Does anyone hold a similar rear legs problem beside spinal fusion and still hold insufferable anguish?
I am 21/F and I recently had back surgery surrounded by Feb. 2008. I started having back problems about 3 years ago. I saw SEVERAL doctors and have literally any diagnostic tests you can possibly imagine run on my back. Any type of scan or blood work or anything be done. I drove from state to state seeing different doctors and because of my age no one believed me and thought I was looking for pain medication instead of treatment for my posterior. I went through rigorous physical therapy and also had nearly 50-55 total injections in my lower back. I finally found a spine specialist that read all of my films and right now knew what was wrong.
My L4-L5 and L5-S1 discs were herniated. I also hold Spina bifida occulta which affects my S1 vertebrae and a pars defect which affects my L5 vertebrae. The bone defects which caused an nonstandard movement of my discs that I have had since birth is what caused the 2 discs to herniate. To craft sure the discs were the sources of my pain, my pain administration doctor performed a disco-gram in which I was fully awake and he placed needles into the herniated discs and put x-ray dye within and then placed pressure on each disc. If the x-ray dye bled out instead of staying in the center of the disc after the discs were herniated. If the pressure he applied to the discs replicated the pain I had contained by my lower back and down both of my legs then the discs were the affliction generators.
Basically, the disco-gram showed that the discs were herniated and that they were also my affliction generators which meant I needed surgery. The doctor went within through my stomach to my spine and removed the 2 herniated discs and got a very good verbs out. The discs were replaced with cadaver bone. After I was closed up on the front I be flipped over and 6 titanium screws and rods were placed in the bone to stabilize it.
It have been almost 9 months since my surgery and I am still in pain command. I've had several x-rays, mri's and ct's done to see if there is anything specifically causing my cramp but no one sees any physical abnormalities from the surgery. I verbs to have pain down both of my legs/hips/thighs/butt. The pain is amazingly unbearable at times. The disc directly above the fusion is already bulging but it is not herniated.
Does anyone else have a similar problem or know someone who does? I would love to get some input from other inhabitants and their experiences and what their doctors say about everything. Sorry this was so long. Thanks for your time!
Answers: What most surgeons fall through to recognize is that pain originates surrounded by the brain. Pain is an important sensation for us to feel because it warns us of when we are outlook something potentially damaging. Normally, this buffer is quite small, but after repeated exposure to painful stimulus, this buffer get larger...meaning the pain response is more easily triggered. Surgeons look for things on "films" to explain one's cramp...but the truth is that these findings rarely correlate and this is why the failure for back surgery is so abismal.
Changes take place to the nervous system after prolonged mechanical stimulation (and/or psychsocial stressors). Nerves begin to grow more axon craze generating sites, the body dysregulates our neurotransmitters and both of these things can contribute to a prolonged painful experience...even after mechanical deformity are corrected.
You are right that your discogram was positive for the discs being a contributor to pain...but remember that the diffident system is the real pain generator. In your case, this have probably led to a phenomenon called central sensitivity.
This can be deal with, but it goes beyond PT for "stabilization" exercises, modalities and massage. Rather, it requires someone beside an indepth knowledge of the pain response and how to desensitize it.
I would look for a PT who is familiar next to treatment strategies outlined by David Butler, Michael Shacklock, and/or G. Lorrimer Mosely.
I'd also looking into reading "Explain Pain" by Butler and "Painful Yarns" by Mosely.
There is no quick and easy solution...but your first step is to educate yourself going on for pain.
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My L4-L5 and L5-S1 discs were herniated. I also hold Spina bifida occulta which affects my S1 vertebrae and a pars defect which affects my L5 vertebrae. The bone defects which caused an nonstandard movement of my discs that I have had since birth is what caused the 2 discs to herniate. To craft sure the discs were the sources of my pain, my pain administration doctor performed a disco-gram in which I was fully awake and he placed needles into the herniated discs and put x-ray dye within and then placed pressure on each disc. If the x-ray dye bled out instead of staying in the center of the disc after the discs were herniated. If the pressure he applied to the discs replicated the pain I had contained by my lower back and down both of my legs then the discs were the affliction generators.
Basically, the disco-gram showed that the discs were herniated and that they were also my affliction generators which meant I needed surgery. The doctor went within through my stomach to my spine and removed the 2 herniated discs and got a very good verbs out. The discs were replaced with cadaver bone. After I was closed up on the front I be flipped over and 6 titanium screws and rods were placed in the bone to stabilize it.
It have been almost 9 months since my surgery and I am still in pain command. I've had several x-rays, mri's and ct's done to see if there is anything specifically causing my cramp but no one sees any physical abnormalities from the surgery. I verbs to have pain down both of my legs/hips/thighs/butt. The pain is amazingly unbearable at times. The disc directly above the fusion is already bulging but it is not herniated.
Does anyone else have a similar problem or know someone who does? I would love to get some input from other inhabitants and their experiences and what their doctors say about everything. Sorry this was so long. Thanks for your time!
Answers: What most surgeons fall through to recognize is that pain originates surrounded by the brain. Pain is an important sensation for us to feel because it warns us of when we are outlook something potentially damaging. Normally, this buffer is quite small, but after repeated exposure to painful stimulus, this buffer get larger...meaning the pain response is more easily triggered. Surgeons look for things on "films" to explain one's cramp...but the truth is that these findings rarely correlate and this is why the failure for back surgery is so abismal.
Changes take place to the nervous system after prolonged mechanical stimulation (and/or psychsocial stressors). Nerves begin to grow more axon craze generating sites, the body dysregulates our neurotransmitters and both of these things can contribute to a prolonged painful experience...even after mechanical deformity are corrected.
You are right that your discogram was positive for the discs being a contributor to pain...but remember that the diffident system is the real pain generator. In your case, this have probably led to a phenomenon called central sensitivity.
This can be deal with, but it goes beyond PT for "stabilization" exercises, modalities and massage. Rather, it requires someone beside an indepth knowledge of the pain response and how to desensitize it.
I would look for a PT who is familiar next to treatment strategies outlined by David Butler, Michael Shacklock, and/or G. Lorrimer Mosely.
I'd also looking into reading "Explain Pain" by Butler and "Painful Yarns" by Mosely.
There is no quick and easy solution...but your first step is to educate yourself going on for pain.
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