Symptoms of trabecular edema of the bone marrow

10 August 2012 - 3:35 pm - Ludmila

Dear Timur Yusufovich, I beg you to looka description of my next troubles, maybe you will help me in some way! I already consulted with you in absentia. You gave good advice and very much supported me 3 years ago. Therefore, I again write to you. Now again there were problems with the lower back, which, for some reason, can not be solved.

1. Hernias L 4/5, L5 / S1 with signs of marginal inflammatory reaction (trabecular edema).

2.My name is Lyudmila, age 47, weight 67 kg. height-170 cm. occupation - employee, lifestyle - inactive.

3. I describe problems with the back.
3 months ago I felt the stiffness of the waist, which grew with each passing day. Traditionally performed physical exercises did not help.
A month later, localized pain appeared on the right in the lumbar region, pain was given to the groin and stomach to the right (to the legs - no).
I turned to a neurologist with a good reputation(happened before). Checked the reflexes and sensitivity - everything is normal. A correction of the spine was made, candles with indomethacin were prescribed. It became easier for a short time.
In the next visit to the doctor (in 5 days) aftermade correction became worse right on the spot, made a blockade. I took a cigar for 7 days. After the end of taking the pills, a couple of days later there were very strong and sharp pains during movement (it was impossible to sit down, get up, go to the toilet, roll over in bed) - I estimate pain in balls.
In such a gut-wrenching pain my body back, and when trying to align - acute pain again, to tears, groans and screams.
At me in fact these sores for a long time, what pain happens I know from personal experience.
Since the neurologist went on vacation, turned totherapist. Has appointed or nominated nyxes - an olfen, midokalm, a neurorubin (on 5 nyxes). Further diclofenac in tablets 10 days. The pain became weaker, but not so much that I could lead at least a "conditionally" normal way of life. The most lousy, you can not go to the toilet for a big need. At the slightest straining followed by a chamber for lumbago. After the end of the course of treatment - the pain intensified.
Has made the next MRT of a lumbar calving.

Description.
L 4/5 - circular extrusion of the intervertebraldisk up to 5 mm. The dural bag is deformed. Root sleeves are narrowed. Reserve space at this level is 16mm. The sagittal size of the spinal canal is normally more than 16-18 mm. The adjacent vertebral bodies marked change signal hypointense mode T1 and hyperintense on T2-weighted scans, is characteristic of the inflammatory response.
L5 / S1 - medial extrusion of the intervertebraldisk up to 4 mm. The dural bag is deformed. The radicular sleeves are somewhat narrowed. Reserve space at this level is 16mm. The sagittal size of the spinal canal is normally more than 16-18 mm.
Throughout there is a moderatedeformation of the vertebral bodies adjacent to the intervertebral discs with degenerative changes of the closure plates and with the presence of osteophytes, in the form of a hypotensive signal T1 and T2, weighted tomograms at the edges of the vertebral bodies.
Intervertebral discs have a reduced signal in T2 mode, due to dehydration.
In the lumen of the spinal canal at the S2 level of the vertebra, the site is visualized, according to the characteristics of the signal, corresponding to the cerebrospinal fluid, 11x7 mm in size, with a clear and even contour, of oval shape.
There are impressions in the middle sections of the closure plates L 4,5 vertebrae about 4 mm in size, semicircular in shape with an uneven contour.
Paravertebral soft tissue without features.
Conclusion: Osteochondrosis of the lumbosacral spine complicated by posterior hernias L 4/5 and L5 / S1 with signs of an edge inflammatory reaction (trabecular edema) in the bodies of the adjacent disc L 4/5 of the vertebrae, Kista Tarlova. Central cartilaginous nodes (Shmorlja) of bodies L 4,5 vertebrae.

By this time, a neurologist appeared. I looked at the new results of MRI (pictures and description) and said that in comparison with previous pictures, the dynamics of the hernia increase is not observed. Kista Tarlova was present in the previous pictures. However, the trabecular edema increased, which is a sign of inflammation of the vertebrae and a coarse bilateral synovitis of the arcuate joints L 4/5 is retained (I transmit verbatim). He said - spondylitis. At the same time, I want to add that rheumatic tests are negative. The blood test is normal.
The doctor prescribed antibiotics that have the property of accumulating in the bone tissue - a choice of doxycycline or vancomycin.
He made another blockade - he said that for a week is enough. With massage and physical education advised to wait.

Your opinion:
1. Is inflammation of the vertebrae (this most incomprehensible edema) can give pain - similar to pain with newly formed hernia?
2. How to get rid of trabecular edema? Will the massage benefit?
3. What is better in my case - doxycycline or vancomycin? And whether it is necessary to accept them in general (I very hardly transfer or carry an antibiotic)?
4. Can it is still worth starting to do moderate massage and easy physical education (there is a good rehabilitologist)?
5. What can I do on my own to improve this situation?
Really looking forward to the answer. Thank you in advance. Lyudmila