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L5S1 disk degeneration , Modic change, lower back pain

by carla vannucci
(Italy)

Lower back pain and stiffness

Hi, I has Magnetic Resonance of lumbar spine in May 2009 and it
showed spongiosa inflammation, disk degeneration and inflammation
at L5 S1 (Modic change), also listhesis of L5 and moderate
bulging of L4 L5, spinal canal is normal range.
Another Magnetic Resonance in october 2010 showed no change.
My pain is not severe, STIFFNESS is annoying, but since october my condition worsened because I have greater difficulty walking, I have very short step.
Is a fusion surgery the only option?
Many thanks, carla from Italy (I AM FEMALE, 58 YO, I HAVE SCOLIOSIS TOO, OTHERWISE HEALTHY)

Hello C, thank you for your question.

Very important, you make no mention of pain in your leg. Thus to my mind surgery should not be considered at this stage.

By the sounds of things you have had an injury to the disc, and the swelling has seeped into the bone. That modic change is not particularly unusual.

If the sciatic nerve is irritated, or there is a fixation in the sacro-iliac joint then you will have difficulty taking long steps.

My advice is to start looking for an experienced chiropractor. You have the sort of condition that we treat on an every-day basis.

You'll be getting some lower back exercises from Chiropractic Tips and they are now available on video at C-H. Do them faithfully every morning before getting out of bed.

Your English is very good!

I hope this has contributed.

PS Take the scans and X-rays with you.

Dr B

PS If you can, export a few of the MRI graphics to me. Then I can load them to this page.

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