I am a new member and wanted to introduce myself.
I am a 36 year old male with chronic back pain. I have had ongoing pain for 3+ years but it has just recently (9 months ago) come to a level of debilitation. I have seen 3 different Dr's, a chiropractor and have an appointment with a spine specialist. I have had a 2 X-Rays, a MRI and a bone scan, all of which have come back with a result of "mild" this or that. My regular Dr suggested the specialist will recommend a spinal injection. I'm getting frustrated with the level of pain compared to the results of the scans.
I have come to the site to research conditions listed on the test results. Any help would be appreciated.
I've tried Tylenol, Advil, Aleve and Tramadol for pain to no relief. Dr. refused to prescribe narcotic meds because of his diagnosis of chronic back pain and the possibility of addiction to narcotic meds. His latest recommendation was Amitriptyline combined with Aleve and Tylenol. Been on this combo for 1 1/2 weeks, again no relief.
X-Ray #1 Findings:
5 mobile lumbar segments. Retrolisthesis of L4. Disc space height
loss seen at L4-5 posteriorly
Relatively minimal lumbar osteoarthritic findings
X-Ray #2 Findings:
3 views again show minimal retrolisthesis of L4 on L5. Mild
disc narrowing L4-5 and L5-S1. Mild facet joint hypertrophy at L5-S1.
Degenerative disc changes L4-5 and L5-S1. Minimal
retrolisthesis of L4-5.
There is minimal lumbar dextroscoliosis.
There is mild disc desiccation at L4-L5. There is mild disc height
reduction at L4-L5. There is a mild diffuse posterior disc bulge
at L4-L5. This does not cause nerve root compression or
displacement. Mild right lateral degenerative endplate changes are
present at L4-L5.
There is a mild diffuse posterior disc bulge at L5-S1. This does
not cause nerve root compression or displacement.
There is a small Schmorl's node within the superior endplate of L4.
Incidentally noted is a right-sided L2 vertebral body hemangioma.
No pedicular edema is present. No spondylolysis is present.
1. Mild disc desiccation and diffuse posterior disc bulge at L4-L5
without nerve root compression or displacement. Mild right lateral
degenerative endplate changes at L4-L5.
2. Mild diffuse posterior disc bulge at L5-S1 without nerve root
compression or displacement.
SPECT Imaging: Mild uptake noted in the L4-5 disc space. No
significant facet abnormality.
Degenerative disc disease at L4-5. No acute process identified.