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Screw failure after 10 years


I'm 39...and I had surgery on a pars defect (i think) in 2003....1 screw. Following a small fracture being found after lower back pain....previous high impact sporting life (rugby etc)

Since then I've been able to get back to a fully active lifestyle, rowing...cycling etc

In the past few months I've started getting excruciating pain in the toes in my right foot...I had put this down to exercise or perhaps even some arthritis kicking in.

Then I started getting a little more back pain than I usually get, which is only every so often and low level, and to be honest, far better than the alternative. I also started getting very specific sharp pains when the scar area was touched...i.e. if the kids jumped on my back!

I have now noticed a small hard lump in and arpound the scar area...

My fear is, the screw has moved/loosened/broken and that's the lump...and the right foot pain is a as a result.

after 10 yrs of active life, I'm so reluctant to have surgery again....so my questions:

might the defect have repaired itself anyway and I can just have the screw removed
might I have to have it done again
do you think the back pain/object and foot are all connected
will it get worse...what is the worse that can happen if I ignore?

Anyone with any advice or similar experiences??

In reluctant anticipation....!


  • welcome......http://www.spine-health.com/forum/announcements/spine-health-announcements/welcome-message-resource

    First, you need to determine that the screw is actually what is causing the increased pain. With kids jumping on your back, that 's not a good thing, and may be related to your increased pain levels.
    A visit with your doctor who can order an xray to check to see if the screw is indeed loose, is in order. If it is, he can refer you back to the surgeon for further evaluation and treatment options.
    A fracture should have healed by now, but unless there is a reason to remove the screw, such as loosening, going in to remove it without a good medical reason is unlikely.
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