Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

New to Forum...need advice

I have been dealing with a herniated disk now for 4 months (L5S1). It is broad based...I have tried one caudal injection with nothing...I have tried PT and the PT who was also a chiro said this is not a disk issue...not sure what it is...went back to Psyitrist (sp?) who said we can try a more targeted injection...when I asked him what he would do he said he had been in my shoes...didn't get an MRI b/c he was afraid to see what it said...so he kept exercising etc and just waited it out. He said he gives injections but wouldn't get one. So he referred me to a chiro...this chiro does Graston, ART, and cold laser...I guess he may have helped some but I'm stuck. The chiro now says he thinks it's SI Joint...went to a place where they deal with muscular imbalances...they are all PT's and they told me no it's not your SI...had severe tight muscles that probably pulled on my spine causing the herniation to begin with...my dilemma...I am getting confounding information. Psytrist says it's the disk...chiro says it's the SI joints...other PT says not SI Joints...muscular with potential of disk in play because of the muscle imbalances. UGH...I'm tired of hurting...not sure where to turn.

My pain is controlled by taking 2 advil every 6 hours...the pain is deep in my buttock and in the back of my knee...no radiation. All reflexes and muscles are great...can exercise which I do daily including swimming. Advice? Ideas?

I appreciate the time you take to respond...


  • No wonder you are confused.........who diagnosed a hernation, based on what imaging studies? A broad based herniation is unlikely, you may mean a broad based bulge, which is not a herniation......a bulge simply means that the normal margin that the disc is contained in between the vertebra is sitting a bit outside the normal margins and it is bulged in a wider area than a herniation which is usually a smaller area of the disc which is protruded.
    Disc bulges can be positional, meaning that sitting may compress the disc more and cause it to appear to be bulging, or laying in a certain position may cause it to bulge.
    If I were you, I would start over again, with either a physiatrist, who specializes in spine issues , physical medicine and rehabilitation doctor or with a board certified spine surgeon who can examine you, determine what tests he feels may be warranted in your case, and help to diagnose what exactly is going on with your spine.
    Right now, you are getting a whole lot of nothing, both in treatment and accurate diagnosis, and getting an accurate diagnosis leads to the proper treatment, rather than a throw everything at it and hope it sticks approach....



  • Tired of thisTTired of this Posts: 3
    edited 06/18/2014 - 5:05 PM
    The physiatrist diagnosed the herniation from the MRI...I also had an MRI of the pelvis everything showed fine there. The way the MRI read was a bulge at l5s1 with a broad based herniation...I hesitate to go to a surgeon because I feel that since they are a surgeon that is what they know and what they will recommend...could be wrong....

    In your experience in reading the blogs etc...given time...can this take care of itself for the most part? To maintain, keep healthy eating habits and exercise etc...

    Thanks for your reply and I am looking at the links you provided as well.
  • are two different things, and you can not have both on the same level. A broad based disc bulge as I said before, means that the disc is a bit outside the normal margins. It can , depending on the way it is bulged, contact the nerve root, if it is lateral or paracentral in location. If you think of a perfectly shaped circle, it resembles the disc. If one side of the disc is a bit misshapen, that is what a broad based disc bulge is. One side of the circle is a bit wider than it should be....
    Surgeons are specialists in treating spine disorders. That does not mean that they are going to recommend surgery, and in fact, most won't, unless there is nerve damage present or an anatomical abnormality that requires treatment with surgery. Most patients are referred to physical therapy, injections, and other treatment modalities long before surgery is ever suggested, if it is at all.
    Don't let fear rule your not consulting with the doctor who is best equipped to assist you.
Sign In or Register to comment.