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Back Problems Message Board

Back Problems Board Index

Hi all :wave:
Well let me fill you guys in, my pain mangement dr. sent me back to work yesterday, started be out @ 4 hrs. a day 5 days in a row, mind you I havent been back to work in over a year, let me tell you PAIN, PAIN PAIN,FROWN
i HAD A MYELOGRAM DONE A COUPLE WEEKS BACK AND DR. SAID EERYTHING LOOKED FINE, (THIS IS A COMP. CASE) mY ATTORNEY SAID THAT COMP MOST LIKELY GOT TO THE PAIN DOC AND HE BUCKLED. ANYWAY, MY ATTORNEY WANTED THE PAIN DOC CLINICAL NOTES AND (sorry I dident know I had the cap lock on) and he sent me back to work before he did any follow up visit. (Ihad seen him 2 weeks ago with such severe pain I thought I would die and nerve pain, doc said meyolgram showed nothing, everything was fine (last time I take his advice on anything) so on the clinical notes he has "lumbar myelogram revealed only partial filling on the right S1 nerve root on the myelogram part and on the CT part there was moderate central protrusion that was indenting the thecal sac and abutting bilateral nerve roots at the L4-5 level causing moderate spinal stenosis at that level. At the L5-S1 level, there was increased filling at the right S1 nerve root sleeve but there was still aome asymmetry between the right and the left.
So what does this mean?
It's all greek to me :confused: :rolleyes:
sny interpertaion will be greatly appriciated, thanks so much :love1:
Hi shedevil :wave:
Sorry to hear you're in such pain. Well, I don't have any medical training, but I've been living with back pain so long sometimes I think I know more than I never wanted about backs! ;)

The "thecal sac" is the spinal cord and its surrounding fluid. The "moderate central protrusion indenting the thecal sac" means that the CT scan shows a bulge in the disk that's centrally located (not on the right or left side) and is pushing into the thecal sac and probably pressing into your spinal cord. That is probably the source of much of your pain. It is "abutting" or touching both sides of the nerve root ("bilateral" = both sides) at L4-L5, or between the 4th and 5th lumbar vertebrae. "Spinal stenosis" is a narrowing of the spinal cord, just repeating what it said earlier.

So in other words, your L4-L5 disk is herniated and bulging and is sticking out into your spinal cord and pressing on the nerve root. :eek: YEOWWWWW that must hurt!

Hope this helps.

Good luck with the obnoxious doctors. Don't give up!! :)

[img][/img] Telzey

4 years of back pain
Annular tear L5-S1 diagnosed 3/02 via MRI
IDET 12/2/02
Still worse pain than pre-op, am told to wait 3-6 months for improvement

[This message has been edited by Telzey (edited 01-31-2003).]

[This message has been edited by Telzey (edited 01-31-2003).]

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