BACK PAIN AND MRI REPORT FOR LUMBAR SPINE

Posted by black pearl (354 days ago)

Hi, two months ago I had hurt by back while sitting in th jeep travelling on the very very rough road, then the pain went away, then couple of weeks ago I just try to lift the heavy suitcase and pain came back in my lower back. l am oversease trip and did MRI lumber Spine spine without any doctor consulation.
Here is what my MRI report says.
"At L4-5 disc there is evidance of annulus tear posteriorly. there is broad based disc protrusion which is causing effacement and thecal sac and mild compression of both the nerve roots."

"Spinal canal is adequate, no evidance of spinal canal stenosis noted. canus medullairs ends at normal level, no evidance of intra and extra dural abnormal MR singal through out lumbar region is observed."

Please advise if anyone has this problem and
I am coming back to HK this week please advise any good spine specialist, or Orthopedic.

(I am based in Hong Kong)

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Posted by Matilda (354 days ago)

A specialist opinion would be advisable especially with compression on the spinal nerves.

Dr Clarence Leung is a Neorosurgeon who specialises in spinal care. Please feel free to give me a call for more information on doctors with admitting privilages at the hospital.

Lynne - 852-2849 0328
Matilda International Hospital
Hong Kong
http://www.matilda.org

(I am based in Hong Kong)

Posted by Matilda (354 days ago)

According to a specialist:

Annular tears normally do respond to a combination of Anti-inflammatory drugs (2 weeks)and physio (around 6 weeks). If the pain becomes refractory to conservative measures or keep on recurring, then one may require a stabilisation surgery performed by a spine surgeon.

Matilda International Hospital
Lynne 28498 0328
Hong Kong
http://www.matilda.org

(I am based in Hong Kong)

Posted by black pearl (354 days ago)

Dear Matilda, thank you for your comments.

could you please clarify what do you mean refractory to conservative measures.

thanks again

(I am based in Hong Kong)

Posted by myfanwy (354 days ago)

Go and see Professor Yau or Dr. Louis C.S. Hsu at the Orthopaedic Dept of the Canossa Hospital No.1 Old Peak Road. Tel. 2522 2181 They are very good and they have an MRI system and also teh DBC Active Spine Care Centre for physio. Consultation Fees are cash only but everything else can be paid for with credit card or medical card.

Broad based disc protrusion sounds like what is commonly known as a slipped disc. I know, I've had one and my MRI report said something similar. Go get it fixed or it will get worse.

(I am based in Hong Kong)

Posted by annebin (354 days ago)

I had a similar MRI result when I had slipped disc in 2003--affecting my L4, L5 and S1.

I did not respond to anti-inflammatory drugs nor to 4 weeks of rehab medicine which consisted of thrice weekly TENS, hot packs and traction.

What worked for me was a combination of adjustments by a chiropractor/orthopedist, 3x/weekly myotherapy for a month, and I remember having 3 sessions with injections at the base of my spine. I have a high threshold for pain, but the myotherapy was a killer.

I still get lower back pains from time to time even if I'm always conscious about how I lift heavy items or when I'm working out.

Please show your MRI results to both a chiropractor and/or an orthopedist. And do it ASAP. And be mindful of your posture. Read up too on the Alexander technique. Good luck

(I am based in Hong Kong)

Posted by black pearl (354 days ago)

thanks again all of you, How about treatment in government hospitals which one I should go. Since I donot have madical insurance. any idea how cost if do treament in private hospital

(I am based in Hong Kong)

Posted by black pearl (351 days ago)

any comments will be appreciated. thanks

(I am based in Hong Kong)

Posted by Dr. Strangelove (339 days ago)

Take it easy on the back and give it time to heal. Something you did, and did not do, caused this, and you must figure out what it was and change it. First, no lifting of any kind for 6 wks. Look at all of your body mechanics and make sure you are not doing something that makes it worse (balance, alignment, posture, limping, slouching, lifting, one position all the time, etc). Consult specialist ASAP and start physio to learn mild exercises, stretches, and proper ways of moving your body.

(I am based in Hong Kong)

Posted by Gabriele Wassermann (272 days ago)

Hello,
who can recomend a good chiropractor? I have terrible pain in my back and can hardly move. Where to go for physiotherapie?

(I am based in Hong Kong)