Ok so, I injured my back doing squats about 6 months ago. It was located on my right side and at the time thought it was a disc so I went to the doc and ended up getting an mri with everything coming back normal. I did 4 weeks of physical therapy but the pain was still there. I love working out, running, swimming, and other activities so that was prob making it worse. I was in the rotc when it happened in college but had to drop it after awhile bc the running was killing my back. I am a very active person by the way. I run marathons and just completed my first Olympic size triathlon this past summer right before the injury. With that being said it is very depressing to go from being in tip top shape to not being able to do hardly anything. I tried to fight through it but that just made it worse where I should have been resting. I went to another doc about 4 weeks ago and she thought it was a pars stress fracture and told me they would do a bone scan if it didn't get better with 6 weeks of rest. Now it hurts on both sides so I am guessing its bilateral now. It seems like any little thing aggravates it. Does anyone know much about a pars fracture? Is it to late for it to heal? have I re-injured it to much? I am really depressed because I don't want surgery I am to young just 22. I have heard so many horrible things about back surgery.
By the way I felt when it happened to my left side. I just turned to open a door and felt something like a stinging/muscle pulling sensation on the left side and every since then it has hurt just like the right side.
Post by Glenn Fleisig, Ph.D. on Jan 24, 2014 14:42:26 GMT -6
As neither you nor your doctor want to rush to surgery, the rest followed by new bone scan sounds like a good first plan. How did your doctor define "rest"? Are you following her advice strictly or are you doing more physical activity than she stated?
She said maybe planks and pushups and riding a bike may be ok but that's all. She was a nurse practitioner by the way. I slipped in a little back workout the other day very light weight and that aggravated it pretty bad. It's a lot worse since it's on both sides now. I went to a place called center of sports medicine yesterday and it was walk in, so I got a random doctor. He was a young and in great shape. I told him I would like a bone scan and he said I didn't need one an MRI is the best imaging there is. He looked at it forever and said looks like you have a fracture on the left side, which was weird bc it was hurting just on the right side at the time of the MRI. He said looks like you may have a small one on right side to not sure. He then said it looks like it'll be chronic. Can you tell that from an MRI? I asked if it would ever heal and he said no that he had the same thing wrong with him. He said you just have to keep your core strong. He told me not to lift heavy over my head or do squats but I could go ahead and start running and stuff. He wasn't a spine specialist so I wonder if he knew what he was doing. I don't want to go start running and stuff if there is any chance of healing until I know for sure. I am in college so I have to sit through hours of class and that kills my back after awhile. I bought a supportive back brace yesterday to maybe help a little I don't know if it will or not. I have read where anti inflammatories can stop bone healing, is that true? I am taking aleve right now and seems to be helping some. It's really depressing knowing I may have to deal with this the rest of my life at a young age. I had so many goals and I feel this has ruined it all. Have you ever heard of a bilateral pars fracture healing after 6 months of injury?
Post by Glenn Fleisig, Ph.D. on Jan 24, 2014 21:02:38 GMT -6
Jack, You need to stop doing ALL exercise until you see the right physician. You are doing yourself no favors working out and making it worse. Let me know what city you live in/near and perhaps I can recommend someone for you to see.
Post by Glenn Fleisig, Ph.D. on Jan 26, 2014 20:13:10 GMT -6
I recommend Dr. Shay Richardson, a specialiast in this in the Chattanooga area. If you want a second opinion from a surgeon, you should see Dr. Jason Eck or Dr. Scott Hodges. If you want a sports physical therapist, see Pablo Alvarez at D1 sports.
I first saw Dr. Jason Eck. He told me he did not see anything out of the blue. Well tuesday I went to Dr. Shay Richardson. He looked at the same MRI from September and said it looked like I had a fracture on my left side and maybe on my right. When I did that MRI I had no pain at all on my left side just my right, which didn't make since to me. Now since beginning of January, it started hurting on both sides. So I don't know if I should rest it or what because he told me not to rest. Dr. Richardson said to run do whatever I wanted, just no squats and lifting over the head heavy. I don't think my back is in the shape to be running right now. I guess I am still clinging on to the hope that somehow it will heal..It just makes me mad that the radiologist and Dr. Eck both missed it! That was the reason he had me to do an mri in the first place because he thought it was broke, so you think he would have been specifically looking for that? This has affected me big time. I went from being in the best shape of my life to this it's extremely depressing.
It actually wasn't that bad when It was just my right side hurting. Now that both sides hurt it stinks. I was thinking maybe rest it and see if the left side may heal since it feels like it just happened. I don't know what to do. It still isn't as bad as the right side. I have been wearing a supportive brace the past couple days and it has taken the pain way down. I am just afraid I am doing more harm than good if I am making the muscles around it weak. Do you have any suggestions?
I went and saw Dr. Eck again today he told me it looked like a break on the x-ray. He compared the old and the new and it looked the same. I just don't see why he didn't confirm it the first time I went to him and put me in a brace or something. He said I would prob always have some pain there but to continue my regular activities such as doing triathlons and working out. He said just keep the core strong and it would help to control the pain and keep it from slipping. He wanted to do another mri because I told him about my left side starting to hurt now but they are so expensive and couldn't afford another one. If there is any chance of my left side to heal up since it recently just started hurting( still not as bad as the right) I don't want to make it worse. I feel like I play mind games with myself. I just want to feel normal again but I guess it could be a lot worse. I just don't want to be the 30 year old man in a wheelchair. Dr. Richardson told me he had the same thing wrong with him. He is about 6'6 solid muscle. He just said you have to stay on top of it, like it wasn't a really big deal. I guess I will just have to suck it up and go on with life and try not to dwell on it to much.
Ok so, I injured my back doing squats about 6 months ago. ............................. I love working out, running, swimming, and other activities so that was prob making it worse.........................................................................................................
I have no medical training.
You seem to have been very active. Since you hurt your back 6 months ago, what is the longest period of time that you have stopped any activity that might stress your injured areas? You might plot a time line and then research the times typically required for healing.
A friend of mine had back surgery. He was very unhappy, disappointed, as the pain continued months after the operation. It took about a year for his back pain to improve.
You might discuss with your Drs how you can be much less active than you would like to be and still stay in reasonable shape but really minimize stress on your injuries. For the back that is difficult since everyday activity can be stressful.
Ok I just read a study done on some British athletes that were 17 with bilateral pars fracture. It said one patient used electrical therapy and a bone stimulator it healed him and was pain free after 11 months and ct showed full healing. 2 others just used bracing for 6 months and showed complete healing of one side and half of left. They went back to there sport and had pain then rested took another ct scan and showed the same result with half still not healed. They started playing again and started experiencing pain again so rested and took another ct scan still showing the same. They then started using electrical stimulation and after a couple months showed complete healing. Would it hurt to try this and see if it works? I'm going to get a ct scan in a few days just to see the extent of the fracture.
Post by chastennis on Jan 30, 2014 18:55:57 GMT -6
The National Center of Biotechnology Information (NCBI) has many research papers on sports and medical subjects. The ones listed under PMC are full papers that are free. You may find some useful information by searching it for various terms and subjects. www.ncbi.nlm.nih.gov/pmc/?term=pars+fracture
Last Edit: Jan 30, 2014 18:56:32 GMT -6 by chastennis