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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for back pain after having spinal injury

Hello I have a 10 year old daughter who was going down a slippery dip backwards whith a friend straddled across herlap. When she came off the end of the slippery dip her spine took the impact through her curved back with the weight of her friend. She has had MRI and bone scans. Xrays of the lumber spine are esentially normal, although there is a suggestion of a pars defect in L5. A bone scan shows no evidence of a pars defect and the only abnomality on MRI scanis reduced hydration in L5/S1 disc . We have seen specialist who said take a wait and see approach and that she would be like this for 2-3 years. She has problems sitting, so she squats in class instead of sit on the floor. If she sits on a lounge she gets pain later so she sits on a hard straight backed chair with a pillow for support. She is a sporty girl who has had to stop running, jumping, and only does ballet (for core) and swimming. She rates her pain from 0-10 (10 being take me to hospital). she was at 7 two nights ago. Is there anything else we can or should be doing apart from watching her sitting, low impact sports and eating healthy. She weighs 36 kilos and is tall for her age.
Mon, 1 Mar 2021
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Neurologist, Surgical 's  Response
Hello,

Since there is no evidence of spine injury such as fracture or instability, you should not be worried much more than necessary. Disc injury is considered mild and it should improve with time. Avoiding moderate to severe physical activity, avoiding weights, correct body posture, ibuprofen for the pain and physical therapy, are necessary for improvement. Following up with the doctor and imaging also is necessary.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Erion Spaho, Neurologist, Surgical
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Suggest treatment for back pain after having spinal injury

Hello, Since there is no evidence of spine injury such as fracture or instability, you should not be worried much more than necessary. Disc injury is considered mild and it should improve with time. Avoiding moderate to severe physical activity, avoiding weights, correct body posture, ibuprofen for the pain and physical therapy, are necessary for improvement. Following up with the doctor and imaging also is necessary. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical