HDL L5-S1 evolution

by Florin Daniel
(Bucharest, Romania)

Hello again!
I've been diagnosed with HDL L5-S1 since 2010.
I had 3 painful episodes until now (one in december 2010, one in march 2014, and the last one in ianuary 2016).

I described my story here: https://www.chiropractic-help.com/hdl-l5s1-with-sciatica-on-right-foot.html
I wanted to post an update on my status, since i've recently got a new MRI after workind with a chiropractician, and also done some kinetotherapy and streching (using an inversion table) about a month.

The first session with the chiropractician have eliminated the pain in my lower back, but i was left with a sciatic pain down my leg. The pain was starting to grow and kind of scared me, so i went to see a neurosurgeon and decided to make an operation because the pain was high.

I had 2 weeks until the operation was scheduled so i wanted to try non-surgical solution until i couldn't to anything else.

I've started in doing moderate exercises, and resting a lot (also took some anti-inflamatory drugs like Arcoxia). From week to week my pain was diminishing. I could walk more easy with less pain, and i was able to lift my foot higher when doing the Lasegue test.

- i have NO BACK PAIN
- i can walk without sciatica pain (let's say 500m until the pain starts to slowly appear but in my right hip and if i push it it will go down to my knee)
- i can sit with no pain (not very long, let's say 30-60 minutes)
- i can sleep with NO PAIN
- i can strech and do easy exercises without pain
- i can drive my car (moderate driving)


Not, i've done a NEW MRI (in the left is the MRI made in january, and in the right image is the MRI made in february 2016). The first was in january 2016, and this is february 2016.
The main difference in imaging is that the HDL got a little bigger, and also got to the point where the disc material got out and is "leaking" near the S1 right nerve root slightly compressing it.

My dillema is this:
- should i do the surgery considering the evolution based on my new MRI, or should i trust my symptoms in getting better??

Please respond soon, i have only 1 day left until my surgery, and i realy need another opinion.

Hello Florin,
Apologies but I've been away for a week. I would have gone with your improvement, rather than what was seen in the MRI.

But that's history now; let me know what you decided.

Either way, give it time to heal this time.

Dr B

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Mar 01, 2016
Done the operation
by: Florin

I have done the operation. I feel ok now. Just muscular pain and stiffness.
My stiatic pain feels gone. I only have some minor pain (tension) when i try to raise my right foot (lasegue test). But i guess it is because it needs time for the nerve to heal properly after surgery.

I am day 4 since my microdiscectomy.
I need some easy muscle strengthening and some tonus in my body from now on.

Take it quietly now Florin for at least a month, and follow the surgeon's directions down to the last letter.

Good luck, thanks for letting me know.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti-inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He is doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost pain-free. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily stroll has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift; he has a short leg.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. X-rays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65-year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88-year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done. 

10. Mr X is a 71-year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a few months ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he could not sleep on that shoulder.

13. Mr D, a 71-year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors should not be treating the elderly most medical sites state but that is so much bunkum.

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