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Lumbar Disc or SI Issue/Sciatica

I am new to the board. I am 26 years old, male, overweight (in the process of getting that down), healthy otherwise, fairly active (I teach & coach football for a living). I have had past back issues: When I was 19 I was diagnosed with a bulge in the L5 disc. I had injections done at that time and it really helped, have had SI joint issues also in the past but usually they resolve fairly quickly. A few weeks ago (4) I shuffled in a drill at football practice, my back felt like it gave out, had a shooting pain in my lower left back and was in pretty good pain for about two days. I went to the doctor and was prescribed Mobic & muscle relaxer which really helped the pain. Now I am having this issue, after about a week I began having Sciatica pain down my right leg, mostly the outside of my calf and top of my foot. My back pain is actually pretty limited but am having some stiffness along with a very tender spot to the right of the S1. My regular medical doctor has ordered an MRI and am waiting for insurance to approve (fun fun). Wanted to kind of see what y'all think may be going on if this is disc or si related and how serious do y'all feel this may be. I really would like to avoid surgery if at all possible. The sciatica pain is what is bothering me the most, 300mg gabapentin has helped and sometimes gets it to stop but I really don't want to be on it for the rest of my life. I have read a lot of threads on here and this seems to be a good community to discuss this in so thought I would join. 

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Comments

  • It's likely what you already know. A bulging disc. Or perhaps it worsened and is now ruptured and spilling out, and thus irritating your nerve. You'll know soon enough. Hopefully some weight loss and PT will cure you. Good luck

  • dilaurodilauro ConnecticutPosts: 12,771

    Really need to wait until you get your mri report and image results.  Its impossible to even give a guess as to what is going on.

    Meanwhile, here is something you should read  Chronic Pain Step by Step Approach

    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
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  • Ok so got my MRI results back, they are as follows:

    FINDINGS: Mild smooth scoliosis is
    convex left. Alignment is otherwise normal. No compression fractures or
    suspicious bone lesions. There is mild multilevel disc degeneration with
    multiple small degenerative Schmorl's nodes in the vertebral endplates. No
    evidence of discitis or osteomyelitis. Cauda equina and conus medullaris have
    normal signal and location.

    T12-L1 through L4-L5: No disc herniation,
    canal stenosis, or neural foraminal stenosis.
    L5-S1: Small left paracentral
    disc protrusion. No canal or neural foraminal
    stenosis.


    IMPRESSION:
    1. Small left paracentral disc protrusion at
    L5-S1.
    2. No canal or neural foraminal stenosis.
    3. Multilevel disc and
    endplate degenerative change.

    One question I have is what do they mean by "protrusion" is this more in line with a bulge or a herniation/rupture? I have to say my pain has improved over the past week & a half and I am also down 15 pounds over the last three 1/2 weeks. Down to taking a mobic in the morning and one 300mg gabapentin  in the evening. Still not 100% but closer to 80%. I am going to see my specialist Monday of next week to see what he has to say. 

  • You are really young & therefore you need to follow your doctors instructions down to the letter, hopefully some PT & possibly injections can fix you up but only a good spine doctor can tell you that. Hopefully this is just a bump in the road but one you need to remember everytime you start to do something, take that advice from a dummy that didn"t  

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