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Back Problems Message Board


Back Problems Board Index


I'm 52, extremely fit and have had back pain for 36 years. Laid up in bed for days sometimes and other times functional to one degree or another. The pain has been constant for 10 years only varying in severity from 3-8 on a 10 scale. Take oxycontin several times a year when its 7 and above. Otherwise Darvocets 1-2 a day.

I ride bikes,hike,spin, weight lift and do 700 situps every other day. It kills me to walk in Costco on the concrete floors for more than 30 minutes.

If I do nothing, it actually seems to get worse than if I exercise.

I do my activity / workout and generally spend the rest of the day on my back with a pillow under my legs.

The pain seems to be getting more intrusive and its time to make some decisions. I was advised by a UCLA neuro and and Loma Linda nuero to have a double body anterior fusion with titantium cages 5 years ago. I put that off in the hopes that the artificial discs would be available and do the job.

I have just had another MRI / Xrays and consulted with a MD who is advising the SARNO mind-body connection therapy.

I meet with Dr. Peppers at Scripps next week regarding 2 level Pro-disc surgery.

Here are the questions.

1) do I continue to keep on keeping on in varying degrees of constant pain? This can and does make me depressed and not a whole lot of "fun" to be around for the wife and kids / friends.

2) give the mind-body thing a try?( non-invasive and very little downside) ..I'm leaning this way ..

3) go for the double pro-disc (If I'm still a candidate) ?

I'm curious if anyone knowledgable out there can interpret the findings below and give me some idea of prognosis over the next 5-25 years if I do nothing????????

Thank you for your consideration of these issues.

l4-l5-s1

Here are the particulars:

1.Spondylitic changes (1<) of the lumbar spine with posterior disc bulges and degenerative changes of the facet joints resulting in mild to moderate/severe neural foraminal and lateral recess encroachment at multiple levels of the4 lumbar spine.

2. L2-3:Mild right and mild/moderate left neural foraminal encroachment.

3. L3-4: Mild bilateral neural foraminal encroachment and moderate bilateral recess encroachment.

4. L4-5: Right asymmetric broad based posterior disc bulge measuring 5mm in ap diameter. anterior effacement of the thecal sac. There is moderate right lateral recess encroachment. There is moderate/severe right and moderate left neural foraminal encroachment. Mild degenerative changes of the facet joints.

5. L5-S1: Right asymmetric broad based bulge measuring 5mm in greatest ap diameter. Mild degenerative changes of the facet joints. Anterior effacement of the thecal sac. There is moderate/severe right and mild left neural foraminal encroachment. There is moderate/severe right and mild left lateral recess encroachment, also Disc material mildly contacts the transiting right S1 nerve root.

T12-L1: Broad based posterior disc bulge measuring 3.6 mm in greatest ap diameter. There is mild efacement of the thecal sac.

L1-2: Broad based posterior disc bulge measuring 3mm in greatest ap diameter.

L2-3: Broad based posterior disc bulge measuring 4.5 mm in greatest ap diameter. mild anterior effacement of the thecal sac. mild right and mild/moderate left neural foraminal encroachment.

L3-4: Broad b ased irregular posterior disc bulge 4.5 mm in greater ap diameter. Mild anterior effacement of the thecal sac. mild bilateral neual foraminal encroachment. There is moderate bilateral recess encroachment..





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