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Back Problems Message Board

Back Problems Board Index

Pain in the perineum and groin is often coming from the S1 nerve, which can get when there is a problem with the disc at L5-S1 or another issue at that spinal segment.

I doubt the dirt bike caused the problem but it probably contributed to it. It probably caused a lot of jarring to the lower lumbar discs...and we know that many cyclists who ride a lot develop some nerve problems in that perineum area for the shape of the seat and the pressure it puts on those nerves.

Did you get copies of your tests? If not, go back to the facility and ask for copies. The good news is that when you go to a spine specialist, he/she will look at the images and not the radiology reports, so you should get an accurate diagnosis. Sounds like the radiologist is downplaying whatever is wrong. Sometimes a disc herniation will appear small on MRI but due to its location or amount it is compressing the nerve, it can cause a great deal of pain.

You may be able to resolve your issues with conservative treatments, but it is important to get an accurate diagnosis from a spine specialist. Otherwise you can waste a lot of time with a well-meaning doctor who is really only equipped to deal with simple spine problems.

Can you go to Portland for appointments? It looks like there are a couple spine specialists practicing there.... Rajiv D Desai, MD has an excellent educational background and clinical experience and is rated very highly among his patients. It sounds like he is conservative in his approach and does surgery only as a last resort. This is the kind of doctor you want to look for. He is at Maine Medical Partners Neurosurgery & Spine.

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