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Old 01-02-2012, 03:12 PM   #1
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tammykinz HB User
work injury

Hello all. I am new to this board. Last July I was at work pushing a cart around a corner. The cart is fairly heavy and as it turned around the corner it kind of veered off and so I pulled it back and sideways to control it. In doing this I jerked my back a bit but it didn't bother me too much. So I continued to work my shifts for 2 weeks and noticed that my back was getting really really sore throughout my shifts and to the point where I couldn't stand it any longer. I went to doctor and he said I sprained my mid-back.

So went to physio for a couple months doing some strengthening exercised. Felt a little better afterwards so tried a back to work program which failed because after a couple hours my mid back would get so tense and stiff and then it would spread up my back and it was just so painful. So then I would put into an intensive physio program through occupational rehabilitation. I did about 3 weeks of gym time which was 4 hours a day / 5 days per week. Then went back to work again....which failed for same reasons above. So they slowed the return program to gradually increase my hours ...this also did not go well. So then workers compensation basically said too bad for you in the past month because they considered it to be a soft tissue injury and it should be healed by now. But then why am I having so much pain?

Anyways I battled it out a bit with them and I now have an extension and am going to be starting another intensive physio program which is 10 weeks long and then try again to get back to work.

So I too am thinking that a sprain like that should have been healed by now. I have done all the exercises and everything that physio has wanted me to do. It doesn't make sense.

I have had an x-ray which said that there were no significant abnormalities but there was some ossification in mid-back which is where the pain comes from. There is a tender area over the spine in my mid-back if you push there and the pain starts from this point. It causes the muscles ONLY ON THE RIGHT side to fatigue quite easily, they burn and then tense up and then that spreads up my back to my neck and it becomes excruciating. But all starts from that mid point in my back on my spine.

So last week the physiotherapist did like a joint manipulation thing where I layed on my stomach and she pushed up and down my spine quite hard actually. She said this will help mobilize the stiff joints. Well for like 5 days I developed severe pain in the muscles all up the right side. RAther than mobilizing my spine she immobolized my whole back because all the muscles spasmed right up and I couldn't sleep properly.

Just wondering if anyone had any ideas?? I have asked my doc 3 times for an MRI scan to which he has refused saying it is soft tissue injury and MRI are for more serious things. But how does he know ? he doesn't even really look at my back...he checks my range of motion which Shows tenderness and stiffness leaning to the right side. tenderness and stiffness twisting to the right side.

I feel most relieved when I stretch out my back, like reach arms upwards or laying on the ground on all 4 and reaching forward. I feel worst on back extension.

I am so frustrated that I think there is something wrong with the joint or something in my spine. I don't think an x-ray is good enough to look.

Any thoughts?

 
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Old 01-02-2012, 04:37 PM   #2
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teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
Re: work injury

At this point, after you have been through several PT programs, etc. I think it is high time that you have a MRI or CT scan. You can only determine a couple things from a x-ray as they do not show soft tissue or nerves. If you had a bone out of place or a fracture, x-ray would be helpful, but you can't see what is going on with the discs, various soft tissue and nerves.

Are you being treated by a spine specialist? If not, I would suggest you make arrangements to see either a fellowship-trained orthopedic spine surgeon or a neurosurgeon who limit their practice to issues of the back and neck.

It sounds like your doctor thinks he knows what happened to your back, but since you haven't healed, it would appear that something else is going on, other than what you were "diagnosed" with. I have found that once a doctor makes a diagnosis, it can be difficult to get him/her to look further or differently. Sometimes it is necessary to go to a different doctor who is unaware of what the first doctor has done. Sometimes a different pair of eyes will see something the other has missed, or in this case, order a MRI which may reveal the source of your pain.

 
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