Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

advertisement

Quick Start Forum Video Tutorial

    Forum-Tutorial-Screenshot
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

Notice
All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

The main site has all the formal medical articles and videos for you to research on.
advertisement

Low Back Pain - Normal MRI - Abnormal EMG

tstegall24ttstegall24 Posts: 3
edited 04/14/2015 - 9:25 PM in Lower Back Pain
Hello all,

I am here looking for the best advice possible. So i am like many here that has dealt with chronic lower back pain for almost two years. Long story short i cannot recall any physical injuries or any occurrences that would have called injury when i used to work out and play basketball.

My current back pain is constant, but becomes more intense with any physical activity, lifting, or standing, walking or sitting for long periods of time. I have some tingling in the left leg. I have some shoulder muscle aches but most of my pain is in the lower back. My Muscles seem very tight and i feel that my range of motion has decreased.

Long story short i have see at least 4 chiropractors, 2 primary care physicians, 2 Rheumatologist, 1 Neurologist, and I've tried physical therapy for more than a month. Nothing has seemed to work or even provide a real diagnosis of the problem.

My MRI shows no structural concerns, the closest i have came is my latest DR was able to perform a EMG test and found nerve irritation. The report states evidence for acute radiculopathy at L2-L3-L4 and S1-S2 on the left. He recommended Lyrica to help ease nerve pain, and i tried the samples of low dosage but really found no benefits. I am not a guy seeking for medication as perm fix vs finding the root cause.

I had my follow up today to tell him about how i feel about the lyrica medication. He could not tell me what is causing the nerve irritation after reviewing the MRI.

So now he is referring me to a orthopedic & spine doctor, which i have to wait a month for the appointment and try to take even more time off work. I know i am singing the same old song for a lot of people on this forum. But any advice or even point to the right thread that had similar experience with a resolution would be helpful.

Outside of MRI and EMG what other test should i shoot for that can really give me answers?
advertisement

Comments

  • LizLiz Posts: 9,660
    Please take the time to read this post and refer to it when you have questions

    I am sure that you will find your time on Spine-Health very rewarding. This site is a powerful and integrated system that is dynamic and growing.
    Here are just some of the highlights that are available as tabs on the main Spine-Health menu bar

    Spine-Health Main Menu Tabs

    Conditions Detailed medical libraries of articles and videos that address almost every spinal condition.
    Treatment List of treatments to the conditions identified by Spine-Health.
    Wellness Section contains articles, tips and videos to help patients after surgery and also to help people avoid surgery.
    Medical Articles
    Pain Forums These are the forums you will be using
    Find A Doctor This provides with a method to search for doctors in various locations.
    Videos Index to all Spine-Health Videos



    As a bonus, Spine-Health provides these patient forums. Here you can meet thousands of people who understand and can relate to your situation. You will soon become part of the Spiney family[/u] who provide comfort and the advantages of a support system. You are now part of this family that is approximately 27,00 international members and growing daily.

    IMPORTANT

    - It is very important to understand the Forum Rules to make sure all of your posts[u] do not violate any of the rules.[/u]

    - All new members must read our FAQ in order to understand the layout of the forums, how to navigate through the forums, helpful terms, how to make effective threads and posts, plus a link index to many of the important medical forums and key medical articles on Spine-Health Forum FAQ

    I am positive any member, new or old will find this Chroinc Pain - Step by Step thread very valuable.

    Here are some links that all new members need to review to create effective threads and more

    Read before you post
    Tips for Newcomers
    Understanding the rules

    All of this will help make your threads better and improve the times and quality of responses you will receive.

    You can also find Spine-Health on these Social Networks

    Facebook www.facebook.com/spinehealth
    Pinterest http://pinterest.com/spinehealth/boards/
    Twitter https://twitter.com/SpineHealth

    If you have any questions or need assistance, you can use the private message facility to[u] contact any one of the Spine-Health Moderators

    dilauro

    liz

    Doug Hell

    Also working with us very closely is Allison Walsh from the Spine-Health company

    awalsh

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • How about an upright MRI with contrast in flex, neutral and extension? It will show your nerves and discs under normal loading rather than at rest, and may show up any abnormal movement of the structures between positions. Speak to your PCP about it.

    Steve
    L5-S1 herniation. Both knee meniscus tear. L4-5 herniation - 2 x nerve block injections. L4-5 discectomy. L1-2 nerve block injection. L4-5 reherniation - TLIF fusion. 2016: L1-2 and L5-S1 retrolistheses and multiple facet joint degeneration.
  • advertisement
  • Fritzcrackerz said:
    How about an upright MRI with contrast in flex, neutral and extension? It will show your nerves and discs under normal loading rather than at rest, and may show up any abnormal movement of the structures between positions. Speak to your PCP about it.

    Steve
    Wow, thanks this is a good idea. It's crazy how i've seen so many doctors and none of them recommended this type of MRI. My neurologist mentioned that it may not show because i am laying down but never suggested this specific type of MRI. Thank you, i will pursue this as well.

    Ever Doc basically ruled out surgery bc of this MRI, and i know there is something going on. I definitely do not want to have surgery but i am trying so hard to find the root cause and it's been a long battle of co-pays and appointments.

    I am also not fan of medication, my neuro had me try lyrica for nerve pain i tried low dosage didn't see any benefits. Muscle relaxers i've used but of course they make you all dopey so i longer get those. For some reason the low back muscles are always tight and contracted. I am committed to finding out what's going on with this spine of mine. Thanks again for your recommendation.
  • Long story short... Standard MRI and EMG were done lying down when I'd said that my symptoms and pain were always when I sat or stood or walked. I had bladder and bowel dysfunction too (CES). Ortho fobbed me of with fentanyl patches and told me to get used to it. So I went self pay and had the upright MRI done for £1100 GBP. Neuro radiologist report stated my L5 nerve roots were being crushed by my L4-5 disc. Two ortho surgeons refused to look at the UMRI or the report as I had gone private for it. Third and most experienced ortho took one look at it and put me on urgent list for fusion surgery. I'm now 8 weeks post op and the CES, the sciatica, the hip pain and the buttock pain is all gone. Best £1100 I ever spent.

    Steve
    L5-S1 herniation. Both knee meniscus tear. L4-5 herniation - 2 x nerve block injections. L4-5 discectomy. L1-2 nerve block injection. L4-5 reherniation - TLIF fusion. 2016: L1-2 and L5-S1 retrolistheses and multiple facet joint degeneration.
  • Wow, first i want to say im happy you finally found resolution and relief!. Your story just further validates my new perspective on healthcare. It's like you have to educate yourself and take matters into your own hands.

    I have to be more aggressive with these passive doctors, and start demanding. Glad your surgery was successful! I have heard so many slippery slope stories in reference to back surgery.

    But i am a small guy im 31 and i have been active all my life. I just want my mobility back without the pain and be able to enjoy activities like basketball and working out in the gym, and enjoying my vacations and trips.
  • advertisement
advertisement
Sign In or Register to comment.