Treating back pain
Dr. Tim Johnson blogs about his piece on tonight’s broadcast. It’s part of a three part series on low back pain: Low back pain is an affliction that strikes the majority of Americans at least once in their lives. We begin with a look at the most dramatic treatment for a degenerated disc – replacement with an artificial disc. During this procedure, the surgeon takes out the bad disc and puts in a three part device that allows the spine to actually move in a semi normal way. This procedure is widely used in Europe, less so in the U.S. It works on people with only a single bad disc and good bone density. But for some, it is truly a "miracle" cure. Tomorrow night we look at two much more common operations – discectomy (removal of all or part of a slipped/herniated disc) and fusion (fusing two or more vertebrae, the individuals bones of the back) which uses bone grafts, screws and rods, sometimes other techniques to make the back bones immoveable. Fusions, especially, are controversial because they are done in large numbers (third most common operation in the U.S.) with mixed results. For this operation, second opinions are definitely in order. Finally, on Wednesday, the most important topic of all: how to avoid surgery. In fact about 90% of people with low back pain will get better with conservative treatment – physical therapy, anti inflammatory meds, etc. So unless the back pain is accompanied by severe leg symptoms or bowel/bladder problems, "tincture of time" is usually the best treatment. Buyer beware. UPDATED May 24th @ 3:30p ET: Many of you have written in with questions about back pain. It’s great to hear from readers — Dr. Tim and another back pain expert answered some of your questions on ABC News Now’s Healthy Life program earlier today. [WATCH] For more on our back pain series click here: [LINK]
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I had a fusion in L-4 L-5 s-1 last september. It has failed and to make a long storey shrt, no doctors around here will touch me and I am in a ton of pain. Any suggestions??
Posted by: Stacie | May 22, 2006, 6:35 pm 6:35 pm
i have had surgery on my back disectomy/lumbar epidural seletive nerve root block
Posted by: cathleenallen | May 22, 2006, 7:09 pm 7:09 pm
What was the name of the doctor mentioned in the report? It was Fabian something, I believe. Thank you.
DM
Posted by: dave | May 22, 2006, 7:11 pm 7:11 pm
My husband is 46 y/o, and has suffered with low back pain for years. We recently had x-rays done, and the x-rays were asolutely frightening. The radiologist stated in his report, “very severe degenerative arthritis”. That, I believe, was an understatement, as his lower discs (L3-S1) are gone. Yes, gone. The arthritic bone spurs from the L-5, S-1 vertebraes have fused themselves together. It’s no wonder he is in constant pain. However, this man works everyday, in a very strenuous, hard labor job. He is in the process of getting set up with the Chief Neurosurgeon at Shands, in Gainesville, FL. During the meantime, is there any additional information you can provide me regarding artificial disc? Any help you can provide would be greatly appreciated. Thank you, Sheila Roach
Posted by: Sheila Roach | May 22, 2006, 7:12 pm 7:12 pm
Hello
Where can I write this Dr. ? I have seen a lot of Doctors for my lower back.
Thank You
Mark
Posted by: Mark Mattern | May 22, 2006, 7:12 pm 7:12 pm
This is more of a question for Dr. Johnson. 6 years ago I had a bone fusion at the L-4, L-5 and S1 joints. I was in severe pain with the inability to walk due to the Degenerative Disk Disease. Of course 6 years later my body is trying to compensate for the lack of mobility. Today I went for my first treatment of physical therapy. And maybe an MRI in about 6 weeks if Physical Therapy does not help. I know that the MRI will probably show yet another disk going out. I am showing the same instability symptoms from 6 years ago at the T7 levels or there about. So my question is since I have the old fusion style equipment in my back already will they ever be able to attempt to replace that equipment with the new type of disks that allow mobility? Also should I hold out for the new type of disk if God forbid I have to go through another operation?
Posted by: Guillermo Cruz | May 22, 2006, 7:14 pm 7:14 pm
I have a Wilkes-Selby Pedicle Screw System and cadaver bone implanted in my lower back in 1997.
I still have extreme back pain.
Any hope for new treatment for me? (I am 75 years
of age.)
Posted by: LaRee Calame | May 22, 2006, 7:16 pm 7:16 pm
I need and am a good candidate for an artificial disc replacement and have been refused twice by health insurance. Can someone tell me how they have had their ADR paid?
Posted by: alycia | May 22, 2006, 7:19 pm 7:19 pm
Can I recieve update information on the above matter of back trouble?
