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Back Problems Message Board


Back Problems Board Index


Hello all

I am new to this board and am glad to have found a place to compare my medical problems with others.

I felt it time to share mine, and welcome all advice and comments

I am a 39 year old mail who since I was a teenager from time to time would suffer from lower back pain.

Being young I would normally sleep it off.

As I got older the recovery time would take longer and eventually I pay the hospital a visit when the pain was more than I could bear.

Most time they would prescribe ibuprofin and say "stay in bed for a week." True enough most times that would work

As I for older it got worst to the point where I decided no more heavy lifting.

About two years ago I took a job working at a furniture store where once again I was lifting heavy furniture

Just about every night i would come home shower and pop some advil, and go straight to bed.

I would say about six months ago i started experiencing leg pain that felt like a charley horse, right behind the thighs. Everyday was excruciating.

I finally decided to do something about it. I went to my doctor and incisted on a MRI

Here is the full report as of 06/23/2006

MRI OF THE LUMBAR SPINE

Sagittal and axial images of the lumbar spine are obtained. There is a mild degree of spinal
canal stenosis at L2-L3. This is secondary to facet osteoarthropathy and ligamentous
hypertrophy. No anterior extradural defect is seen and the neuroforamina are patent at this
level.

There is a posterior central herniated disc at L3-L4. This deforms the anterior third of the
thecal sac and contributes to effacement of both neural foramina. There is a moderate degree
of spinal canal and bilateral neuroforarninal stenosis at thls level.

There is a larger posterior central herniated disc at LA-L5. This flattens and deforms the
anterior half of the thecal sac and also contributes to effacement of both neural foramina (as
does facet osteoarthropathy, ligamentous hypertrophy and posterior osteophytes). There is a
moderate degree of spinal canal and bilateral neuroforaminal stenosis at this level.

There is a large posterior central herniated disc at L5-S1. This deforms the anterior twothirds
of the thecal sac and contributes to complete effacement of both neural foramina (as
does facet osteoarthropathy and posterolateral osteophytes). There is impingement upon both
L5 nerve roots. There is a severe degree of spinal canal and bilateral neuroforaminal stenosis
at this level as a result of disc disease, facet osteoarthropathy and ligamentous hypertrophy.

There is loss of the normal disc signal at the L3-L4, LA-L5, and L5-S1 interspaces indicative
of degenerative disc disease at these levels. There is spondylosis at all levels including small
anterior osteophytes at L1 and L2; and posterior osteophytes arising from L3, L4, L5 and S1.
The conus is normal in size, shape and position. There is a 1.4 x 1.0 x 1.0 cm well
circumscribed ovoid hyperintense m,ar row signal abnormality within the right central portion
of the L1 vertebral body.

There is a similar appearing well circumscribed circular density within the left lateral portion
of the L3 vertebral body. It measures 1.6 x 1.5 x 1.4 cm. Both are hyperintense on all
sequences and are consistent with intravertebral hemangiomata. There is no fracture or
subluxation. The paraspinal soft tissues are normal in appearance.

IMPRESSION:

1. MILD DEGREE OF SPINAL CANAL STENOSIS AT L2-L3.

2. POSTERIOR CENTRAL HERNIATED DISC AT L3-LA. THIS DEFORMS THE ANTERIOR THIRD OF THE THECAL SAC AND CONTRIBUTES TO EFFACEMENT OF BOTH NEURAL FORAMINA. MILD DEGREE OF SPINAL CANAL AND BILATERAL NEURAL FORAMINAL STENOSIS AT THIS LEVEL.

3. POSTERIOR CENTRAL HERNIATED DISC AT L4-L5. THIS DEFORMS THE
ANTERIOR HALF OF THE THECAL SAC AND CONTRIBUTES TO EFFACEMENT
OF BOTH NEURAL FORAMINA AS WELL. THERE IS A MODERATE DEGREE
OF SPINAL CANAL AND BILATERAL NEURAL FORAMINAL STENOSIS AT
THIS LEVEL.

