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Old 04-27-2007, 06:15 PM   #1
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ctrl-alt-del HB User
Question What does all this mean in regards of my back pain?

I just got copies from my doc of a few reports that I have to show to a specialist in regards of my back pain - but can someone explain to me what some of these comments mean?

[QUOTE]On closer examination of his thoracal lumbar spine, he has very poor unfolding of the lumbar/sacral spine. He has loss of the normal lordotic curvature.[/QUOTE]

[QUOTE]Examination of the sacroiliac joints reveals a pain to the left SI joint on FABRE. Erickson's test is negative as is Gaenslens test.[/QUOTE]

[QUOTE]He has had a CT scan of the lumbar spin, and this shows a Schmorl node-like defect involving the L5-S1 with a large osteophyte bony projection about 5mm into the spinal canal. There's no evidence of any indentation of the dural sac nor does the S1 roots appear impinged.[/QUOTE]

[QUOTE]He has no evidence of facet arthropathy, and the proximal portion of the SI joints appear intact.[/QUOTE]


Thanks for your help.

 
Old 04-27-2007, 09:02 PM   #2
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Re: What does all this mean in regards of my back pain?

The loss of Lordotic Curvature is Flat Back Syndrome. Meaning that the curvature that is normally in your back is gone.
The Schmorl Node is a herniation of the intervertebral disc. The Osteophyte bony projection is something like a bony spur and yours is going into the Spinal Canal.
Where is your most pain. I am now dealing with Bony spurs and Osteophytes at the L3/L4. The bony spur is going into my Thecal Sac. I had a double fusion of L4 to S1 in 2005.
My back also had an appearance of Flat Back as it had limited curvature.

 
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Old 04-28-2007, 07:08 PM   #3
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Re: What does all this mean in regards of my back pain?

Thanks for the reply, Chris54.

I understood what the symptoms are but how in the world did I manage to lose my Lordotic curvature? Will a flat back affect my pain levels as I age? Please answer me those when you get a chance, thank you.

 
Old 04-29-2007, 07:56 AM   #4
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Re: What does all this mean in regards of my back pain?

I never knew I had a flat back, until my ortho mentioned it and showed me pictures of the way it should look. It never caused any pain. It can come with age or loss of the water in your disc. I was young and had a flat back and the pain came later with the injury. My problem was I twisted my back in one injury and fell the following year backward all the way down. Then waiting 4 years for surgery didn't do any good. My back was so unstable by then, that they had to fuse it at L/4-L/5 and L5/S1. One Neuro just starred at my MRI and laughed about how straight my spine was. I am now just starting to get a little bit of curvature back there. They are now going to go back in and take the hardware out and do a Laminectomy on the scar tissue and entrapped nerves at L5 and S1. Then I have another area with bone spurs that are encroaching on my spinal canal and nerve canals and try some procedure on it. I hope this will resolve some of my pain. I heard that some people do have pain with the flat back, but in my case it wasn't the generator of the pain. I think when you address all your questions to your specialist you are going to see it much clearer. These doctors seem to throw out these words I can't even spell, let alone know the meaning of, so I just keep asking the same question over and over until they make it clear to me. Come back and let us know what your doctor says. Hope you get to feeling better.

 
Old 04-29-2007, 10:24 PM   #5
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Re: What does all this mean in regards of my back pain?

Hey, Ctrl-alt-del, 2 things:
1) I LOVE your screen name - cute!
2) I don't know what all that means, but I would consider asking for an app't to review this report. Oftentime, medical staff forget that the average (and intelligent) joe's have no idea what these alphabet soups are. They owe you this.

Good luck and let us know how you do,
Margaret

 
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