66 years old
Here is an additional post that I made at that time
"Since I last posted, I saw a pain management doctor at ucla.......I had an epidural on 2/11...I think that there may have been some minor success....I had also continued to do physical therapy stretches until 3/9/10.
On 3/9(tuesday afternoon) I had an flair of severe pain that lasted until that sat morning 3/13........(part of the flair which concerned me a lot was that I was unable to mechanically turn to the left in order to get out of bed)
Also I had another epidural scheduled for Thurdsay March 13th.......on Wed, march 12th, I received results back from a annual blood test from my primary care physician. It showed that my bun and creatine blood levels were elevated...the primary doc thinks that it's due to an antiinflamtory that a doc had prescribed, oxaproxim/600mg 2 times a day(sp), as a result of this blood test my second epidural was cancelled.........today, I retook these blood tests hoping that my numbers will normalize.
I stopping doing stretches from 3/9 until today 3/22...I started doing them again today.
I wonder, if anyone knows the optimim amount of time between epidurals?
Any other comments are appreciated"