4. LARGE POSTERIOR CENTRAL HERNIATED DISC AT L5-S1. THIS EFFACES
THE MAJORITY OF THE BONY SPINAL CANAL, DEFORMING THE ANTERIOR
TWO-THIRDS OF THE THECAL SAC AND CONTRIBUTING TO COMPLETE
EFFACEMENT OF BOTH N E m FORAMINA. THERE IS IMPINGEMENT
UPON BOTH L5 NERVE ROOTS.

5. SEVERE DEGREE OF SPINAL CANAL AND BILATERAL NEUROFORAMINAL
STENOSIS AT THIS LEVEL.

6. DEGENERATIVE DISC DISEASE AT L3-LA, L4-L5, AND L5-S1.

7. MILD SPONDYLOSIS AT ALL LEVELS.

8. INTRAVERTEBRAL HEMANGIOMATA AT L1 AND L3.


After seing a neuro surfeon he suggested I have a laminectomy and spinal fusion at L5-S1

I agreed, however we had a trip waiting to go Disney World and I wanted my kids to enjoy this before school started.

After the second day at that park my back pain took on a whole new meaning. I could not believe that the human body was capable of producing that much pain. I decided to spend the rest of vacation home while the wife and kids enjoyed the park

We came back last saturday and the pain was back with a vengence plus by now my right leg buttocks and private area had this weird numbing tingling sensation.

The hospital did a STAT MRI and found that L5-S1 had ruptured and was crushing the nerves. He said we have to operate to prevent any permanent nerve damage

This thursday I had the laminectomy and to my relief the leg pain was gone and alot of the back pain also. I still have that numb tingling sensation, but the doctor said give it time your nerves are very angry and take time to heal.

It has been 4 days and I can fianlly sit here and share my story. I am still a little worriedm because the doc said there is still a chance of another rupture but i have decided to really take it easy and change my life.

Well that is my story and would like to hear from everyone. I will also keep everyone posted on how I am progressing.

Take care
[QUOTE=akingsfan;2555714]Hello. I am a 38 year old male, and I have been experiencing EXTREME sciatic pain since October 2005. After all possible non-surgical attempts to heal the pain (physical therapy, epidural injections, medications, massage, you name it!!!), my doctor finally referred me to a neurosurgeon. He ordered a new MRI (Herniated disk, L4-L5), and decided that I would be an excellent candidate for a Laminotomy and Diskectomy. This was performed on August 15, 2006. At my hospital bed the morning after my surgery, my surgeon told me that everything went great, and that I would be up and around in a couple of days with no pain, and could resume my regular activities in a matter of weeks (I am an avid cyclist, and often do 600-mile bike rides for charity). I was VERY excited, to say the least. Then reality hit. I was not up and around that quickly. In fact, I began to panic because my post-op sciatic pain was as bad, if not worse, than it was before my surgery. Obviously, I panicked. But in reading the postings on this site, I found that many, many people have much longer healing times. Many of you told me to be patient, take it easy, and allow my nerves to "wake up". I found this to be the best advice. It has been two days short of a month since my surgery, and I am starting to feel better. I can now walk around the park with no pain (before surgery, I couldn't walk for more than about 5 minutes before I was doubled over in horrible pain, and I obviously had to give up cycling for a long time). So my advice to you all is to listen to everyone's advice on here! We have all been through similar circumstances, and we all heal differently. But we all go through pretty much the same mental and physical ordeals. Take it easy, give your body time to heal (all of us heal at different paces), and continue checking the boards. I found you all to be so much help, and I hope that this post helps someone else going through the same thing.[/QUOTE]

Akingsfan, I trust you still feel fine following your surgery. I had L4-L5 laminectomy last weekend for a long standing (no pun intended) right sciatica problem. (MRI and pre-operative surgical examination showed severely compressed L4 and L5 nerves). For the 2 days post surgery the leg pains were still there but at least I could walk up and down the hospital corridors without doubling up in pain after 200 yards or so. Now back at home 5 days later leg pains keep coming back especially at night in some ways worse than before. Strange though how I can at least walk a little more than pre surgery. I have despaired over the lack of really satisfying and expected instant leg pain relief but take great encouragement from your story.

Rich





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