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  • 16 year old. Pars Defect. No sports?

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    Old 03-22-2011, 06:36 PM   #1
    Lo34's Avatar
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    Question 16 year old. Pars Defect. No sports?

    I am 16 years old and have had back problems for about 2 years now.
    My Sophomore year I went for a rebound in basketball and landed on my bottom. A week later I began having pains on my right lower back. They told me I jammed it and all this good stuff. I was sent straight to the Chiropractor which with every twist and turn it hurt more! So, the doctor sent me to physical therapy. It helped and it went away. But I had to stop the treatments because basketball games were beginning. I never felt it again until about a month later.
    But on the left side this time? It didn't make any since to me. So, I went back to the doctor. MRI this time.

    [I]L4-5: Mild diffuse disc bulge with flattening of the posterior disc margin. No central or foraminal stenosis. No pars defect or subluxation.

    L5-S1: The disc is normal other than minimal bulging. Normal hydration. The right L5 pars interacticularis shows a chronic defect and bony interruption. The left pars is intact however there is abnormal sclerosis involving the left L5 pedicle and pars interarticularis. Mild edema in the left pedical noted also. No subluxation. No stenosis or neural compression. Finding indicate a right L5 pars defect which may be a chronic stress fracture type injury. Edema and sclerosis type stress changes asymmetrically on the left side which could be a source of pain.[/I]

    I don't understand most of this, other than the fact that I have Pars Defect.
    The doctor gave me a shot 2 days before our Playoff game. The next day I couldn't work out for even 10 seconds because every move I made, the pain almost brought me to my knees.
    Our sports trainer called my doctor, and they told me not to play the next day. Many tears were shed. But the game rolled around, and with the help of a note from my parents, my coach allowed me to play, but only a little at a time.
    I was able to play through the game, but some days are different than the other.
    I'm not allowed to do track or any sports up until next year. No tennis, track, summer basketball... Nothing.
    I can't cope with not being able to do anything and gaining weight so I got into the habit of at least running a mile and a half a day. But the pain after running hurts very much, most of the time bringing me to tears. I have tried many stretches, working on my core, and other things I was told would help. But I haven't had much success.

    My coach won't let me do anything until I go to the Neurosurgeon, which is still in 3 weeks!

    Please help me understand my MRI, and if I should not be running!

    It would be much appreciated!

    Thank you!,

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    Old 03-23-2011, 04:08 PM   #2
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    Re: 16 year old. Pars Defect. No sports?

    I am so sorry to see someone so young needing this kind of information. But since you are here, I will try to help what little I can.

    With a pars defect, also called spondylosis, you should not be participating in any kind of sports. Often, this condition will ease with rest and perhaps some anti-inflammatories. So, your coach is right in not allowing you to play, sad as that may be. It's hard when you are so young to have to realize that you must be careful in your activities; actually, it's difficult even when you are older.

    You also have a small bulge in the disc right above the lowest one which is the L5-Sl which also shows a minimal bulge. It won't take a lot to go from that to something more serious, so at this point, taking a break from all sports is needed to give things time to heal. Hopefully, that will do the trick. I'm glad you are going to see a specialist and hope that he can give you some good news.

    Please come back and let us know how you are doing.

    Lumbar surgery x 7 over the last 30 years.
    cervical fusion...2 levels
    medtronic pain pump implanted
    Last surgery Oct, 2010, 3 levels

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