Posted by: Rubén Muñiz | May 22, 2006, 7:24 pm 7:24 pm
how to find a good Dr near you? Im doing my second micro-diskecktomy and a month out Im still not able to get rid of the pain. Hydrocodone, lyrica, and a long list of other still no relief.
I just want to get back to my life
Posted by: synette | May 22, 2006, 7:24 pm 7:24 pm
Dr. Johnson,
I would like, to introduce you to my wife. Her name is Susan Sweeney Pogue. She is a gentle, kind and severely strong woman, who lives with a degree of back pain that most would not bear. She has had 3 surgeries on her back. These were due to an inflight injury while working for Pan Am and the late onset of scoliosis. She may have to endure another. because the rods supporting her spine may not continue to due so.
No matter what the surgeons choose, her life will be put at risk, or she will continue to live with worsening pain as her spine tries to twist aganst the rods.
Some may complain of back pain, they should meet my wife as well.
GC Pogue
Posted by: gene pogue | May 22, 2006, 7:25 pm 7:25 pm
My left hip continues to slip out of place, and I have been advised to have fusion surgery. Is this a successful surgery?
Posted by: EJ | May 22, 2006, 7:48 pm 7:48 pm
On the evening news it said there was a story about treating back pain using stem-cells on the web site. I have looked but can’t find it. Would you please point me in the right direction?
Thank you,
Jim
Posted by: Jim Lowe | May 22, 2006, 7:57 pm 7:57 pm
I have DDD and have one fusion at L4/5. I have on herniated disc at L3/ and bulging disc at L5/S1 and tears in L1/2 and L2/3. I have been advised that another fusion will only contribute to the domino effect and that artificial disc replacement is my best option. I am due to go to Germany for a two level ADR on June 6th but am having serious doubts. Any thoughts? Ken
Posted by: Ken | May 22, 2006, 8:14 pm 8:14 pm
Hi, I would like to know if you had any information on upper back pinch? It is L6 and L7 herniation. Also, what do you recommend on a operation?
Posted by: hugo rodriguez | May 22, 2006, 8:17 pm 8:17 pm
I would like to see more information on back pain.
Posted by: Cecelia Chase | May 22, 2006, 8:25 pm 8:25 pm
I have suffered with back pain for years. I am a 57 year old white female. I have a small frame. I have had two back surgeries. The first was to fuse the C5-6 & 6-7. I have also had the L4-5 & 5-6. The last mentioned fusions are anchored from the T11 down to the S1. I had talked with orthopedic doctors but was never comfortable. There is no way I would allow an orthopedic doctore to operate on my spine. I have gone to neurosurgeons both times and will continue to do so. As far as this anterior back surgery…the danger of infection is much higher. A good neurosurgeon would advise against it.
Posted by: Kathy | May 22, 2006, 8:26 pm 8:26 pm
Anyone ever heard of Evan Zeiger? He is the best neurosurgeon around.
Posted by: Kathy | May 22, 2006, 8:32 pm 8:32 pm
I had a back injury in 1990 and my L3,L4 disc bulged. I still am in pain and wonder if this would help me?
Thanks
Posted by: nancy Carpenter | May 22, 2006, 8:33 pm 8:33 pm
I would like more information on Dr,Fabian Beton and this back surgery. Address – phone no. Also North American Spine Authority.
Posted by: Dean Dobbs | May 22, 2006, 8:50 pm 8:50 pm
This is a question for Dr. Johnson. I’ve been diagnosed with degenerative disc disease. L4 and L5 have already fused together. I’m in pain because L3 is rubbing against L4. Would I be a good candidate for your artificial disc? I am 61 years old and in otherwise good health.
Posted by: Myrna | May 22, 2006, 8:51 pm 8:51 pm
I am a 55 year old woman who has three disc’s that the doctors want to fuse. I also have spinal stenosis which does cause numbness in my legs. My concern is that I could have permanet damage from the stenosis. I am not in extreme pain but am limited as far as some things go. The only exercise I was told to do was swim and ride an old ladys bicycle. I am seeing a neurosurgeon soon so would appreciate any advice I can get.
