Stenosis and herniated disk L4/L5 36 years old part 2
Hello Dr B,
Firstly, I must thank you wholeheartedly for your willingness to, not only reply but, offer insightful and helpful information. For me, your information and website are the cream of the crop!!
Just to clarify a few points: My 65 year old father has never suffered from any kind of back problems (beyond normal muscle injuiries, etc). The same goes for my mother and all of my siblings (of which there are 9).
General health is above standard, non smoker, very occasional wine drinker, prior to the injury I was extremely active - running app 50km a week, swimming, football once a week, 3 visits to the gym a week. There wasn't much I couldn't do!!
The slump 2 test results are as follows: right (good) leg straightens out well and doesn't cause any pain whatsoever. The left leg will only straighten to about 80% percent and causes a sharp, stabbing, pain around the back of my left hip. Basically it mimics the pain I presently feel when walking.
Jan - May 2011, I started feeling low back pain, but the pain never raditated down my leg and didn't really hinder me. I now summise that I possibly had a bulging disc or light stenosis.
In May 2011 during a game of football, I felt a 'click' in my lower back, nothing painful but a very strange feeling. My movement became lethargic, but I just passed this off as a strain. During the following week I discovered that I couldn't walk more than 50 meters without having to sit down for 3 minutes to recover. Over the next 18 months the pain turned to nerve pain down to my foot. Since that time I have tried many different therapies, injections, acupuncture, exercise, (but never a chiropractor) with little to no success.
The first success I achieved, was following your advice about absolutely not sitting down (I am standing as I type this) and, of course, I followed your exercises. Within 3 weeks, the nerve pain had all but disappeared and now I am
trying to deal primarily with hip, backside and sometimes thigh pain (all brought on by walking and light exercise). There is a curiosity in that, I can sometimes run at a slowish pace (7kmh) without pain, but the moment I stop,
I am in near agony. This only appears to subside once I have slept for at least 8 hours.
I realise there are so many factors involved and that no 2 cases are the same. Different doctors will interpret MRI's, pain, movement in their own way. Although, it seems, once they see a herniation, they stop searching for other causes.
If there is a possiblity of viewing a few selected images of my MRI, I would love for a 4th opinion. I certainly don't mind making a donation towards the running of your fantastic website.
I'm not a qualified radiologist, but I do look at Xrays and scans every day and have done for 35 years. You obviously have a fairly large prolapsed disc at L4-L5, protruding into the foramen, and also compressing the thecal sac.
That Slump test shows that stretching the sciatic nerve is restricted, it's tethered in the foramen. Good that it doesn't produce leg symptoms.
Scott, my opinion is that you have to do something now. From a very active lifestyle, you've become quite disabled.
It's great that the not sitting, exercising regimen has made such a difference but I would give it a defined period, perhaps a month, to see if that improvement continues. If not, I would either go and see an experienced chiropractor, to see if the fragment can be reduced with manipulation, or have the surgery.
Both in skilled hands could improve it quite quickly, both could make it worse. Follow your gut feel. But my feeling is you can't go on like this indefinitely.
Was this scan taken recently, or at the time of the injury?
Can you raise your big toe off the ground?
Start talking to friends and family, your GP, and get the name of a good, thorough local chiro.
No payment needed, but it would make my day if you bought one of my books! My nom de plume is Bernard-Preston.com
Let me know how you get on. Please keep to the same thread.
Dr BGo from Stenosis and herniated disk L4/L5 36 years old part 2 to other Chiropractic Conditions often treated…
I hope this has contributed.
Dr. Barrie Lewis