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HI Brooke! :wave:

I can relate to some of the 'shooting down, into buttock & leg' - but, I have primarily on right side. I have torn disc...and am assuming it's causing my problems. :( Some of my worst times are when I'm standing still for any length of time i.e. making potato salad....when I was done one day, I was 'done' for the rest of the day - that's how bad a flare I had! Stupid potatos! ;)

Sorry I can't be of more help....I'm not familiar w/ spondolisthesis...the nerve compression c/b causing some of it, in my opinion.

Keep us posted....will you be checking w/ doc's office re: this latest development?

ttfn

Karen

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9/22/00 24 hour labor, baby posterior, left tailbone killing me
12/00 MRI -normal-but pain still-began taking vicodin
2/8/02 - 2nd baby born - Csection-healthy girl
2000-11/02 various PT + pain meds
11/02 Referred to Neuro
3/03 NEW MRI - slight bulge L3-L4, DDD, neural foramen,Superior aspect S1 and L5 Nerve root involvement-Neuro Refers to PM for ESI's
(2 Rt Transforaminal,1 lumbosacral,3rd one numbed tailbone little
5/9 - Discogram - shows Tear L4 w/ significant leak onto nerves, DDD
Performing doc oversedated, False Negative
7/8- Dept Head ClCl consult
7/28 - ClevelClinic for Facet Injection, changed to Caudal Epidural after seeing xray of displaced coccyx;also,coccygeal manipulation
8/12 - 2nd caudal inj/no coccyx manip
8/14 -coccyx manip AGAIN
9/25 sched appt to begin tx on Disc Tear @ ClevelClinic
Stillwater,
Just a quick question, if you please. Shortly after my injury, I was tested for the heel/toe thing. I can still do the toe part (although I'm very unsteady and it causes pain across my back) however, upon trying to do the heel part of the test, I was unable to lift my toes off the ground. And it produced pain in my back. Not horrific pain, but definitely a level 7. Do you or anyone else on the board have any idea as to what this means? Thank you so much for your time.
Miz

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Injured 5/2/01 in a fall. 43 yr old. Suffering with Sciatica with tingling and numbness on the buttock, leg and entire foot. Recently has started being symptomatic in the right leg, as well. MRI 2/03 Showed straightening of the normal lumbar lordosis. L4-L5 bulging disk assoc. with posterior spondylytic changes. Effacing the ventral thecal sac. Slight hypertrophic changes of the superior articulating facets. L5-S1 central bulging disk with annular tear. Effacing the ventral thecal sac. Disk desiccation is evident at the L5-S1. Assoc. end plate degenerative changes involving the inferior and superior aspects of the L5 and S1. Mild hypertrophy of the superior articulating facets and ligamentum flavum. EMG of 4/03 shows basically a normal read, however the Dr. did note that the left tibial velocity and the left sural sensory nerve latencies are reading borderline.
DDD is also present.
MRI 8/18/03 L5-S1 is now a 5mm herniation. L4-L5 is now a bulging disk with annular tear. L1-L2 and L2-L3 show decreased height. Disk Dessication is evident from L1 to L5. S1 is noted as a segmented disk.
Hello There,

I think I may be able to help you (i hope). I am 24 and have a grade 1 spondy. I was up until a year ago a law student. However, as my back deteriorated I moved into the field of exercise science, mostly so I could learn more about the human body and hopefully understand my condition and how to look after it.

Funnily enough, a great deal of the population have spondys and just dont know about it.Mainly because they just havent pushed their body (be it through stress or physical over exertion). So it is quite common to have a spondy with no associated other problems such as disc buldges and nerve problems.

What brings people to become aware that they have a spondy is that they may go through anything from a stressful time at work/study, or overdo it in the garden etc.. that will cause an ache that can last continually or that may come and go in 'episodes'. When people go to the doctor the discover the spondy.

A spondy causes problems such as pain without there having to be any other problem. It does so because when the vertebraes in the spine are all in alignment the muscles, and general anatomy of the spine all sit very snug in against those vetebrae. When one of those vertebrae 'slip' out of place (as occurs with a spondy) then this in turn upsets the alignment of all those snuggly fitting muscles etc.. so a stress is placed on those muscles. This is usually a dull ache pain.
Also what happens is because of the slip there is now a structural alignment problem. This is like taking a supporting pole out from under a roof. It makes the whole structure unstable and other parts of your body are called on to take over the role of the strucure that used to hold that weight. In the case of a spondy, the surrounding muscles all have to change their roll and function to accomodate for the support that is now unavailable. This usually falls on the ham strings, the Psosis, the glutes and the Piriformis. These are all muscles located around the legs, buttocks and groin area. In addition the Lateralis (back muscles) and transverse abdominals(which begin in the lower back and wrap around the spine to come around where your abdomen is) take on and extra load. Therefore they are all going to get sore.

There are many different types of muscles in the body. There are mainly 2 types though. One type of muscle are the ones that are contracting all day and all night (at a low grade) and they support the structures of the body - the organs and bones. Then there are other muscles that only switch on when we need them too and they are only capable of switching on for a short period of time - such as the biceps when we lift a heavy weight. Unfortunately the two groups of muscles are not built to take over one anothers roles. They are specifically designed for their specific purpose. However, when there is an injury such as a spondy, the muscles that are on at a low grade all day and night get too tired from having to do their normal job plus deal with the pressure of the slipped vertebrae' spondy' (holding it in place from slipping further) therefore the other group of muscles have to help out, that is the muscles that are only good at supporting strutures for short periods have to work longer. As they are not capable of this they start to hurt.

Therefore not only are the muscles hurting because there is a structural malformation, but they are also hurting because they are working over time and on supporting something they are not used to supporting.
What happens next is that those muscles become so fatigued that they can no longer do the job and pass the job onto another muscle group. An example is where if the spondy is in the lumbar region, the pain will start to move up the spine to the thorasic region and eventually and possibly higher.
So it is now easy to see that the pain just spirals, simply because the muscles are working too hard and compensating where they don't nomrally have to.

Is the spondy in the lumbar region, that is L3 L4 or L5/S1? If so, this area is particularly suspetible to pain as the pelvis is such a moveable area (think elvis) and therefore the muscles are already working hard even without a spondy.

What the best thing to do if there are no other associated complications is to work hard to strengthen and stretch those msucles doing the supporting. That is you need to strengthen the muscles up so they can hold the load longer without transfering it elsewhere and you also need to stretch those muscles daily because of the load they are carrying. They are almost constantly contraction to support the spondy and so you need to stretch them out to provide some relief. This will reduce the pain. or should anyway. The trick is you need to do all this but be very careful that you don't overdo it, because it can set you back. Just listen to your body, it'll tell you when enoughs enough.

I hope this has been of assistance and not too boring for you. [img]http://www.healthboards.com/ubb/yawn.gif[/img]

[img]http://www.healthboards.com/ubb/heart.gif[/img]Brooke





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