Marva
Posted by: Marva | May 22, 2006, 9:07 pm 9:07 pm
I’m 24 years old and have suffered from chronic back pain for 4 years. Three major and unsuccessful surgeries, countless epidural/steroid injections, God knows how many MRIs and other miscellaneous tests later, I’m still stuck in this position, with my pain getting progressively worse every day, and with my doctors at a loss for what to do with me. Since I’m so young, they don’t want to try the conventional treatments, especially a fusion, since it could put me back in the exact same situation in 5 years or less. I’m on more medications than most people will take in their entire lifetimes.
The Artificial Disc Replacement is my only hope for a future right now. I’ve been waiting at least 2 years for it to be approved for multiple level use, but the FDA is, as per usual, dragging their feet. My surgeons hope that it will be approved within the next 2 years, but that doesn’t help me right now. I’ve been fighting for the past 4 years to finish up the last of my college credits so that I have a chance for a life, and honestly, it gives me something to do, so that I don’t lie in bed all day.
I wish that they would add on to this story something about the chronic pain these spinal injuries create and what effect that pain has on the sufferer’s life. Also, that a story like that would cover all age brackets, not just people 40 and above. There are some of us who are struck by this nightmare situation at young ages and are fighting to have a life.
Ken: I think my only concern would be the aftercare situation. Do you have a doctor in the US who will treat you if you need it once you get back? I’ve heard of some doctors refusing to treat people who have crossed the big blue ocean to have the ADR done. (It’s stupid in my mind. If you’re a true doctor, you should only care about your patient getting better, not that they didn’t allow you to do the procedure). Beyond the after care, I would make sure that you know every detail of everything they are going to do. I’d say, go over there, check it out. I think it’s worth the trip to possibly help you out of this situation.
Nancy: I would go back to an orthopedic doctor and see what situation your discs are in now. A lot can change in 16 years. I’d find a doctor you trust and get their opinion to see what condition those discs are in, and what they think is the best option for you.
Synette: The best thing I have found to guide me to doctors is finding other people in a similar position and see who they see. There are numerous support groups out there for those in this situation and they tend to have people who can point you in the direction of a good doctor. Unfortunately, choosing a doctor is a very subjective decision. A doc that one person likes, another may completely hate. I think it’s a trial and error situation. Once you find some names, just go and meet with them to get their opinions; hopefully you’ll find one who will give you the treatment you need and deserve.
Sheila: I’d do some internet searches for “artificial disc replacement” and that should pop up some sites that can give you some great information. I’d found a site where it actually shows an animation of the surgery from beginning to end, but unfortunately, I forgot to save the site. Also, WebMD has some information and can lead you to other sites about the procedure.
I’m not a doctor or anything, just someone who has spent awhile talking to others in similar situations and researching this condition, and I love to pass on any information I have to others in the off chance that it may help them. Any questions, feel free to email me.
Posted by: Erin | May 22, 2006, 9:08 pm 9:08 pm
You need to have a section on Dr. John Sarno, 83, of the Rusk Institute at NYU Medical Center, who cured John Stossel of 20/20 of his 15 year back pain, and also cured Howard Stern, and tens of thousands of others. 90% of chronic back pain is TMS (tension myositis syndrome) and 90% of these patients can be cured simply by learning about this mindbody disorder and changing attitudes. His new book, The Divided Mind: The Epidemic of Mindbody Disorders, is the cutting edge authority on back and limb pain. Please don’t neglect this, as doctors and patients need to know about it. Millions could be cured without surgery.
Dr. Sarno previously wrote, Healing Back Pain: The Mind-Body Connection, and The Mindbody Prescription: Healing the Body, Healing the Pain.
Posted by: Ralph | May 22, 2006, 9:10 pm 9:10 pm
Please let me have the doctors name and address or
phone number so I may contact him,I have had one back operation and it was great went back skiing and was doing fine until we had an accident in 98 and then another bad one in 02.I am taking pain meds which I hate. I am also going to pain manigment but that only works for a short time, I am truley getting to where I can not take much more so any advise you can forward will be greatly appreciated.
Posted by: Sheila | May 22, 2006, 9:21 pm 9:21 pm
I’ve have had surgeries on my lower back with a fusion at L4 and L5 a border line for fusion. I have some degeneration in L1,L2 @ L3 and there may some hernation in them. I would like to know if the artifical disc would be of any help for me.
Thanks
Travis
Posted by: Travis Wingard | May 22, 2006, 9:24 pm 9:24 pm
My husband has lower back pain and a degenerated disk. Been to chiropractor, steroid shots, heat wand treatments nothing helps. Everyone says loose weight! But i dont think this is the root of the problem. I have seen his x-rays and MRI and he was told it is a disk. Please we would like Dr. Betons address and phone number. THanks!!! ANN in KY.
