Several weeks ago I was walking up a set of stairs when I felt my lower back tense up and knew something was wrong. After several trips to my primary doctor then a specialist they scheduled an MRI. In the mean time I have been taking a cocktail of medications, 5mg of Diazapam, 50 mg Tramadol, 600 mg ibuprofen, 800 mg Metaxalone, and 10/325 Oxycodone ( Taken at night in place of the tramadol), and 2 different series of Prednisone.
Here is the results of the MRI:
EXAM: MR L SPINE WO CON
TECHNIQUE: MR imaging of the lumbar spine was performed with sagittal T1,
T2, STIR; axial T1, T2.
There is normal alignment of the lumbar spine. Vertebral body heights are
maintained. Marrow signal is normal.
The conus medullaris terminates at T12-L1. Signal and caliber of the distal
spinal cord are within normal limits.
The paraspinal soft tissues are within normal limits.
Lower thoracic spine: No herniation or stenosis.
L1-L2: No herniation or stenosis.
L2-L3: No herniation or stenosis.
L3-L4: No herniation or stenosis.
L4-L5: There is diminished signal intensity at the L4-L5 disc space. There
is posterior annular tear with a small central protrusion of disc. There is
no central stenosis. Neural foramina are patent.
L5-S1: There is slight diminished signal intensity in the disc space. There
is small posterior annular tear with a tiny central protrusion of the disc.
There is no central stenosis. Neural foramina are patent.
1. At L4-L5, there is posterior annular tear with a very small central
protrusion of the disc without evidence of stenosis.
2. At L5-S1, there is a small posterior annular tear with a tiny central
protrusion of the disc without evidence of central stenosis."
The specialist sent me to a Physical Therapist and kept me on the cocktail of medication. After 5 weeks there has been very little improvement in the pain level. The Physical Therapist has me doing 6 types of exercise twice daily. The pain and muscle spasms seem to be steady at a 6-7 level no matter on medication or not. He is sending me back to the specialist for further evaluation. Unfortunately I cannot get an appointment for another month at the specialist, and I have only 3 visits left to the Physical Therapist, with no pain relief in site. What kind of options are possibly available other than more pills and averaging 2 hours of sleep per night.