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Lower back pain/sciatic pain could this be surgical?

Amanda86AAmanda86 Posts: 6
edited 03/02/2015 - 10:03 AM in Lower Back Pain
6 weeks ago I injured my back picking a bowl up off the floor. The chiropractor I seen said it was L5 irritation and sent me to the hospitals er for them to do X-rays. And pain management. The doctor never ordered xrays, she told me it was a pulled muscle , gave me a muscle relaxer injection and a prescription for muscle relaxers and said I would be fine in less than a week. The pain was unbearable and felt like fireworks through my back into my legs and all my muscles in my back would tense up. I got the results of my ct scan back and my doctor was not very informative. He didn't explain everything and just said that he would see me in a month as well as gave me a prescription for pain killers and naproxen. He also said he would see me in a month and we would discuss more then and that I should be open to the idea of surgery. I have been doing exercises I found online as well as using the Dr HO pain therapy system. I am still in a lot of pain and have a hard time standing for even short periods of time, Bending hurts a lot, I only get 2-4 hours of sleep a night because I toss and turn so much trying to find a pain free position. It is really affecting my life. I am giving my ct results. Can someone tell me if this is surgical? And if it is will the surgery help the amount of pain I'm in?
CT LUMBAR SPINE RESULTS Mild scoliosis, convex left apex L4-L5. L1-L2 level is maintained.
At L2-L3 there is a mild anterior disc bulge, the l2-l3 level otherwise relatively maintained. At L3-L4 there is a mild broad-based or diffuse disc bulge. Mild prominence pf ligamentum flavum. The l3-l4 level is otherwise relatively maintained.
At L4-L5 there is mild disc space narrowing. Mild marginal osteophytosis. No definitive facet pathology of significance. Prominence of the ligamentum flavum. A mild to moderate central/ left para central disc bulge is superimposed upon a milder diffuse disc bulge and may abut the anterior thecal sac. There is no significant or foraminifera spinal stenosis.
At L5-S1 the disc height is maintained. There is spurring of the left L5-S1 facet joint. There is a mild diffuse disc bulge. No significant central or foraminal spinal stenosis.
Incidental nonfusion of the posterior elements at S1.
A subcentimeter bone island is identified within the L2 vertebral body.
Can anyone give me just a bit more I formation in what is going on with my back?
Amanda
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Comments

  • LizLiz Posts: 9,653
    edited 03/02/2015 - 10:04 AM
    Welcome to Spine-Health

    Use that above hyperlink to help you get started with Spine-Health and navigate through the system.

    If there are any questions, you can always post them here, send Liz or myself a private message or contact Ron rdilauro@veritashealth.com







    *There is nobody on the forum qualified or permitted to give medical advice, all responses are based on members personal experiences only

    http://www.spine-health.com/forum/announcements/spine-health-announcements/mri-reports-why-we-cant-advise

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • edited 03/03/2015 - 8:03 AM
    xxxx hope this at least helps you with understanding some of the terminology I am still in an undiagnosed situation because I think the dr put me here...surgery went well, I had a microdisectomy it was everything that has followed...and I hope your not one of me if they start the conversation with "its rare, I've never in my years seen..., not likely"....i am sorry...that is me and that has happened...hope the site is helpful my full story is posted on here...oh and what they see on an mri is not always whats there...one MRI read I have a remarkable uterus....I do NOT have one!!! a Uterus that is...I had a hysterectomy 4 years ago...
    This can't be happening
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  • ..first, stop seeing a chiro. Make an appt with a.reputable Neusurgeon. Youentioned Xrays and a CT scan. Lots of radiation but besides that, they are the least effective in diagnosing Spine issues. MRI is the number one Diagnostic Test and most thorough. Then am x ray to compare results.

    The only time ice.ever had a CT Scan is immediately aftery lumbar fusion. Between moving me from Recovery Room to my Hospital Room. They di this just to take a quick peak to make sure everything looks good.

    I've been super conservative over the years til I finally had a micro D a year ago and then fusion on 12/15/14 after another blow out of my L5S1. You def sound like you are in urgent need to see see a NS. Just research the heck out of them and find the best in your area.

    The longer you wait, the more.risk.you take with nerve pain, plus going through the approval and pre-certs by insurance company can take weeks just to get an MRI or see a surgeon.

    I can go on and on about what I've done to avoid surgery for 15 years but if you do end up needing it, sooner.than later is prob better.

