| Discussion in 'All Categories' started by Mari Lopes - Apr 21st, 2016 8:44 pm. | |
Mari Lopes
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Good day I had a L5-S1 fusion 20 months ago but have had complications and inflammation and muscle spasms ever since. Have been admitted to hospital for pain relief and also received lumbar injections again for pain control. On the MRI scans it shows a "white"area close to the fusion on the right side. The L4 disc is fine with no nerve compression. I can not sneeze or cough or suddenly walk on a non level surface - it causes excruciating stabbing pain. Also sleep with difficulty and sleeping or lying on my left side is very uncomfortable. I went for a second opinion and was sent for a Nuclear Scan. The outcome was Intense Activity around the L5-S1 excluding discitis. The surgeon is op the opinion that the first fusion never fused properly and is causing fluid build up and instability in the bone which could be causing the pain and says he will have to re-do the fusion. What does this Intense Activity in the L5-S1 area mean? It is a big black blotch on the scan. The rest of the bone seems fine. |
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re: Lumbar activity post fusion
by Dr. R. K. Mishra -
Apr 27th, 2016
4:43 pm
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Dr. R. K. Mishra
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Dear Mari Lopes Mechanical low back pain is a common indication for Nuclear Medicine imaging. Whole-body bone scan is a very sensitive but poorly specific study for the detection of metabolic bone abnormalities. Intense Activity in the L5-S1 area means ongoing degenerative changes or the chronic sequel of adverse mechanical loading suggesting no active inflammatory process.. Your pain require careful evaluation and promising opportunities both for multi-disciplinary clinical assessment and treatment for manual therapists and for research into the effectiveness of manual therapies. Over time, performing these exercises and back exercises consistently can have enormous benefits. When incorporated as part of a daily exercise routine they can yield a lifetime benefit of improved posture and a healthier spine. You should keep in touch of your neurosurgeon. With regard Nidhi |
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