48 yr old male, relatively healthy, happy and somewhat active. 5'10" at 195lbs. 4 weeks ago I took a hard fall directly on my chest/rib cage(arm was outsrtetched with NO support of the fall/landed on rt side and hip) and rolled into the steel piping of the fence. Results, 10 days of rest due to 10%-15% pneumothorax, 2 fractured ribs, scapula and rotator cuff abnormality. Much better there but...... 2.5 weeks ago lower back/right side started hurting mildly, figured I was favoring that side and I slept upright in a chair for 8 days, and then WHAM! One morning burning pain into butt, outside, front and inside of thigh, under kneecap then a circle around kneecap and into shin. Last 7 days it has been all of the above but almost constant to include waking up at night and now, leg collapses approximately 15+ times per day. Depends on how much sitting/standing and walking/stopping. Sometimes knee gives way, sometimes hip and today it felt as though the inside of thigh just buckled. MRI from 10/20/10 results AS written.
L1-2, L2-3, L5-S1 disc height loss. Limbus vertabra anterior superior end plate of L3 with adjacent edema and osteophytic change. The conus ends a the thoracolumbar junction and is normal in appearance. No aortic dilatation. No paraspinous mass.
T12-L1 demonstrates no disc herniation, canal stenosis or neuroforaminal narrowing.
L1-2 demonstrates a rt. lateral annular tear and broad based far lateral disc mild protrusion unrelated to central canal or neural exit foramen w/out canal or neuroforaminal narrowing.
L2-3 demonstrates a right lateral annular tear and broad based far lateral disc mild protrusion unrelated to central canal or neural foramen w/out canal or neuroforaminal narrowing. Mild facet synovitis.
L3-4 demonstrates minimal dorsal disc bulge eccentric to the right with a component of annular tear and protrusion within the rt. neural foramen effacing the inferior aspect of the right neural foramen and abutting the exiting right L3 nerve root laterally. There is a broad based lateral protrusion and associated annular tear at this level.
L4-5 demonstrates minimal dorsal disc bulge w/out canal or neuroformal narrowing. There is a dorsal rt. facet synovial cyst unrelated to the central canal or neural foramen.
L5-S1 Demonstrates no disc herniation, canal stenosis, or neuroforaminal narrowing. Transitional lumbosacral anatomy with a left sided L5-S1 assimilation joint.
1. Mild degenerative disc disease with lumbrosacral anatomy at the L5-S1 level with a left sided assimilation joint. Lateral protrusions are present at L1-2, L2-3 that do not abut the exiting nerve root. However, the L3-4 there is a larger broad based and annular tear in the rt. foramen extending laterally abutting the rt. L3 nerve root in the lateral region.
2. Mild facet degeneration amd mild facet synovitis as described above.
Thoughts? suggestions? PCP sent me to Chiro 1.5 weeks ago but NO help and massage twice a week and ultrasound twice a week plus a TENS unit on butt and thigh all day.... NO HELP there!