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Bilateral spondylosis

Hello my name is XXXXXXX I'm a 22 year old apprentice fitter and XXXXXXX I have been diagnosed with bilateral spondylolysis and postercenteral disc herniation also at L5\S1. The date of injury was 11\10\13 i have been off work completely until present, I have had severe pain around buttocks and legs, I have trouble sitting, standing or traveling for even short distances. For treatment I have had physiotherapy and nurophen plus pain killers. I have recently seen a specialist on the 21/01/13 and he has said I should be okay for light duties and be back on to full duties within 4 to 6 weeks. This sounds crazy for the amount of pain my back is still in, I would appreciate your opinion, What do you think my prognosis for life with spondylolysis working in a manual intensive job as a fitter and turner? will doing this job eventually lead to spondylolisthesis or spinal stenosis? What is a average timeline to recover from spondylolysis? Awaiting your reply Regards XXXXXXX
Brief Answer:
My reply is below.

Detailed Answer:
Hi Mr XXXXXXX Mapson,

Thank you for posting your query. I have also seen your MRI of lumbosacral spine and the report.

I agree that your MRI reports do not show any significant compression of the nerves in the back, and hence, you should recover...
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My MRI report shows the following conclusion, please advice 1. Grade I anterolisthesis of L5 over S1 vertebra with bilateral spondylolysis of L5 vertebra. 2. Posterocentral protrusion of L1-2 and L2-3 discs compressing thecal sac (hard disck). 3. Diffuse posterior bulge of L3-4 disc indenting thecal sac. 4. Diffuse posterior bulge of L4-5 disc indenting thecal sac and encroaching neual foramina (Lt Rt). 5. Mild facetal arthropathy is seen at L4-5 and L5-S1. Sir, i will be greateful to you if u advice me a proper treatement for this. Thanks!.
Hi,thanks for writing to HCM. All the findings in your description suggest a degenerated lumbar spine. The only lesion that is a matter of concern is the Listhesis of L5 over S1. In obese patients this lesion progresses to Grade 2 & 3 very quickly and leads to significant neural elements...
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My MRI showed the following impressions: Marked (1.5) cm anterilisthesis of L% on secondary to bilateral spondylolysis of L5. Severe bilateral foraminal narrowing is present at this level. Annular tear of the L4-L5 disc with a small herniation which does not in any canal compromise. Please advise on what treatments are available.
Hello and Thanks for writing in at HCM
The nature of treatment lots depend on the symptoms, clinical examination along with MRI report. But according to MRI the treatment you can prefer are:
1. Drug therapy: Analgesic with nerve tonic drugs.
2. LS belt
3. Physiotherapy
4. Avoid jerky movements of...
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My name is XXXXXXX XXXXXXX from Australia, 2day I've been told I have Bilateral spondylolysis at L5 & grd1 Anterolisthesis of L5 over s1 vertebral body, there is disc bulge at this level along with an element of spondylolisthesis causing servere narrowing of bilateral neural foramina with bilateral exiting nerve root compression, also posterior disc bulge at L4-5 causing the cal indentation, I've had surgery 3years ago Laminectimy & nothing has changed, I suffer every day with shooting pain down right leg & butt, am taking OxyContin 2help with pain, I can't Walk much or do much in life because of pain, I ask you please can u help me ? What surgery would be best ? A fusion maybe ?
Hi XXXXX,
Welcome to Healthcare Magic.
The findings you have mentioned are significant and enough to cause a chronic pain and suffering.
Because you have had surgical intervention 3years back, it is worthwhile that you get a reviewed physical examination by a local neurologist and possibly you...
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My mother-in-;aw has sever back pain (left side) and she walks with great difficulty
- She has swelling on her left feet. We took her to a doctor who advised many tests.
Following is summary of ultrasound and MRI
Ultrasound
---------------------

right renal interpolar 11.4 m
upper polar 7.4 m
calculus with mild hydronefrosis

MRI
-------
grade 1 anterior spodylosis noted at L4 5 level
with bilateral spondylosis
moderate dis dessication at lumbar levels
mild diffuse annular bulge at all other levels

Other tests
----------------
HbA1C : 7.2 (RBSand FBS was normal)
creatinine : 1.3

She had high BP recently 190/100

Doctor has prescribed the following medicine
------------------------------------------------------------------

- concor am 5 (blood pressure )
- pantacid
- ultracet tab
- calcium tablet

and said that she needs to go for a surgery if the pain does not subside.
It is about a week and pain has not gone down so we went to another doctor a GP yesterday who prescribed.

