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Old 11-20-2003, 06:54 PM   #1
backattack backattack is offline
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Join Date: Feb 2003
Location: Carbondale
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Question DIAGNOSIS: Ligament Rupture--Help

I just got my MRI results (I had a special dynamic/kinetic MRI that detects ligamental tears done):

"you have a partial rupture of the interspinous ligament
at the L5-S1 level [I also have a bulge there]; this results in some degree of sagittal plane hypermobile intersegmental instability at this same level. . . this
dysfunctional intersegmental motion in turn causes some degree of
accelerated intersegmental degeneration because of the underlying internal
'auto' trauma occurring progressively over time...."

Doesn't recommend surgery. So, I asked some questions (below) and he said
see a treatment specialist. Well, my pain MD is running out of
options and wants to boot me to a neurosurgeon but I'm not a candidate for
surgery so I am basically Screwed. There are a few articles on ligament
ruptures recently indicating that this may be a major cause of back pain and
lead to disc herniation (duh) but no discussion of treatment options.
Basically, according to his report: wait until your spine really crumbles
and you are screaming for surgery.

I'm trying prolotherapy now, which has helped SI, iliolumbar but not the lumbosacral (L5-S1) area.

HELP anyone? Advice? Please!

(real name removed) (email removed)

************************************************************Dear Dr. J

It is finally good to know what is wrong with my back. Before I meet with my
M.*. next week I had a few quick questions, if you don't mind. I UNDERSTAND
that any advice you give is _unofficial_ and that I should consult my M.*.
before taking any further medical action. Thanks again. -- (real name removed)

*******************************************************
NONSURGICAL OPTIONS

a. Suture? Why can't doctors simply suture torn or ruptured back
ligaments?

b. Nucleoplasty (as described above) to relieve pressure on torn
ligament.

c. Prolotherapy: it has helped elsewhere--perhaps more attention here?
I know its semi-unorthodox.

*. Steroidal injection: only in acute phase? My pain M.*. is generally
leery of them. Would it help in this case?

Or, Rush Limbaugh Pain Pill of the Month Club for the foreseeable
future? (I'm on tramadol and topamax, which do an OK job).

6. ACTIVITY AVOIDANCE: I was a VERY active person who ran 5-6 miles/day,
lifted weights, etc. I suppose with a ruptured ligament running and
vigorous activity is permanently out of the question?

What should I avoid? Is stretching good or bad? It's good for muscles?
But bad for ligaments??

Last edited by moderator2; 11-21-2003 at 08:04 PM. Reason: Do not post your email address or your real name.