Question
I am a 34 year old male who herniated three discs (L-4, L-5, and S-1 {S-1 considered a mild herniation)in 9/05 in the gym. Approx. two months later I ruptured L-4 and L-5 which involvement the nerve roots and caused loss of urinary control. In 2/06 I had surgery (subtotal laminectomy to L-4 and L5). Since I have had pain at a level of 7-9 (out of 20) in my left lower back, left buttock and Left calf. Even with pain medications the pain is present at approx. 3-4. I had four rounds of pain management shots from 5/06 - 9/06 with no improvements. Currently the neurosurgeon is out of options after testing for rumetoid arthritis and vertebrae slipment. He also states that the degree of curve in my lumbar is that which usually causes chronic low back pain (something I have always had). However, the pain I have now is not the same as the chronic. I hurt to the point I cannot think straight. I have seen a orthopedic spine physician and had an EMG performed. EMG shows radioculopathy. 2+ with nerves at L-4 and L-5. A 1+ in the tibular region. The only true comfort I can find is lying at a 20 -30 degree incline. Currently, the only advice I have is pain management (something that has not worked so far) or the idea of a fusion; which was not an optimal choice as worded by the physician. Also, it was an offer before the EMG. Most recently I have started having a ache in my left testical and through my left groin (dull ache that comes and goes. More so when laying down). Moreover, I am desperate to find someone who can help.

Any advice or direction you can provide?


Answer
Unfortunately, you have listed virtually every danger signal a young doctor is told to avoid.  However, the best answers that you may have would have to come from one of the best centers in the country for this kind of situation.  I would strongly advise for you to check out the Texas Back Institute in Plano Texas, as their staff of physicians are multi disciplinary, and can offer a very good, educated opinion.

Good luck,

Dr. P