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Old 12-13-2003, 10:24 PM   #1
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Unhappy Pars defect > spondylolisthesis

Hi everyone...
I am new to these boards, I was finally diagnosed with a pars defect and spondylolisthesis in March of this year, after having been in pain for at least a year before that. The orthopedic surgeon was not very helpful at all, all he said was: "If it gets real bad, surgery is available". I am VERY leery about surgery, but I am tired of my house being a pharmacy as well. I was forced into early retirement because of my pain, and I am *not* anywhere near retirement age. Some days are fine, others I just lay on the couch and stare at the clock, counting down the seconds, minutes, hours until I can take my pain medication again. Which, by the way, sometimes just takes the edge off for a few hours. The pain keeps me up at night (I wake up 10+ times a night), and really interferes with my everyday activities. I have pain that takes my breath away, makes me nauseous, makes me sweat... I know many of you can relate. I have had corticosteroid injections in the facet joints, chiropractic work, and acupuncture that have all met with limited success. I will be seeing a pain specialist this coming week and I am nervous and depressed. Anyone else living with a pars defect and have the pain associated with it as I do? Thanks....

 
Old 12-14-2003, 03:58 AM   #2
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Re: Pars defect > spondylolisthesis

I am so sorry to hear about yet another suffering in so much back pain.
I also was diagnosed with a pars defect which resulted in three stress fractures and spondylothesis.
I after many years of pain and trying physical therapy and a pars block opted for a fusion. If the spondy is bad enough it is the only thing that will help.
Have you tried a Pars block? If not I suggest that first. I know of many people who were pain free after one for quite a while.
Good Luck
Lisa
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Old 12-14-2003, 08:39 AM   #3
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Talking Re: Pars defect > spondylolisthesis

are you my twin?lol, my wife came in while i was reading your post and asked if that was one of my post, you and are are going through everything almost to the T. im lucky though i have a outstanding doc(surgen) had had me try everything pretty much possable for a year,and if that didnt work then i would and am haveing surhery. i have having the bone graph/fusion done on the 8th of jan.i also started seeing a shrink a month ago, that seems to help the stress alittle,plus he gave me happy pills/sleeping aid(mirtazapine) works so so, getting alittle more sleep then i was. well wish ya all the luck, hang in their. [QUOTE=Medic8Me]Hi everyone...
I am new to these boards, I was finally diagnosed with a pars defect and spondylolisthesis in March of this year, after having been in pain for at least a year before that. The orthopedic surgeon was not very helpful at all, all he said was: "If it gets real bad, surgery is available". I am VERY leery about surgery, but I am tired of my house being a pharmacy as well. I was forced into early retirement because of my pain, and I am *not* anywhere near retirement age. Some days are fine, others I just lay on the couch and stare at the clock, counting down the seconds, minutes, hours until I can take my pain medication again. Which, by the way, sometimes just takes the edge off for a few hours. The pain keeps me up at night (I wake up 10+ times a night), and really interferes with my everyday activities. I have pain that takes my breath away, makes me nauseous, makes me sweat... I know many of you can relate. I have had corticosteroid injections in the facet joints, chiropractic work, and acupuncture that have all met with limited success. I will be seeing a pain specialist this coming week and I am nervous and depressed. Anyone else living with a pars defect and have the pain associated with it as I do? Thanks.... [/QUOTE]

 
Old 12-14-2003, 03:27 PM   #4
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ltedeschi HB User
Re: Pars defect > spondylolisthesis

Are you having a cage and a fusion?
I am 7 weeks post op and would love to really help you through this. I had the online help and it was a lifesaver. In a surgery like this there is not a lot of people who can understand the pain and frustration before and after surgery. I have the most dynamic husband and family but they can never understand the pain.
My doctor was great but there are so many little things I wanted to know if they were normal you will definitly understand after the surgery. I have had 6 previous surgeries and nothing compared to this for the back
Most of the people I spoke to had disk problems not fractures and slipped vertabre
Where are you having the surgery My nephew is in ortho at Mayo

I will be sending my thoughts and prayers and if you ever have any questions post here. You or your wife are free to ask away.
Good Luck

* please read the Board Guidelines
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Last edited by Administrator; 12-15-2003 at 01:09 AM. Reason: one week ban for disregard of the no off-board contact rule.

 
Old 12-14-2003, 07:08 PM   #5
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Re: Pars defect > spondylolisthesis

[QUOTE=ltedeschi] I have had 6 previous surgeries and nothing compared to this for the back
Most of the people I spoke to had disk problems not fractures and slipped vertabre
[/QUOTE]

I know your msg was not directed at me, but I have to ask... you said you have had 6 previous surgeries... is that for this problem, or did you have other back problems? This is why I am SO hesitant about anyone touching my back as far as surgery is concerned! Maybe having a pharmacy in my home isn't as bad as I thought after all?

 
Old 12-15-2003, 02:27 PM   #6
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Brooke79 HB User
Re: Pars defect > spondylolisthesis

Hi you're all my twins!!

I have exactly the same symptoms and diagnosis at L5S1, well i should say i had those symptoms. I tried most things but i refused to have epidural blocks etc because if you have that you cant really monitor if the symptoms are worsening and they may just worsen beyond what any surgery could correct. So i exhausted all the other avenues physio, exercise, rest, limited activities blah blah blah until the time came to have a fusion.

I had a PLIF on October 29 of this year. I will be 7 weeks post op tommorrow. I have no symptoms now (only post operative pain to be expected) but am still a way off being healed as its a slow process).

Spondy's are generally operated on when there is nerve disruption of some sort or disc buges significant enough. It isn't anything to be frightened of, a have heard from a number of people who have really not wanted surgery and let their symptoms persist and when they finally did go for surgery only part of their issues could be corrected as they had let it go too far.

Brooke

 
Old 12-17-2003, 05:43 PM   #7
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Exclamation at last... an answer

Finally got an answer from someone who seems to know what he is talking about and gave me a ton of information regarding this pars defect I have. I had my appointment with a pain specialist yesterday. First, he told me not to think of the pars defect as a fracture in the traditional sense, but more like Silly Putty that has been stretched to the breaking point. He said that I could have been born with it (just never formed correctly) or that it occurred as a kid, with all the gymnastics and every other sport under the sun that I was involved in. From the look of the xrays and MRI he said I have spondylolysis, but not spondylolisthesis, or if I did, it was slight. The plan is to inject into the facet joint, into the nerve, an anesthetic and steroid. This would be done under fluoroscopy, because it is next to impossible to hit. He would do this twice on two different occasions, to cut down on the placebo effect and to ensure that he is in the correct nerve. If this works and my pain is relieved, the nerve will be removed (actually his explanation was to go in there with a needle and burn it off).
Apparently this is a very common procedure, at least it is for this doctor. I was told that this procedure definitely does not feel good. But I figure if I have to go through the same amount or more pain than I have had in the past couple of years, it's only temporary, as long as it has the desired effect. Has anyone here heard of it/had it done?

 
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