    Good luck
  • Thank you for your helpful opinions. I will definitely be researching a surgeon in my area.
    Amanda
  • Amanda86 said:
    6 weeks ago I injured my back picking a bowl up off the floor. The chiropractor I seen said it was L5 irritation and sent me to the hospitals er for them to do X-rays. And pain management. The doctor never ordered xrays, she told me it was a pulled muscle , gave me a muscle relaxer injection and a prescription for muscle relaxers and said I would be fine in less than a week. The pain was unbearable and felt like fireworks through my back into my legs and all my muscles in my back would tense up. I got the results of my ct scan back and my doctor was not very informative. He didn't explain everything and just said that he would see me in a month as well as gave me a prescription for pain killers and naproxen. He also said he would see me in a month and we would discuss more then and that I should be open to the idea of surgery. I have been doing exercises I found online as well as using the Dr HO pain therapy system. I am still in a lot of pain and have a hard time standing for even short periods of time, Bending hurts a lot, I only get 2-4 hours of sleep a night because I toss and turn so much trying to find a pain free position. It is really affecting my life. I am giving my ct results. Can someone tell me if this is surgical? And if it is will the surgery help the amount of pain I'm in?
    CT LUMBAR SPINE RESULTS Mild scoliosis, convex left apex L4-L5. L1-L2 level is maintained.
    At L2-L3 there is a mild anterior disc bulge, the l2-l3 level otherwise relatively maintained. At L3-L4 there is a mild broad-based or diffuse disc bulge. Mild prominence pf ligamentum flavum. The l3-l4 level is otherwise relatively maintained.
    At L4-L5 there is mild disc space narrowing. Mild marginal osteophytosis. No definitive facet pathology of significance. Prominence of the ligamentum flavum. A mild to moderate central/ left para central disc bulge is superimposed upon a milder diffuse disc bulge and may abut the anterior thecal sac. There is no significant or foraminifera spinal stenosis.
    At L5-S1 the disc height is maintained. There is spurring of the left L5-S1 facet joint. There is a mild diffuse disc bulge. No significant central or foraminal spinal stenosis.
    Incidental nonfusion of the posterior elements at S1.
    A subcentimeter bone island is identified within the L2 vertebral body.
    Can anyone give me just a bit more I formation in what is going on with my back?
    Hope you Getwell soon.
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  • TDawg said:
    ..first, stop seeing a chiro. Make an appt with a.reputable Neusurgeon. Youentioned Xrays and a CT scan. Lots of radiation but besides that, they are the least effective in diagnosing Spine issues. MRI is the number one Diagnostic Test and most thorough. Then am x ray to compare results.

    The only time ice.ever had a CT Scan is immediately aftery lumbar fusion. Between moving me from Recovery Room to my Hospital Room. They di this just to take a quick peak to make sure everything looks good.

    I've been super conservative over the years til I finally had a micro D a year ago and then fusion on 12/15/14 after another blow out of my L5S1. You def sound like you are in urgent need to see see a NS. Just research the heck out of them and find the best in your area.

    The longer you wait, the more.risk.you take with nerve pain, plus going through the approval and pre-certs by insurance company can take weeks just to get an MRI or see a surgeon.

    I can go on and on about what I've done to avoid surgery for 15 years but if you do end up needing it, sooner.than later is prob better.