- concor am 5
- pantacid
- freeflex
- DOLOMAX DT
- Aldofti
- torxyvon

She says feels better now. So we are confused as to whether it is necessary to do the surgery?

I remember my father had a spine compression and doctor adviced us to take RENERVE plus and he felt better after a week. I did not see similar medicine in her case.

Please advice as to the course of action we need to take.
We are also worried that since she has osteoporosis, the surgery may not be successful.

Hi XXXXXXX
Your mother-in-law has many problems,
-sever back pain (left side) and walks with great difficulty
- swelling on her left feet.
-BP recently 190/100
MRI- grade 1 anterior spondylosis noted at L4 5 level
Ultrasound-right renal interpolar 11.4 m, upper polar 7.4 m, calculus with mild...
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Dear Sir, I am suffering from pain/ irritation on the waist for the last one year and also on front side of thigh pinning pain. Pain/ irritation does not extend beyond knees on lower side. Sometimes standing creates maximum irritation. I was treated with trinerve and excercise which did not solve the problem. last month consulted a Ortho spine surgeon there and x-ray and MRI was done which are as follows:- 1.At L5 level, bilateral spondylolysis , grade I anterolisthesis, dessicated disc with pseudodisc bulge causing stenosis of bilateral neural foramine and impining bilateral exiting nerves. 2. At L4-L5 level, dessicated disc, partial annular tear with mild posterior disc btulge intending thecal sac. After seeing the MRI doctor suggested surgery to be done since it has affected nerves which caused irritation which goes beyond waist. I am sir, not at all prepared for surgery and asked for medication and gabapentin Mecabolamin along with paracetamol as pain killer was given and physiotherapist showed some excercise which i could start last week. After doing these exercise my problem aggravated and again i contacted one orthopedics who said the exercises were not correct which aggravated my problem and further suggested some excercise and also suggested to take Trinerve daily. Sir, My humble request to you that as suggested by doctors whether SURGERY is must to cure this problems? I will definitely take the advise of your esteemed Institute before taking any decision. Thanks, Sir, Atleast if possible kindly answer my question to relive me of great tension.
Hi and thanks for this query.

From the information you have orifices, Surgery would be a good option to consider after medical treatment. I will suggest that you try the medical treatment for like 3months and should the pain persist, I'll suggest that you strongly consider the surgical options...
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hello, I Just today went back to the dr. to find out the results of my MRI... So here goes. Findings: there is mild-morderate anterior subluxation of L5 relative to S1. Chronic bilateral L5 spondylolysis with mild secondary hypertrophic change. There is a mild annular dis bulging extending into the neural foramina. mild ilateral S1 nerve root impingement within the lateral recesses. No central stenosis . Severe right and moderate-severe left L5 foraminal stenosis with some nerve root compression. There is mild apophyseal joint hypertrophy at the contigous L4-5 level. The disc is essentially normal. Higher levels are virtually normal in appearance, mionor chronic degenerative change at L1-2 conus positioned at T12. Paraspinal muscauature symmetric. Impression: Bilateral L5 spondylolysis with grade 1 isthmic spondylolisthesis. Annular Bulging or wide base protrusion extending into the neural foramina. Moderate-severe L5 foraminal stenosis and nerve root compression greater on the right. Only mild encroachment of the S1 lateral recesses. mild facet arthropathy At L4-5. No significant finging at the higher levels otherwise. I would like to know your opion. Also what treatment would you recomend. Thanks 435
Hi,

Thank you for posting your query.

MRI findings report suggest lumbar spondylosis, bulging of discs (soft tissue located between the backbones) at a few places in the lower back, and mild pressure on the lower back nerves.

Treatment depends on the symptoms that you have. If it is back pain and...
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I just got an mri on my lower back because I hurt it at work. I was thinking it was a slipped disk and on the mri it showed no slipped disk. it did show I have bilateral spodylolysis at the L5-S1 level with minor anterolisthesis and mild foraminal effacement bilaterally at the L3-4 and L4-5 level. im still in a lot of pain and don't know what else to do L&I wants to close my claim now
Hi,
Thank you for posting your query.
Your MRI spine findings can explain your symptoms of low back pain, and pain radiating to legs.
Initial treatment consists of bed rest, physiotherapy and medications.
Medications likely to be helpful for you would include pregabalin or gabapentin....
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