Posted by: anne | May 22, 2006, 9:49 pm 9:49 pm
stem-cell for back pain i can not find the info
can you help me
Posted by: chuck | May 22, 2006, 10:00 pm 10:00 pm
I have been looking at the artificial discs for some time. Why is the US so slow in approving them? I have a co-worker who was in a 2004 study of the artificials. He is pain free and has been since the surgery! I too went to see the Dr in Spokane, Washington to see if he could help me. He said he could not yet. I need a fusion at L5-S1 because it is bone on bone, and there is no room for an artificial there. However he also said I need replacement discs at l3-L4 and L4-L5. However, you can not stack discs yet in the US!!! He had a photo of an X-ray from Europe showing a stack of 4 artificials! This was in 2004! What is taking so long in getting this approved in the US??? I have put up with pain for over 30 years and refuse to have a fusion done due to the problems it causes for the “healthy” discs which adjoin the fused area. Will we ever be able to have this surgery or will I be forced to go to Europe for my medical care?
Posted by: Tim Sharp | May 22, 2006, 10:00 pm 10:00 pm
I HAVE BEEN SUFFERING FROM SPINAL STENOSIS AND SCOLIOSIS FOR 10 YEARS.i HAVE BEEN TO SEVERAL DOCTORS.I TOO BELIEVE THIS IS A JOB FOR A NEUROSURGEON..HOW SURPRISED I WAS TO HAVE A TOP RATED NEUROSURGEON REFER ME TO AN ORTHOPEDIC SURGEON ACROSS THE STREET..THEY WOULD DO THE SURGERY TOGETHER.THE ORTHOPEDIC WAS ANNOYED THAT I DIDN’T COME TO HIM FIRST”HE DIDN’T NEED THE NEURO.”AND ORTHOPEDIC DR. AT DUKE WAS SURE HE COULD HELP.A NEUROSURGEON WHO OPERATED ON MY HUSBAND AND KEPT HIM ALIVE WHILE FURIOSLY STAYING AHEAD OF AN EPIDURAL ABCESS REFUSED TO HELP ME BECAUSE I WAS “TOO HEAVY AND THE CONDITION WAS TOO FAR ADVANCED.” HE TOLD ME TO GO INTO A WHEEL CHAIR. NOW MY PAIN IS SO EXCRUCIATING I HAVE TO DO WHATEVER I CAN TO GET RELIEF I AM REALLY OUT OF TIME I THINK MY HEART WILL GO SOON. ABCESS
Posted by: BARBARA | May 22, 2006, 10:09 pm 10:09 pm
These are all TMS symptoms.Read Dr. Sarno’s book The MindBody Connection:Healing Back Pain.
Posted by: Phil | May 22, 2006, 10:14 pm 10:14 pm
I’ll be skipping the ‘avoid surgery’ topic. I’ve been reading about disc replacement for the last seven years and hoping they’ll make prosthetics for the spine, mainstream, shortly. My only questions is… why only one disc? I have two degenerated / compressed discs (thanks to a car accident). Can I have the protruding disc replaced and leave the other? That would suit me fine for the next 10 years (I hope).
Thanks,
Greg
Posted by: Greg | May 22, 2006, 10:21 pm 10:21 pm
Wrong title: The Mindbody Prescription: Healing the Body, Healing the Pain.
by Dr. Sarno
Posted by: Phil | May 22, 2006, 10:23 pm 10:23 pm
My husband had disc-replacement surgery done in Febuary. He is doing GREAT. They said that it takes anywhere from 6-9 months recovery time becasue of the bone to heal around the disc. Of course his back is sore right now and will be for some time bit IT IS NOT the pain that he had been suffering for years! We live in the Buffalo, NY area and the surgeon who did this was Dr. Andrew Cappuccino. http://WWW.BuffaloSpineSurgery.com
This doctor has also done some pretty amazing stuff. Look him up!
