I would respectfully request your opinion or advice on the above. The pain has taken over my life and I cannot enjoy the things i used. I can send you a couple of pictures of the mri scan showing the extrusion at L5-S1 if you would like to see them. Thank you very much indeed. Welcome to the fonar upright multiPosition mri. Don't settle for a partial view of your patient's spine. See the view in which your patient experiences the problem - sitting, standing, bending, or lying down. Landmark study by ucla restaurant school of medicine of over 1,000 patients (1,302). Quantifies the "miss rate" of static mri* compared to "dynamic" upright mri (Static mri is defined by ucla as being scanned in one position, sitting straight.
Mild bilateral foraminal compromise also noted at this level. tarlovs sacral cysts noted at S2 vertebral level. The conclusion of the mri is : mild left foraminal disc portrusion at L3-L4 and L4-L5 level. marked right paracentral disc extrusion at L5-S1 level. I went to see a neurosurgeon about the mri findings and I was told that the extrusion at L5-S1 means that a part of the disc has broken away from the disc and it is that extruded part that is compressing the nerve and causing. I was advised the options I have are conservative to start off with (medication and if not successful then injections and finally restaurant surgery. A week ago i was put on Gabanerve (Gabapentin 300mg methylcobalamin 500mcg) Tablets, twice a day. I have had no significant benefit in terms of pain reduction and I have now been advised to take lyrica 75mg twice a day instead of the gabanerve. I am also still seeing the physiotherapist a couple of times a week.
These help but only briefly. I then went for an mri, the results of which are : Straightening of the lumar lordotic curvature. Small marginal osteophytes seen at multiple levels. minimal retrolisthesis of L5 vertebral body. degenerative disc desiccation seen at multiple levels. Mild left foraminal disc portrusion at L3-L4 and L4-L5 level, indenting the ventral thecal sac and compressing left exiting L3 nerve. marked right paracentral disc extrusion at L5-S1 level, effacing ventral epidural fat planes, attenuating the right lateral recess and markedly compressing right descending S1 nerve with moderate compression of right exiting L5 nerve as well.
Grade 1 Listhesis
I cannot bend forwards to touch my toes without there being a sharp pain down the right leg. I board cant keep my right leg straight when I bend as such. Coughing or sneezing results in a sharp shooting pain mostly in the hamstrings area. I would say the pain using the vas scale is around 6 -8 when I first stand up after sitting down or when I have moved into a twist or a position that stretches the leg in a way i cannot do so for now. Therefore, the pain is sharp at that stage. Sitting is not very painful, although the hamstring area still has some bearable pain. There is just the discomfort factor.
Activities, until about 10 days ago i was running at a slow pace on the treadmill. It got progressively more painful so i have had to stop that. I still try to cycle (stationary which is more manageable and walk. I have also now started some swimming. Treatment, when the pain first started, i went to see a physiotherapist a few times, for tens, ultrasound and heat massages.
My backache was mainly lower back, right of centre. Pain / percentage / intensity / weakness. The sciatic pain starts at the right buttock, down the hamstring, behind the knee and down the calf. The pain is not at all those areas at the same time, but is often at the hamstring area and at the other areas mentioned down the leg at different times. Pain is most prominent when I stand up after sitting down.
There is a sharp pain mostly at the hamstring area and I have to clutch it tight for almost 15 20 seconds in order to calm it down. Once the pain subsides, walking is only mildly painful, although there is sometimes a slight pain / pull. There is no lower back pain. The pain, therefore is around the 70 (buttocks / hamstring) / 30 (leg) range. I do not feel I have any numbness on the soles of my feet. I may have a slight weakness or limp but that, i feel, is more due to the pain.
Grade 1 retrolisthesis of l 5 on s 1 - things you didnt Know
Goal, gain 2 pounds per week, advantages gain.5 pounds per week. Gain 1 pound help per week, gain.5 pound per week, maintain my current weight. Lose.5 pound per week, lose 1 pound per week, lose.5 pounds per week. Lose 2 pounds per week, gender, female. Dear Dr Corenman, Thank you for a most excellent and informative website and forum. I have been suffering from sciatic pain down the back of my right leg for about a month now. I have had backache issues over many years. The pain comes and goes but has been better over the last year or so since i started working out and losing weight.
Sit on the floor or mat with your legs out-stretched in front of you. Move the flesh of your buttocks out to the sides, to better connect with the floor. Flex your feet upward. Sit up tall and place your left hand on your right outer knee. Place the fingertips of your right hand on the floor behind you. As you exhale, ghostwriter twist your upper torso to the right. Look over your right shoulder and breathe normally for up to 30 seconds. Repeat on the other side. Change your life with myplate.
legs bent and feet flat on the floor. Tighten your abdominals by drawing your navel in toward your spine. Keeping your lower back on the mat, lift your hips upward. Hold this position for five to 10 seconds and repeat 10 to 20 times. Staff pose is normally reserved to correct posture and strengthen the quad muscles. But when you inject a twisting movement, you can safely and gently stretch your sacral spine.
Your back should be neutral and your gaze is on the ground. Inhale, draw your shoulder blades together and allow your stomach to hippie sink toward the floor, arching your back. Look up toward the ceiling and hold the position for a few seconds. Exhale and bring your head down, rounding your back up to the ceiling using your abdominal muscles. Hold this pose for a few seconds and move back to neutral spine. Repeat the exercise a few times. A simple exercise, this stretch is beneficial both for the lower lumbar spine and the sacrum. Lie on your back on a mat or the floor with your legs straight in front of you. Bring your right knee into your chest and press it close to you using your hands.
Grade 1 anterolisthesis of l 5 over
Your lumbar and sacral vertebrae are part of your lower back region. You have five lumbar vertebrae and five sacral vertebrae, the the latter of which are fused together to form the sacrum. The two areas meet at the L5 and S1 vertebrae. This part of your spine can become stiff with age and lack of use. Your doctor may recommend gentle stretches to regain mobility in this area. Taken from yoga, the cat-Cow stretch is helpful for flexing and extending your lumbar spine safely, promoting healthy range of motion. Begin on your hands and knees, with your hands directly under your shoulders and your knees under your hips.