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Herniated L4 and L5
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80wood posted:
Hello,

I have suffered from back pain since an auto accident 14 years ago. I will be 31 in June. Yesterday, I finally had an MRI after a bad flare up. They found L4 and L5 are herniated.
The first recommendation was a 15 day oral steroid (pregnazone) treatment. The side effects of steroids has me concerned with this route.
Has anyone had the same condition or could possibly provide any advice? Thank you so much!
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bj1208 responded:
hi and welcome to the support group -

it's hard to say what to do for this condition - it really depends on the doctor you are seeing - and hoping you are seeing the right kind of doctor -

your MRI results should really be reviewed by either an Orthopedic Spine Specialist or a Neurosurgeon Spine Specialist - this does not mean you need surgery but they are the best at reading the films - once they examine and review this then they can let you know what the best treatment options there are.

I suffered degenerative disc disease of L5-S1 for 2 years - have all steroid injections, physical therapy etc., and nothing worked - so finally I saw another spine specialist who said yes that i needed surgery - so had a fusion done 3 years ago - my pains are worse now than before the surgery - I tried the same routine after my surgery only to find that these treatments did not work -

I'm not saying this will be your case - just my story - you do need to discuss your concerns with your doctor as there are side effects to all medications that we use daily - only your doctor can go over some of the risks associated with it -

Please let us know a little more - what doctors you have seen what other treatments you may have had in the past etc., this will help us help you more -

take care - ^Joy^
 
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80wood replied to bj1208's response:
Thank you for responding!
The history is after a car wreck, I noticed "slipping" feelings in that area about six months after. Stretching would normally do it. The area would be sore for a day or so. Fast forward to 23 and I'm getting muscle spasms with the soreness lasting a few days. Now, I can't walk for a day or so and the pain is constant with little reminders on a daily basis.
Treatment:
Chirpractic will get me out of the immediate pain but has not helped with the ongoing. I stretch regularly and work with the exercise ball to keep core muscles strong. Massages offer temporary relief. I have not tried acupuncture.
Kaiser would not recommend anything other than stretching exercises until finally approving an MRI this week.
I let them know I'm not interested in oral steroids, so they say the shot will be next. I have a phone appointment today.
 
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bj1208 replied to 80wood's response:
hi - just wanted to let you know - it's really not a good idea to go for physical therapy and/or chiropractic care UNTIL you have a full diagnoses of your back - as they can make it worse especially if there is something major wrong with discs.

Going to see an Orthopedic Spine Specialist (my preference!) and having him/her read the results of the MRI - then they can tell you what treatment options are and also will write the correct types of physical therapy and/or chiropractic care -

Let us know when u find more out - take care ^Joy^
 
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darlyn05 replied to bj1208's response:
Hey Joy!

I have a similar situation as you; Diffuse Disc buldging L4-L5 and L5-S1 levels, Signs of Degenerative disc disease L5-S1. From my L5 on down, as well as with my pelvic bone, it is steered to the right pointing down my right leg. I don't remember which disc is torn. And the flapper bone at the very end has been broken.

Have you tried to file for Disability? I refused the epidural steroid injection, don't take prescription pain meds(I don't like narcotics), and each time I try physical therapy I hurt worse than without doing it. I will refuse surgery atlease for now, I've had my fair share within the last year or so. What if anything has helped you? The restrictions that this injury or illness places on a person significantly interfers with countless facets of daily life.

I have all the medical records, imagings, chiropractor records and such that I may need to file for disability.
 
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bj1208 replied to darlyn05's response:
hi darlyn05 - welcome to the support group - yes I did apply for disability - I applied for partial disability as at the time right before my back operation I was a contract employee (no employer-employee benefits - just hubby's medical ins) as from what the surgeon said everything would be great, so forth so forth - well yes the surgery was great - I fused 100% by my 6th week post op - everything was fine until after the 3rd month then I started hurting worse than before the surgery - plus I was having lots of problems with my left leg - so I was finally released from his care by the 8th month post op - they said I should go see a PHYSIATRIST - damn if only they would have explained it to me I would have gone - but went from one pain clinic to another - when finally the last one said that I should go see this one place for a pain pump implant - and behold they were a PHYSIATRIST pain management clinic - see link -

http://www.spineuniverse.com/treatments/what-physiatrist

well here I am getting away from disability! LOL yes after I was denied and found out I was gonna be like this forever I hired a disability attorney - took 18 months but was approved for SSI with back pay! was great but nothing like what I was used to - I was an accountant working 60-80 hours a week - yep management - so worked at lot at home too - little sleep and full staff - gosh I loved it - but cannot sit in chairs that long unless I have big fluffy good pillows - then can only sit maybe an hour or so - mostly I sit on my bed or lay down with my trusty heating pad -

the Physiatrist pain clinic goes deeper into pain control than regular pain clinics - they have given part of my life back whereas I can do a few things - but can't work -

But I do have a wonderful husband and loving family - I have 2 daughters, hubby has 2 daughter 1 son - and between us we have 5 grandkids with one due next month - so there is a lot to live for -

let us know a little more about yourself - treatments ect - the more we know the more we can help - take care ^Joy^


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