Posted by: R.C. | May 22, 2006, 10:42 pm 10:42 pm
PRAYER It works!! It works for me. I have been to Many Dr’s each telling me the same Since I don’t like taking med’s (as they can do even more damage on healthy organs)even though I had to take them—- and I have already been through the epideral shots and lots of MRI’s the last resort is operate according to the orthopedic and Neurosurgeons I have went to but than again I have had three different Dr’s telling me three different opinions and so I decided to put it in Prayer and right now that is working for me! I do one day at a time and as far as this is not a life because I have alot of pain–well, the alternative is Death and I’m not ready for that yet as I’m only 53 years young. I have degeneraive disk disease with arthritis in my vertebra with mild spinal stenosis. God Bless you all and keep it in Prayer even if you have to have an operation.
Posted by: Diana | May 22, 2006, 10:42 pm 10:42 pm
I am 27 yrs old. I have had a diskectomy on L5-S1 at the age of 24. I now have herniations at L3-4, L4-L5, and L5-S1. Is it even possible to have ADR on three levels? Everything seems to be an unknown. If anyone has heard of this please let me know. At this point, I take medication daily so I can avoid screwing my future and keeping hope for a solution. I feel for everyone, this is no way to live your life.
Posted by: Erik | May 22, 2006, 10:44 pm 10:44 pm
I had the ADR on 4/18/06 on L5-S1, and can highly recommend it from my experience. Quite a bit different from the experience of the young woman on the video, my surgery required an 8 inch incision in abdomen, 4 hours, and no way was I ready to do a little dance after two days. As of this point I am doing very well, the nerve pain is gone and only healing remains–miracle or not, this surgery is still a TOUGHIE to recuperate from. I was initially turned down for the surgery, the insurance wanted me to have a fusion instead. I have not heard many ‘happy’ fusion stories so really did not want to go that route. The doctor wrote a strong appeal and Blue Cross approved it, their first! I have heard that prospective fusion patients are being told that if they wait 6-12 months insurance companies will be routinely covering the ADR which we also heard from a friend in the field. We found information on Charite trained doctors at the Charite web site, doctors from all over the country. I was delighted to find my wonderful neurosurgeon, Dr. Jonathan Paine of Melbourne, FL, listed as one of those trained by Charite, the maker of the disc. An approach surgeon is also used, making the initial incision to get to the spine and it is important that surgeon also be highly skilled.
Posted by: Donna | May 22, 2006, 11:40 pm 11:40 pm
I have DDD and disc herniations from L2-S1. My physician, Dr. Regan, told me that I’m not a fusion candidate due to such extensive damage; thus, my only hope is a two-level ADR with the possibility of more ADRs on the higher levels through a lateral approach in the future.
Yet, my insurance: Blue Cross of CA and Empire BC/BS of NY will flatly deny me ADR coverage. I have nowhere to go but to pay out-of-pocket to see an expert in Germany who collaborates/publishes with a Yale spinal surgeon. And I cannot afford this yet, nor – surprisingly, despite damage, my pain is treatable and I can function. But for how long? I have osteophytes on my end plates that suggest autofusion is starting – not always a favorable outcome.
Do my insurance carriers expect me to have an extensive fusion that’s due to fail from the well-documented domino effect? True, the Europeans were neglectful of keeping excellent ADR data, but for patients like me, all we can do is hope.
Wake up insurance companies! Not every patient population is homogenous. Blanket assumptions = blanket stupidity.
Allan
Posted by: Allan | May 23, 2006, 1:19 am 1:19 am
I am a 39 yr old female and I am having back surgery in 3 days. I have tried the spinal injections and they only made it worse. My doctor is wonderful (he did not do the injections) he did several tests including myelogram and that dreaded discogram. I have degenerative disc disease in L3, L4, L5, S1. The L3 is mildly leaking and he said that disc looks pretty good. His is doing a discectomy on L4,L5, S1 and doing the spinal fusion. I didn’t have a sudden injury like a car wreck or anything. I have had back problems for years but never bad enough to even see a doctor about it. Then on January 1st, after a horse show (where nothing happened to cause me any pain) I could not move. The first doctor on January 2, went off of an old MRI that was dated November of 2005, went ahead and did 3 sets of injections and a set into the sacral joints. Each time I got worse and worse. And he never did any other tests. I tried physical therapy and couldn’t make it through the evaluation because of the pain. They now have me semi comfortable with the pain management doctor and his meds, but they make me sleepy. But, after reading all of these messages, I am now scared to death. Can anyone tell me any success stories of have this type of surgery.
Posted by: Susan Dayberry | May 23, 2006, 2:14 am 2:14 am
Online there is not really a schedule of what is going to be shown on the 5 day report. Today there was just a text post. For tomorrow there is already a video on stem cell.
