Subchondral edema of the bone marrow of the spine

November 20, 2013 - 12: 42 pm - Guest

Doctor, my back has been hurting since the age of 25, afterheavy lifts or drafts severely exacerbated several times, but so I live in a small town and then I was not there, put radikutit and after prescribed orthophenes, and b2 came back to normal, 2.5 years ago when loading sacks with cement, I sensed something was wrong, clicked into the pelvis where it immediately became weaker than the foot, then a few days later there was pain in the calf, but the main pain came in a week or less in the waist (even more somewhere in the pelvis and right leg), the pain was almost not removable, Made an MRI-Dorsal hernia on the background of diffuse protrusions, media but-paramedian-foraminous two-sided subligamentary extrusion L5-S1, 1.2 by 1.4 cm in size, with moderate compression of the dural sac, the minimum effective sagittal size of the spinal canal is narrowed to 0.8 cm, frontal constricted to 1.0 cm, the lumen of the radicular canals at the disk level is asymmetric, D

November 23, 2013 - 9:30 am in the afternoon - Vitaly

My name is Vitaly-Ya Wrote to you yesterday. I'm 38 years old, growing 179 cm, 96 kg, hernia L5-S1 fell out when lifting the bag with cement-it was 2 years ago, immediately the leg became weaker, but not strong, the pain in caviar came after a few days, stepping on the leg was hard then twisted all -boli were infernal not removed by injections nvsp, the pains were on a 10-point scale of 8-9 balls somewhere in the middle of the hip joint and in the leg in the gastrocnemius muscle, which after some time decreased in size by 1.5 cm in circumference from a healthy leg.RMT: Dorsal hernia of the disc on the background of diffuse protrusion, median-paramedian-f two-sided subligamentary extrusion L5-S1, 1.2 by 1.4 cm in size, with moderate compression of the dural sac, the minimum effective sagittal size of the spinal canal is narrowed to 0.8 cm, the frontal narrowing is 1.0 cm, the lumen of the radicular canals at the disk level is asymmetric , D

See - "Once again, they offer to be operated on in order to avoid further deterioration (this time it is necessary to answer the surgeon on Monday!)". What kind of deterioration is it? with your words there is no deterioration. You can understand that the manifestations are "frozen" on one level. And again the question - this level of manifestations (complaints), how much prevents you from living? Understand, if there is no deterioration, and the operation is suggested, so that it does not exist, then there is no sense in the operation. A lot of time has passed and the probability of deterioration is negligible.

My opinion (based on available information) thatthe operation is unlikely to change anything. Changes due to the former compression of the roots are irreversible. We have what we have. Therefore, several months after the operation, there may be an impression that it is better, but after 2-4 months it will be clear that a little differently, but. in general, nothing has changed (side view :)).

If you have already performed an operation, write aboutresults. Let's hope that I'm wrong. If you write, pay attention to the consistency and consistency of the presentation. You do not get on with it. If you post links to an MRI, check their working state.

December 24, 2013 - 7: 47 in the afternoon - Vitaly

Thanks for the answer.I did not do the operation, I can not decide because of that, I read a lot about such protracted cases as I have been told that the operation is unlikely to help. but also now I do not feel physically full-fledged person, working capacity due to a sick leg is reduced by almost a third. -Doctor, I just can not understand - if the spine S1, is still pressed down by the hernia (according to the MRT and the words of the doctors), which became old and "partially calcified (the result of CT). Is it really possible to change nothing if this nerve root is released ?!
And how to understand your words:"A few months after the operation, there may be an impression that it is better, but after 2-4 months it will be clear that a little differently, but in general, nothing has changed"? This happens in 100% of cases after the operation and how is it explained?

January 3, 2014 - 11:45 am - timur

Vitaliy. You do not answer my questions. Quite probably you just do not understand them. Or can not logically describe. Most likely your case only for internal consultation.

Look and try to understand medical logic and logic in general.

"performance due to a sick leg is reduced by almost a third."

This is a very serious decline in the quality of life. And requires serious measures of treatment. It is likely and operations. But there is something that needs clarification. Is it a long-term decline in performance, for example, a year? Or is this a decrease after the last exacerbation?

And of course, you need to evaluate how realistic you are about the decline in efficiency. For example, I do not understand the main reason for the decline in efficiency.

Previously asked questions that you did not answer:

"The information you gave on the manifestations of your disease is not enough, for example, it's unclear how much you are concerned about these manifestations for today, that is, how much they prevent you from living.there were problems with the foot-pluck fingers Theyhow to spasmodic and snap at the walk (they want to squeeze and unclamp for some reason), a decrease in sensitivity in the foot which at a walk goes into aching pain, a stop colder than healthy "- how much? What hinders this? The main aching pain? "Strong?"

Why is working capacity reduced by a third? Because:

- your fingers are torn? (I do not know, the words endure)

- Do they click when walking?

- Is sensitivity reduced in the foot?

- Is the foot colder than healthy?

Think for yourself. From my point of view, even all these reasons combined, should not reduce efficiency and significantly affect the quality of life.

if the spine S1, is still suppressed by hernia (SWMRI and the WORD OF PHYSICIANS), which became old and "partially calcified (the result of CT) So, really, nothing will change if this nerve root is released ?!

If a lot of time has passed, and the root is irreversibledamaged, it will not recover. Another conversation is that the body has many opportunities for compensation. For example, at the expense of other roots, other muscles. But again. If the events are long-standing, then this compensation to some extent has already occurred.

And how to understand your words:"A few months after the operation, there may be an impression that it is better, but after 2-4 months it will be clear that a little differently, but in general, nothing has changed"? This happens in 100% of cases after the operation and how is it explained?</ strong>

Read here. And for a simple, when something long and tiresomely hurts, any changes (in Harkter, place.) First time are perceived as a relief.