Post by mother on Mar 29, 2015 10:27:07 GMT -6
My daughter 25 years old with excruciating back pain chronic for 6 months. She has had 3 MRI and CAT scAN. Also, many blood tests and all say edema in the bone marrow of the left pedicle of the L5 I the back. She has been through pain management, pt, shots, 3 orthopedists, rheumatologist, pain management doctor, internist, 2 neuro surgeons who all say take muscle relaxers or Tramadol for pain. There seems no end to why this has occurred other than she was always working at the gym with exercising and weight training last year. She has not been able to exercise for the last 6 months with the Tramadols up to 4-6 a day with Advil too. She was wearing the HOt and Icy patch constantly for some relief.
If anyone has any suggestions, please let me know. Thank you.
CT Scan results
Clinical indication: Abnormality seen in the left L5 pedicle on previous exam resonance imaging. Query impending fracture here.
Technique: CT of the lumbosacral spine was performed in the axial plane. Coronal and sagittal reformats were performed based on the axial dataset.
Comparison: Magnetic resonance imaging dated 2/20/2015
Findings: There are 5 lumbar type vertebral bodies. There is mild exaggeration of normal lumbar lordosis with a minimal retrolisthesis at L3-4 and L4-5 levels. Small Schmorl's nodes are present involving the inferior endplate of T12, and plates at T12/L1, superior endplate of L2 and both superior and inferior endplates of L3. The appearances are somewhat suggestive of Scheuermann's disease. No lytic or sclerotic lesions of bone are identified within the vertebral bodies. Vertebral body heights are maintained. With specific reference to the left L5 pedicle, no discrete lytic or sclerotic lesion is identified. Incidental note is made of slight bony irregularity possibly with minimal cystic change involving the lamina at S1 bilaterally which is slightly asymmetric being thicker on the right side which is of uncertain significance. A somewhat similar appearance is present involving the right posterior lamina at L4. No definite pars defect is identified involving either side. There is no significant disc space narrowing, spinal stenosis or neural foraminal narrowing at any visualized level.
Findings suggestive of Scheuermann's disease.
Areas of focal bony irregularity involving the lamina at S1 as well as the right lamina at L4 of uncertain significance. No pars defect identified. No discrete bony abnormality corresponding to the signal intensity abnormality seen on previous magnetic resonance imaging. Consequently this is presumed to be reactive in nature.