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Old 12-07-2010, 02:40 PM   #1
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abetancur HB User
Red face MRI result, herniated disc, nerve pain questions

Hello all, I am new to this site and read some helpful information. I am 23 years only and on November 10 was diagnosed with 3 herniations in my back, L3-L4 L4-L5 L5-S1. Please find below the MRI results. 11/9 I was running for 1.5 miles sat down for 30 mins and after getting up proceeded outside of my college and couldn't continue walking to my car at that time I had to call 911 and an ambulance had to pick me up. I was unable to sit up for 31 hours. After several pain meds and muscle relaxers the following day I was able to move. I got an MRI and was diagnosed with the following:
TECHNIQUES: Sagital STIR, T1 and T2 as well as axial T2 - weighted sequences.
FINDINGS: there is a loss of disc signal at L 3/4 through L5/S1. At L3-L4 there is loss of this signal with a small to moderate sized broad central disc herniation which indents the thecal sac. There is moderate central stenosis. The neural canals are adequate. The L4-L5 there is a moderate sized central right sided disc herniation which indents the thecal sac, resulting in moderately severe central stenosis. THe proximal right L5 nerve root sleeve is mildly effaced by the radiation but does not appear that there is compression of the nerve root itself. THere is no evidence of compression of the Left L5 nerve root. The neural canals are adequate. At L5-S1 there is a moderate sized broad central disc herniation causing moderately severe central stenosis. There is no compression of the L5 or S1 nerve roots. THe neural canals are adequate. There is no other disc protrusion or spinal stenosis. THe conus medullaris appears normal. The vertebrae are normal in signal, stature and alignment.
IMPRESSION: Disc herniations and spinal stenosis at L3-L4, L4-L5, L5-S1 without evidence of frank nerve root compression
After being discharged I started physical therapy immediately. After about a week and a half I would randomly get times where the pain disappeared during this period I rarely had an leg pains it was only my back. After feeling no pain on a Saturday I decided to do pull ups because I thought it was good for my core muscles and I was told to avoid back injuries core strengthening is key. Little did I know that I was hurting myself, after doing over 15 pulls ups between Sat and Sun Monday I woke up unable to move. When getting out of pain I had extreme low buttock pain and pains shooting down my right leg. After seeing a spine specialist I was put on a medrol pack which didn't help at all instead I increasingly got worse. After severe pains I got a fast appointment with Pain Management who advised me to get an Epidural Steroid Injection. After getting this on Friday Dec 3rd I was still in severe pains that Saturday. I called the doctor and he advised me to take 800mg of advil 4x a day because the vicodin and flexural i had was not helping the pain. After taking this advil I felt some relief, I still had a hunch back, still had pains but was able to take my mind off the pain for some time. Today is Tuesday and for the past week and a half I have rarely been able to leave my house. The only comfortable position is laying down, sitting up and standing for a while causes the pain in my leg. The back pain has totally gone away I don't even feel that anymore. After calling my spine specialist today he recommends I do another injection even though this one I don't feel like has given me any relief. I am a student and have missed several days of school and normal life activities. Any recommendations based on my MRI results and story?
Thank you

 
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Old 01-05-2011, 12:11 PM   #2
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Re: MRI result, herniated disc, nerve pain questions

Hi there!

How long did you do your PT for? and are you still doing the exercises given to you by your therapist?

I have 1 herniated disc (L4/L5). By the time I got the MRI and results and got into the orthopedic I had pretty much lost most of the mobility in my back and of course, it's like the domino effect right down the spine and legs. I did 6 weeks of PT but actually, I was doing my exercises daily at home and I still am. (Started PT back in Oct 2010) I continue to improve, slowly but still improving. I'm also seeing my chiropractor (at the instruction of my orthopedic) about 1x a week now to have an adjustment, the activator adjustment, not manual.

I'm just wondering if you should continue the core exercises that your PT gave you and don't worry about adding in new ones just yet (I know, it gets really boring, I'm there!). I honestly didn't think the PT was going to fix my problem but it really has.

Wishing you the best!

Last edited by bouscher; 02-01-2011 at 11:54 AM.

 
Old 08-02-2011, 04:55 AM   #3
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Re: MRI result, herniated disc, nerve pain questions

I have been living with a herniated disc for over 25 years at L5. I have never missed a days work and, feel this is totally due to the fact that I went out and purchased a book on stretching. Stretching has helped me overcome siactica. Don't get me wrong I still have some off days but, I get up in the morning and get down on the floor and Stretch. It has kept me upright and, siatica is a thing of the past! Best to you in your endeavors.

 
Old 08-18-2011, 03:24 PM   #4
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Re: MRI result, herniated disc, nerve pain questions

Those exact same discs are herniated in my back as well. I have the same pain that you have as well.

I don't have any personal experience with the epidurals but my dad has had them. There have been times where he has had to have up to 4 or 5 in order to get relief from his herniated discs.

One of the best things I've noticed for pain relief is to keep my core strong. When your core is strong it takes pressure off your spine. Another thing that has helped me as well are those Dr. Scholl's orthotic inserts. The kind where you do the foot mapping and it tells you what kind of insert you need. I try not to wear non-supportive shoes that often or for a very long time as well.

Hope this helps.

 
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