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Back Problems Message Board


Back Problems Board Index


I was a delivery driver for an HVAC wholesaler and hurt my back unloading a box out of the back of my truck. The box was loaded to about 120lbs. and when the handles ripped out I jerked forward to catch it heard a pop and had hot burning pain from my fingers to my toes on the left side.

First MRI said:
1. mild to moderate lumber and lower thoracic disc disease and spondylosis.
2. Left posterior disc extrusion at T12-L1 is associated with mild central stenosis. Left posterior disc protrusion at L1-2 is associated with asymmetry and traversing L2 roots with Left L2 root posteriorly positioned relative to the right. Posterior broad based L5-S1 protrusion is associated with encroachment on the traversing S1 roots.
3. Recommend clinical correlation
4. Mild Lumbar Facet osteoarthritis

I tried rest and medication, then chriopractor, massage, physical therapy and then 2 spinal injections at the L1-2. They did an EMG and found that the L5-S1 nerves were being compressed. So had a Microdiscectomy/laminotomy at the L5-S1. I had alot of pain relief from my back its gets sore but it is not gone. But am still getting siatic pain, extreme tail bone pain to were i cant even ride in a car or sit upright for more than a short period of time, left foot pain and both my legs go numb if i sit for more than 15-20 minutes at a 90 degree angle. They did a second MRI and that is where i have the questions.

Second Mri

T12-L1 There is mild disc desiccation. There is a tiny left paracentral disc herniation with cephalad extrustion, extending for up to .4 cm(sagittal position1.73) There is no evidence of free fragment or neural element encroachment. The facet joints are normal. There is no significant central canal or foraminal narrowing.
L1-L2 There is mild to moderate disc height loss and desiccation. There is a small broad based left paracentral disc protrusion, measuring approximately .4x .8 cm (ap, lateral Dimensions) this indents the thecal sac without neural element encroachment. The facet joint is normal. There is mild central canal narrowing. There is no significant foraminal narrowing.
L2-3 The disc height and signal are normal. There is mild bilateral facet arthropathy and ligamentum flavum thickening. There is no significant disc herniation, central canal stenosis or neural foraminal narrowing.
L3-4 The disc height and signal are normal. There is mild to moderate bilateral facet arthropathy and ligamentum flavum thickening. There is no significant disc herniation, central canal stenosis or neural foraminal narrowing.
L4-5 The disc Height and signal are normal. There is a trace diffuse disc buldge. There is moderate bilateral facet anthropathy and ligmentum flavum thickening. There is no significant central canal or foraming narrowing.
L5-S1 There is mild disc desiccation. There is enhancing granulation tissue with the left hemilaminotomy defect extending into the left lateral epidural space, circumfrontally surrounding the descending left S1 nerve root as it exits the thecal sac. There is additional enhancing granulation tissue within the central posterior disc margin. There is a mild broad based central disc protrusion with a slightly more prominent right paracentral component, that contacts the descending right s1 nerve root. There is moderate bilateral facet anthropathy. There is a mild central canal narrowing. There is no significant foraminal Narrowing.

Impression:
Status post Left L5 hemilaminotomy with enhancing granulation tissue with the left hemilaminotomy defect extending into the left epidural space, circumferentally surrounding the descending Left S1 nerve root. No evidence of arachnoditis

Broad based central/right paracentral L5S1 disc protrusion that contacts the descending right S1 nerve root.

Additional multilevel lumber spondylosis and facet arthropathy without additional significant central canal narrowing. No significant foraminal narrowing.

I have been going to physical therapy since my 6 week point and doesn't seem to be making much difference as far as pain is concerned. My physical therapist believes i am looking at another surgery but don't see my doctor for another 2 weeks. I am wondering if there is anything they can do for scar tissue besides another surgery? And my doctor told me from the beggining that we were going to do a microdiscetomy and if it didn't work we we do a spinal fusion, Is that really going to be my next step?





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