Is there anyway you can post a schedule of what new procedure will be talked about each night?
Also is it just on World News Tonight or across all ABC news. Last spring there was a pain special that was on every show, and as a back pain sufferer I was anxious to see every show which is hard in my condition. Even when I tried to order the shows on DVD, it took three months to arrive.
So Dr. Tim, I think most of us, who are pain sufferers of the extreme type would appreciate what procedure would be discussed on what night and whether it is just on WNT.
Thanks,
Adam
Posted by: Adam | May 23, 2006, 2:38 am 2:38 am
I’ve suffered from lower back pain for years, was diagnosed with DDD and arthritis, gone the PT route, chiro, epidurals, etc. None of them helped much. I had agonizing spasms that would leave me bedridden for a week. It became a terrible cycle of pain > fear of pain > more pain. The single best treatment I have found is my ATTITUDE. Please read about the work of Dr. John Sarno, it really helps. In the past year alone I’ve been to Vegas, Florida, and DC, where as before I could barely sit in a chair for an hour. Don’t suffer needlessly.
Posted by: Robert | May 23, 2006, 7:37 am 7:37 am
It is my understanding that the prodisc 2 has been approved, but the FDA still has to aprove the facilities. Is this true. I have been seeing a doctor at the Hospital for Special Surgery in NYC and he has me schduled for this surgery, but is waiting for FDA approval. The manufacture received an approval letter from the FDA back in Jan 2006. How long does it usually take to before they inspect and find that the manufacturing faclities are approved?
Thank You, Cindy
Posted by: Cindy Dillon | May 23, 2006, 8:28 am 8:28 am
Susan don’t be afraid. Every person I have spoken to, who had fusion surgery is doing great.
I am now getting medical clearance for this same surgery to be performed in early June. My doctor is a spine surgeon. This is the only surgery he performs. I have been in pain for three years. I woorkd with a wonderful pain management specialist for one year. I was doing extremely well. I fell at work. Now I need the surgery.
Good luck to you!
Posted by: Cheryl | May 23, 2006, 8:46 am 8:46 am
I am in need of the the information for Dr. Fabian Bitan, Lennox Hill Hospital, New York. I want to thank you for your help in this matter as I too suffer from back problems. I already had one surgey done on my L5 and now I may have to have another one done on my L-4. Please I beg you rush the information to me. I really do not want to have to go thru another back surgery.
Posted by: Raquel | May 23, 2006, 9:05 am 9:05 am
My sister is only 55 years old but walks and acts like an old lady. She has degenerative disc disease and says that her doctor (2nd opinion) says there is nothing she can do except take pain pills and do exercises. She has been slowly deteriorating to the point where she cannot travel if she cannot lay down. Even on short trips, she has to lay in the back of the van while her husband drives. She won’t even think about flying because she cannot sit in one position for any length of time. She’s very cautious walking, getting in and out of cars, up and down stairs, etc. It upsets me to think that she is so young and that there is nothing that can be done. When I saw the segment about the doctor who inserts artificial discs, it gave me some hope for her. Would she be a candidate with the degenerative disc disease? Is this procedure done only in his city? She is in the Kansas City area.
Posted by: Diana | May 23, 2006, 9:23 am 9:23 am
I have been suffering for 2 years, herniation of L4-L5. When is swells or shifts it rests on my psyatic nerve-so the pain is worse in the cheek of my butt, my calf and my foot. I cannot sleep of stand or sit for any length of time. P.T. and chiro worked for a while, but cannot seem to ease the pain this time. I am seeing Dr. Rainville at the N.E. Baptiste in 2 weeks – he runs a program called Boot Camp. It is an extensive form of P.T. I guess you half to qualify for it though, which I am not sure if I will, since I have the leg and foot pain. I read in this article that Doctors recommend surgery for that sort of injury, I am hoping not as I do not want to have any surgeries. Has anyone been through this boot camp yet? What do you do for your calf and foot pain?
Posted by: christine | May 23, 2006, 10:45 am 10:45 am
I hope in the newscast you will (tho I doubt it) touch on the negative aspects of back surgery. From the other posts here already, and from a recent study published, most back surgery either flat out fails or causes the need for further surgery above and below the originally affected area. Surgery itself exposes the patient to the risk of becoming one of the one million per year infected by a hospital borne Staff infection that kills over 80,000 each and every year.
