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Back Problems Message Board


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Hey everyone,
First off, I had initial pain on my lower-right back that had stopped me from bending over, on 19 Aug 2010. The cause was from batting in the sport of cricket at school. At first it wasn't strong pain, but noticable. Soon after about 1-2 weeks, I could feel a very slight pain down half-way on the under-side of the right of my thigh. It slowly developed down to the knee, and now it's down to bottom of the calf.

I've had neurological testing and it didn't reveal neurological deficiency. After two weeks of this 'neurological' testing, I was finally prescribed an MRI. Here are the results of the MRI that took place on Tues 5 Oct 2010.

[B]Findings:[/B] Normal lumbar segmentation and alignment. Proximal lumbar discs unremarkable. Conus at the T1/2 Level. It and the cauda equina are unremarkable.

[B]At the L3/4[/B] disc level, some minor disc bulge. No central canal, lateral recess or foraminal narrowing.

[B]At L4/5,[/B] there is mild diffuse disc bulge and a clearly identified small central disc protrusion. This mildly indents the anterior aspect of the thecal sac without abutting or displacing traversing roots. No foraminal narrowing.

[B]At L5/S1[/B], there is a more broad central disc protrusion on the background of disc bulge. Again, clear indentation of the anterior aspect of the thecal sac. There does appear to be abutment without compression of the traversing S1 nerve roots above the lateral recesses. No definitive foraminal narrowing.

[B]Interpretation:[/B] small broad central disc protrusion at L5/S1, with some minor abutment of the traversing S1 roots, either of which may be irritated.
Also, a smaller focal central disc protrusion at L4/5 mildly indenting the thecal sac but not causing definitive neural irritation.

Sorry for the long post, but those are the details. Again, I'm a 16 year old male, and at this stage surgery is a last resort.

I'm particularly concerned that there are problems at 3 levels on the back, I'm very worried. I'm wondering what sorts of hydrotherapy, physiotherapy, excercises, etc, you would recommend for someone with these problems & age.

Thanks!
[QUOTE=Al Kyder;4341525]Hey everyone,
First off, I had initial pain on my lower-right back that had stopped me from bending over, on 19 Aug 2010. The cause was from batting in the sport of cricket at school. At first it wasn't strong pain, but noticable. Soon after about 1-2 weeks, I could feel a very slight pain down half-way on the under-side of the right of my thigh. It slowly developed down to the knee, and now it's down to bottom of the calf.

I've had neurological testing and it didn't reveal neurological deficiency. After two weeks of this 'neurological' testing, I was finally prescribed an MRI. Here are the results of the MRI that took place on Tues 5 Oct 2010.

[B]Findings:[/B] Normal lumbar segmentation and alignment. Proximal lumbar discs unremarkable. Conus at the T1/2 Level. It and the cauda equina are unremarkable.

[B]At the L3/4[/B] disc level, some minor disc bulge. No central canal, lateral recess or foraminal narrowing.

[B]At L4/5,[/B] there is mild diffuse disc bulge and a clearly identified small central disc protrusion. This mildly indents the anterior aspect of the thecal sac without abutting or displacing traversing roots. No foraminal narrowing.

[B]At L5/S1[/B], there is a more broad central disc protrusion on the background of disc bulge. Again, clear indentation of the anterior aspect of the thecal sac. There does appear to be abutment without compression of the traversing S1 nerve roots above the lateral recesses. No definitive foraminal narrowing.

[B]Interpretation:[/B] small broad central disc protrusion at L5/S1, with some minor abutment of the traversing S1 roots, either of which may be irritated.
Also, a smaller focal central disc protrusion at L4/5 mildly indenting the thecal sac but not causing definitive neural irritation.

Sorry for the long post, but those are the details. Again, I'm a 16 year old male, and at this stage surgery is a last resort.

I'm particularly concerned that there are problems at 3 levels on the back, I'm very worried. I'm wondering what sorts of hydrotherapy, physiotherapy, excercises, etc, you would recommend for someone with these problems & age.

Thanks![/QUOTE]


Hi Al. I can certainly understand why you are worried. You are very young to have bulging discs. Can I ask what kind of dr. you saw who ordered the MRI? Did he have any suggestions for you? Did he prescribe any kind of treatment?
If the dr. was not an orthopedic or a neurosurgeon, then you might need to see one of them in order to be referred for proper treatment which I will go into next.

Right now, those discs are not causing a lot of trouble, tho the L5-S1 nerve roots may be irritated by the protrusion. So you are a long way from surgery.

Physical therapy can help but it should be ordered by the kind of dr. I described so that the right exercises are prescribed. Perhaps an injection into the L5-S1 area is needed but that's where the surgeon can guide you. Do not, I repeat, do not entertain the idea of surgery and if the dr. suggests it, find someone else. Once you have back surgery, you are prone to more discs developing problems, and in your case there is no need to operate. There are many other options, including the pt I mentioned, or pain management by a qualified specialist.

I do think that playing sports, especially the very physical ones, should be avoided as you could cause more problems. I know that is not something you want to hear, but you do need to be careful now and protect your back from heavy straining, including lifting heavy weights. Again, a good spine specialist can guide you better than I.

I hope you find someone who will lead you down the right path and keep you out of surgery. Please stay in touch and let us know.

Carol





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