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Lumbar muscle tear

Skno1SSkno1 Posts: 1
edited 01/15/2014 - 11:54 PM in Chronic Pain
In the summer of 2008 i tore my lower left lumbar in a sports related injury. Ive been suffering in pain on and off for basically 5 years. I didnt see a doctor about this until November 2010. I got an MRI which showed I had arthritis and an obvious muscle tear. The surgeon i talked to at the hospital did not say much about the tear.. he only really commented on the arthritis. My back does pop frequently but the muscle tear was the much more severe problem. After seeing him he only prescribed me anti inflammatory medication and basically didn't say much else about it. I went to my regular doctor about a month later almost in tears from the pain and asked him to prescribe me hydrocodone.. So he did up until a few months ago he cut me off because he explained to me theres a growing pain medication problem in Missouri and I told him it shouldnt affect me. He said unfortunately it does and he said he wouldnt prescribe it anymore but he would tramadol or ibuprofen.. At the time I was dumb and said no because in my severe circumstances i should be able to get whatever the hell i want.. I do have a problem that doesnt need an MRI to tell theres a problem.. Its bad enough you can feel it. So anyhow just about a month ago I talked to a different doctor that told me he would make some phone calls about getting some injections that will deteriorate scar tissues.. Its been almost a month and i have not heard back from him.. I guess my problem is I just need some better direction with my problem.. I just dont really know exactly what type of doctor or surgeon I need to talk to about fixing this.. I know my body pretty well and I have doubts that an injection will fix my problem.. Its been 5 years and the tear has not healed very much at all..
I guess I just need to know what kind of doctor or surgeon would be the best person to talk to about this. Obviously the spine surgeon i talked to didnt have diddly squat to say about it. I live in St. Joseph, Missouri so if anyone knows a good doctor or surgeon that would specialize in a back muscle tear I would appreciate any help I can get.



  • LizLiz Posts: 9,708
    edited 01/16/2014 - 12:01 AM
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    Veritas-Health Forum Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • dilaurodilauro ConnecticutPosts: 13,430
    edited 01/16/2014 - 5:22 AM
    That its over 5 years old, that it bizarre. Even the worst tears I have heard about, will heal after several months of proper care.
    MRIs will show arthritis, but not enough details. X-Rays are generally used to pinpoint the severity of arthritis.

    Since you indicated you hurt yourself in a sports related incident, I am going to assume you are an athlete. Anyone who has participated in sports for a period of time can show signs of arthritis at younger ages. Its not that uncommon.

    As far as pain medications. It also appears that based on your diagnostic tests and clinical examinations, that your doctors do not feel that narcotic medications should be prescribed. Every doctor needs to be able to justify why a narcotic is being prescribed.

    Too many people believe pain medications are the only answer.. There are many other types of medications that can manage discomfort.

    You asked as to which doctor you should be going to next.

    I really dont see any formal diagnosis, so I would say the Primary Care Physician is your best bet. They are the generalist who are best suited to try to narrow down a problem. When they feel they see something, they can either start you on Physical Therapy or recommend you another doctor.

    I cant see any surgeon at this point. What would be operated on?
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
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  • Aaron,
    age is NOT the only reason that a physician may decide NOT to prescribe pain medications. Please don't make every thread by a younger appearing member not being given opiates about age, because the decision is far more complex than simply one factor.
    A muscle tear that is 4 or5 years old, and some arthritis are not a medical reason for giving narcotics NOW. The muscle tear I'm sure has healed mostly by now and arthritis is treated with anti inflammatories. His GP did in fact, give him vicoden for some time, but has recently told him no more.
    Living on pain opiates for a condition with no current testing or is not going to continue in any environment, let alone the current one where abuse/misuse is in every media outlet known to man.
    If he needs ongoing trea is gtment, he can get it easily enough by stad rting with his regular doctor and getting a referral to a board certified spine surgeon or orthopedist to see what the status is of this injury now. No matter what he thinks he knows about his injury , no doctor is going to treat with opiates for an injury that old with no current studies confirming it.
  • because there are so many factors in the decision to use opiates or not , that age or the "proper scans" are small parts of the process in determining what medications, if ANY to use for a particular condition.
    I have read your posts and while I empathize with what you are going through, I just don't agree that the only basis should be having the "proper scans" in place, when it comes to a decision to prescribe opiates or not.....having a scan done means nothing if the medical findings aren't there to show what the cause of the pain is, and complaints of pain with no medical findings to show what is causing it , means that there are other things that need to be done to determine, what , if anything is the cause of the pain, before treating it...
    I'm sorry that you feel persecuted, but as we have tried to tell you in the past, that the decision to use opiates as one small part of our treatment plan meant that we have undergone every hoop , every test, physical therapy, injections and more before our doctors finally reached the point where opiates were considered, and brought in......
    For whatever reasons Aaron, your doctors don't want to use something stronger than what you are currently taking , possibly because there are reasons in your records that brought them to that conclusion, but the thing is, you do have the choice and the power to seek out another doctor or several if you don't like your current treatment plan......
  • I appreciate the apology, but it isn't necessary. I can read your posts and know that you are in a struggle at the moment, and believe me, having been there, I do understand how much of us it drains and consumes in our every day lives. There are days for all of us, with and without meds where nothing brings even an instant of relief and we have used up every resource we have to get us through.....I understand. I really do.
    I know from your other posts that you have a lot going on medically, and that is only complicating the overall picture, both healthwise and emotionally as well.
    I faced being diagnosed a year ago with both breast and thyroid cancer-- it was the worst two months of my life, while I went through test after test, and each test only brought me back for more....I spent a lot of time weighing that if I had to be diagnosed with one form or another, which was the "better" option, and what I would do in each situation........thankfully, min turned out to be not cancer yet....
    The LT problem may in fact, be making things worse than they could be at the moment, on top of the rehabbing, the thyroid issues and anxiety......my hope for you is that your doctors will step up to the plate and work with you to find some relief , and get you back onto the road that you want to travel......so hang in there Aaron, we do care and we are here.....

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  • "John Hopkins on 23rd so I am hoping for the best"

    We will all hope for the best and finally getting some answers and directions for you......
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