    Good luck
    Thank you. The closest place to get an mri is 2 hours away and they are pretty backed up so I think that is why my doc ordered the ct scans. I really would love this nerve pain to be gone! I have a 5 and 6 year old to chase after and no help. Past few weeks have been the worst! I now have an app with my primary doc for the 16th. I will have him send a referral to a surgeon for me. If he won't I will be seeing another doctor asap!
    Amanda
  • Goodlife said:
    Amanda86 said:
    6 weeks ago I injured my back picking a bowl up off the floor. The chiropractor I seen said it was L5 irritation and sent me to the hospitals er for them to do X-rays. And pain management. The doctor never ordered xrays, she told me it was a pulled muscle , gave me a muscle relaxer injection and a prescription for muscle relaxers and said I would be fine in less than a week. The pain was unbearable and felt like fireworks through my back into my legs and all my muscles in my back would tense up. I got the results of my ct scan back and my doctor was not very informative. He didn't explain everything and just said that he would see me in a month as well as gave me a prescription for pain killers and naproxen. He also said he would see me in a month and we would discuss more then and that I should be open to the idea of surgery. I have been doing exercises I found online as well as using the Dr HO pain therapy system. I am still in a lot of pain and have a hard time standing for even short periods of time, Bending hurts a lot, I only get 2-4 hours of sleep a night because I toss and turn so much trying to find a pain free position. It is really affecting my life. I am giving my ct results. Can someone tell me if this is surgical? And if it is will the surgery help the amount of pain I'm in?
    CT LUMBAR SPINE RESULTS Mild scoliosis, convex left apex L4-L5. L1-L2 level is maintained.
    At L2-L3 there is a mild anterior disc bulge, the l2-l3 level otherwise relatively maintained. At L3-L4 there is a mild broad-based or diffuse disc bulge. Mild prominence pf ligamentum flavum. The l3-l4 level is otherwise relatively maintained.
    At L4-L5 there is mild disc space narrowing. Mild marginal osteophytosis. No definitive facet pathology of significance. Prominence of the ligamentum flavum. A mild to moderate central/ left para central disc bulge is superimposed upon a milder diffuse disc bulge and may abut the anterior thecal sac. There is no significant or foraminifera spinal stenosis.
    At L5-S1 the disc height is maintained. There is spurring of the left L5-S1 facet joint. There is a mild diffuse disc bulge. No significant central or foraminal spinal stenosis.
    Incidental nonfusion of the posterior elements at S1.
    A subcentimeter bone island is identified within the L2 vertebral body.
    Can anyone give me just a bit more I formation in what is going on with my back?
    Hope you Getwell soon.
    Thank you! I hope so too!
    Amanda
  • Just thought I would give a quick update! 12 weeks post injury and still no improvement. I haven't yet got in to see a specialist. I have been doing pt, using my t.e.n.s unit, have tried inversion table that just seemed to irritate my sciatica even more. Doctor keeps reassuring that it will eventually start getting better. Stress levels are at an all time high! They figure the numbness and in my right inside foot/big toe/ inside calf will most likely not go away but I'm being hopeful that it will. IThis frustrating being told to be patient when I can barely get out of bed most days, let alone do simple household tasks! I just have to stay positive! If anyone could give me some advice on what worked or didn't work for them to help improve mobility that would be wonderful! Thank you :)
    Amanda
  • I wrote to.you a while back. Reread my post. You need an MRI, figure out a childcare day and get it done. You say they are backed up but I'd you made the appt when I posted, it may have been done. The CT scan can o ly do so much. Secondly, stop doing exercises from online searches. A PT will guide you or talk to your surgeon. FYI, when I was laid up with sciatica out the azz, I couldn't nor wouldn't do exercises. You could be doing much more harm, just like a chiropractor will do if he hasn't seen what ia inside your body.

    I hate to hear what you are going through, but you are not doing what you should be doing...and that's letting a NS run the show.

    If you aren't willing to do that, how can anyone on a website blog help you. If you can find a top or at least highly recommended Neurosurgeon, check into a good Ortho with lots of spine experience.

    Stop procrastinating before you hurt yourself further or do irreversible damage. That's my $.02... Keep me posted because I hope to hear good things soon.
  • My mri app date isn't until August. I am on the cancellation list as well. Sadly we can't get in to see an ns without a referral. That has been sent out so I have to wait until they contact me to book an app, which can take up to a year. I have called the place closest which is 2 hours away that does mri's every week asking for an earlier appointment as well as in winnipeg which is 5 hours away and they have yet to get back to me about an app because they had to get a referral from my doctor. I have also contacted a few other specialists in Winnipeg as well but they are still waiting on the referrals from my doctor. I don't know why I need a referral, but that just seems to be how it works here. They figure it will resolve itself over time and that it doesn't need immediate surgery . I guess masking the problem with narcotic pain killers instead of fixing the problem is their 'cure' . Next week I go for acupuncture and spinal decompression. I'm really not doing that much for stretches or exercises. I walk and that is about it. I have an app for a second opinion from another doctor. It's a never ending waiting game. I have considered going out of province but sadly if I do I have to pay out of pocket for everything because manitoba health won't cover it, unless it's an emergency or my doctor has put in a request for it. I will keep you updated on how things go. I just think it's complete crapola that I cannot get in to see a surgeon without a referral and that it could be a year before I see one when o do finally get an app. The one office I called said she could book me an app for feb and she will call my doctors office and get him to send the referral to her. But still that's over a year away for just a consult. My case isn't an 'emergency' so I have to wait.
    Amanda
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