spondylolysis/stenosis

  • Thread starter Thread starter 2patrick1
  • Start date Start date
2

2patrick1

Guest
I have Spondylolysis and spinal stenosis.The problem is at l5 s1. I have radiating pain to my right foot. I get nurabness in my left foot. I'm a 25yr old male. I have tried 2 steroid epidurals no relief. And 1 month of physical therapy with little help to my hamstring. My back still kills me and I am limited at daily activities. My doctor suggests more therapy but it just isn't giving me the relief I need. What is the next step, any suggestions?
 
Welcome to the board. What type of doctor have you consulted with so far? The epidural injections are a common place to begin treatment. Often it is enough to allow the patient to begin to heal on his/her own...but two is a fairly good indication that you won't get any results from a third injection.

Are you an athlete? Spondylolysis shows up in young people, particularly those who engage in sports or activities --often playing football for boys/men.

I had sponylolisthesis, which is similar, involving a slipping of one vertebra over the top of the other. In spondylolysis, there is usually an instability at the segment where it occurs, which is often at L5-S1. This can result in chronic back pain. and can cause mechanical and compressive back pain symptoms, which you are experiencing with the nurabness in your foot. The nerves at the segment that is involved can become pinched as they leave the spine. This can result in pain down the leg and into the foot, nurabness and sometimes there is a weakness when attempting to raise the foot...(if compression is at L5-S1).

Conservative treatments are tried first, such as you are using. Patients' activities are limited or restricted. Physical therapy is recommended in an attempt to build up the muscles surrounding the spine, in an attempt to overcome the unstable segment. Sometimes doctors recommend a brace that prevents movement that will make the condition worse. When all else fails, and it is determined that the pain is coming from an instability, surgery may be recommended. In this case a fusion is the surgery that is used to stabilize the segment.

If you are not seeing a spinal specialist, I would highly recommend it. You are in a good city in which to find highly qualified orthopedic spine surgeons and neurosurgeons who specialize in issues of the neck and back....Good luck and let us know how you are progressing.
 
Hi Patrick, and welcome to the board. I just want to say that you have been given very good information already and I only want to reiterate how important it is to find on orthopedic spine specialist or neurosrgeon who specializes in the spine. These guys are the best when dealing with back problems and know all the ins and outs.

I, too, hope that you will update us.

Carol
 
hi im in the same boat. i have the same problem. i actually had surgery on it when i was 20 yrs old to fix the fractures,they fused the fractures together with bone graft and hardware. they did not do an l5-s1 fusion. anyways i still have problems 5 yrs later. one side never fused so it gives me some problems. the doctor never addressed my stenosis from the pars defect because that would of meant spinal fusion which i wanted to avoid due to more surgeries down the road from it. what has helped me most is abdominal strengthening and lots of hamstring stretching, piriformis stretching, hip flexor stretching. but having a strong core is extremely important. also doing low impact exrecising helps for the arthritis from the fractures like an eliptical machine. if i would of known what i know now i wouldnt of had the surgery.my back pain is nothing like it used to be. it still hurt me after the surgery. then i decided to devote myself to getting better on my own by hardcore pt and getting in shape but only by doing exercizes that didnt make it worse. my problem now is burning pain in my butt while sitting. strengthening and stretching is your best bet. i know you said you did pt but did you do it religiously everyday? also get supportive shoes. if you exausted everything and you are not happy with your life because of pain then surgery is your best bet. spinal fusion would probably really help you if everything goes well. it is a hard recovery and theres always a chane for more sugeries down the road.
 
Back
Top