hello it was 2012 july 29 on a sunday afternoon. i was riding my collectors harley fatboy down a hi way in alberta canada doing 50 km/hr. a car with several kids in it did a u turn from the side of the same side of the hi way as i was. she accelerated approx 15-20km into me. my right foot was smashed between my bike frame and the car bumper. the witness said she drove me 10-15 feet sideways as i was doing 50km. the impact at that speed went up my right leg and through my spine. at the moment of impact either shock and parilised from mid back down. it only lasted 30 seconds to a minute. i did not lay the bike down. it took the 30-60 seconds to figure out what happened and to figure out what to do. i realized i had very little foot to work with then just as i slowed around a bend a person at the side of hi way fixing truck helped me off and to the ground with foot up in air clinching around upper leg stop slow bleeding. the foot at the scene had no pedal pulse. after i get the guy out of shock to phone 911 they shortly arrived. the hospital in emergency put my foot back together but never took any mri's. i had complained the next day in the hospital that my back felt like it was on fire and hurting. three years later three surgeries on foot and possible amputation in near future i finaly had an mri. 1.5 years earlier i had a atomic ct scan done of whole body the foot lit up bright and the lower back, but because the specialist was only concerned about the foot for a fusion that no writhe up on back was done. i have the disc of that scan. it did also show l5-4, s1 curve to left. well after three years complaining about the back chronic pain, can't sit very long at all, and i can't stand too long. my best relief from chronic pain is laying down. because of my right foot crush it faces outward to right and mechanical functions are limited so i cant walk very far at all. back to my mri my family dr said the results or interpretation would not cause me the chronic pain i'm in, but i beg to differ. this is where i need help translating the mri.
significant findings by level.
l2-3 there is a mild disc bulge and mild bilateral facet hyper trophy. there is no significant spinal canal or neural forminal stenosis.
l3-4 there is a mild disc bulge with tiny left posterolateral annular fissure. there is no significant spinal canal or neutral forminal stenosis.
l4-5 there is disc bulge and moderate bilateral facet hypertrophy with thickening of ligamentum flavvum. there is no significant spinal canal stenosis. mild bilateral neural forminal stenosis, with no evidence of nerve root compression.
l5-s1 there is disc bulge, eccentric to the left and mild bilateral facet hypertrophy. there is no significant spinal canal stenosis. mild left neural forminal stenosis.
mild degenerative changes in the lower lumbar spine. no severe spinal canal or neural forminal stenosis, or evidence of nerve root compression.
no chronic pain with this?? and can i get relief i can't lay down all the time back gets very stiff and sciatica eventually gets me up and stretch little walk. i have had the sciatica so bad it feels like fire down both legs then i drop. the legs give out. i'm getting bumps and bruises. i have been using two walking cains to get arround. if i sit straight in a chair or floor and tilt upper body to left a large click in lower back feels like it has slipped to left and large pain worse than the chronic i always deal with.
if someone can please help and give me some insight to the mri and should not hurt that bad.....
thank you for any info***************************************
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or recommendations on any diagnostic test. however, the following key words can always be applied.
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- mild treated with conservative measures such as physical therapy and mild medications. many times these situations can be cleared up and the condition can be resolved.moderate some more treatments may be needed, ie spinal injections, ultra sound and stronger medications. always a possibility of more aggressive treatment if the conservative measures don't helpsevere need for stronger medications. the requirement for surgery may be necessary
liz -spine-health moderator