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Injuries Chronic & Acute

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Old 12-30-2005, 01:44 AM   #1
Fiona Muxlow
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Join Date: May 2005
Location: Townsville  QLD
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My backs been no quite right for a while,after a month of PT and a week and a half of not being able to load up my spine(so no OLY lifting or squats)or rotational work (grappling, karate or boxing)and it still being sore my physio is getting frustrated as am I and sent me to get an x-ray. He was pretty sure at first it was just soft tissue and joint inflamation, but because it is flaring up really easily he wanted to check i had no early degeneration in my L4,L5,S1 region as this is where the pain is coming from.

Report reads(with a few extras from me)
LUMBOSACRAL SPINE. The disc spaces are intact(so far so good) There is minamal degeneration at the anterosuperior aspect of the body of L2(top front bit of L2, not so good but at least not L4/L5). All other level appear intact (happy about that). No underlying bony abnormality is detected.

Any body out there know what affect degeneration of L2 has? I guessing thats not the reason for my current problem but is anyone has any ideas on how to prevent it getting worse. I love to here them.
I have and X-ray of the same region from about 9 years ago as a result of a similar problem (that time however i was bed riden for about over a week) and degeneration hardly visable, at least to my untrained eye.

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Old 12-30-2005, 09:20 PM   #2
Craig Van De Walker
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Location: Beaverton  OR
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Cut and pasted from a prior post of mine. It may be somewhat confusing as you don't get to see the prior discussion on the thread but read it through.

Posted on Monday, September 12, 2005 - 02:35 pm: Edit PostDelete PostView Post/Check IPPrint Post
A large percentage of the adult male population over the age of 40 have disc degeneration (including me between L3-4 and C6-7 with bone spurs evident on X-ray) I am careful but I take part in martial arts, deadlift, OHS, Olympic lifts, coach soccer and outrun the kids so far, ect. Yes my back often hurts, but I can do more than some 20 yr old men I know that have no back problems. I guess the statement is not innacurate as anyones spine given the right situation could snap, but highly unlikely. Unfortunately you are the one in charge of this person's routine and might be blamed for problems. I used to really resent the P3 profiles in the Army (permanent no PT, of course I never knew any with battle related injuries only overweight chain smokers with mysterious knee and back problems) don't know what they call it in the Marines

(from web site)
Question: I have had debilitating lower back pain for two years. My MRI indicates I have bulging discs. My doctor recommended exercise, but that has not helped. What are some alternatives to keep my discs from bulging?

Doctor’s response: Bulging discs in and of themselves are not necessarily painful. 30-60% of patients with no pain can have the finding of an asymptomatic bulging disc on their MRI scan. The MRI scan is not necessarily diagnostic as to what is the cause of your pain. The more accurate the diagnosis you receive the better your treatment plan will be.

Depending on what is causing your pain, there are various treatment options. Consult a spine specialist, such as an orthopedic spine surgeon or a physiatrist. Treatment options for conditions such as degenerative disc disease may include medications, physical therapy, manipulation (e.g. by a chiropractor), injections, and occasionally, surgery or other invasive procedures.

Your doctor is right in that exercise is an important component of your rehabilitation in almost all cases of back pain. However, doing the right exercises the right way is essential. I usually recommend working with an appropriately trained physical therapist to develop a home exercise program.

(Also from site)
The degenerative process
It is important to note that disc degeneration is part of the natural process of aging and does not necessarily lead to low back pain. MRI scans have documented that approximately 30% of 30 year olds have signs of disc degeneration on MRI scans even though they have no back pain symptoms. It must therefore be stressed that not all degenerated discs that are seen on MRI scans are pain generators.

As the population ages, it is even more common for individuals to have signs of disc degeneration without pain, and by the time an individual reaches 60 years old, disc degeneration is an expected finding on an MRI scan. In fact, the incidence of low back pain actually declines as we age, despite the fact that our discs are degenerating.

A fully degenerated disc no longer has any inflammatory proteins (that can cause pain) and usually collapses into a stable position (see Figure 2). While many people over the age of 60 have degenerated discs, it is highly uncommon for them to suffer from degenerative disc disease.
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