This is probably just one more way for the news programs to increase ratings and raise false hopes in the masses with incomplete research.
I too have backpain from an injury almost three years ago, but I have been lucky to have been involved in healthcare and know people who know and know how to do the research myself. When the back is injured, if the disk is damaged and epidural injections do not help the pain level and are not done immediately new inervation will begin (growth of nerves in the affected area) and the pain source will grow. So after a time span that varies by individual (around 6 to 18 weeks) the source of pain will become the affected level and the levels above and below as well as all of the muscles and ligaments around those levels. Even the disk that nomally does not contain many nerves can become densely riddled with nerves by the body’s natural healing process.
Most doctors that are not seeking financial gain from your injury that will be honest with you will say to avoid surgery at all costs and put it off until the last possible moment because the real risks are far too high for them.
Have you had PT and done the logical things they recommend like losing weight, starting an exercise program of your own, taking vitamins so your body can more easily heal itself? Smoking reduces disk height and decreases circulation, have you stopped? Have you tried gravity inversion tables or cold laser treatments? Have you sought a Chiropractor that does not try to make a deal with you for specific lengths of care but instead treats you and takes the time with you (15 min or so) doing flexion and distraction or Applied Kenesiology? Have you changed your lifestyle and began reducing srtess in your life or stopped the recreation that will make your injury worse?
Most lay persons do not understand the big business backpain really is. Most of your insurance companies will pay a major portion of the $40K to 100K for the surgery, medication and hospital bills associated with a surgical intervention for backpain, but will not pay for more than 12 visits (less than $1500) per year for preventative PT or Chiropractic care so you can spot problems in advance and learn to prevent injury instead of fixing them. Nor will the pharmacies tell you that the Federal law only makes the generic drug makers only be 85% as effective as the original name brand drug. The US performs three times (per the same # of population) as many back surgeries than any other country in the world, why?
Before opting for surgery, check the history, malpractice history, training, and positive outcomes for your specific surgery and doctor who will be performing it. Check the history of the facility where you will be having it done as well for infection rates. 300 successful surgeries recently means nothing. Watch the Discovery medical channel and see the stories daily like the 17,000 hip replacement devices that were recalled due to contamination that caused them to fail and the hundreds of patients to have “negative outcomes” because of it. The medical industry has been doing hip replacements for over 40 years and they messed those up don’t get your hopes up for something they have only been doing for a few hundred.
Posted by: Michael from Florida | May 23, 2006, 10:56 am 10:56 am
What do you think of- referred to as non-surgical spinal decompression therapy . Many Chiropractors
in our area are promoting this care is it as good as they say and what about the upper back and neck suffers , can traction, of the neck be useful seperating the vertebras apart freeing the nerves of pressure, etc . Recently had surgery on C-7/8 due too disc on nerve that causes my pinky and ring finger to droop also loss of strength in my arm . It’s been five months and have had Occ.
Therapy , still no progress . Any suggestions .
Posted by: Paul | May 23, 2006, 11:21 am 11:21 am
If you are suffering with pain, PLEASE read Dr. John Sarno’s books, “Healing Back Pain”, “Mindbody Prescription” and his latest, “The Divided Mind”. I was told to have a hip replacement 2 years ago due to mild arthritis. I read the books, followed the advice, and am running again, completing a half marathon just 6 months ago. I am in ZERO pain, and before I couldn’t walk around the block. No painkillers, no surgery, no doctors. John Stossel of ABC did a segment on 20/20 a few years back on Dr. Sarno, who cured him of back pain that lasted 15+ years.
I just attended a talk on the women of Tanzania, from a doctor who lives there and works for a hospital in Nebraska. These women do back-breaking labor all day, mostly bent over in the fields, and carry heavy loads on their heads. The doctor said they see very, very little back problems, but here in the U.S., back problems are epidemic. Think about it!! Read the books!!
Posted by: Michele | May 23, 2006, 1:02 pm 1:02 pm
Looking forward to this tinight.
Posted by: Perry | May 23, 2006, 1:18 pm 1:18 pm
Can anyone tell me what insurance companies are covering ADR? Mine has denied me twice because they say there aren’t long-term studies, so I am wondering who paid for this woman that Dr. Johnson interviewed. If anyone can advise on this issue I would appreciate it.
Posted by: alycia | May 23, 2006, 1:41 pm 1:41 pm
Where can we get more information on Dr. Johnson’s disc procedure and where it is being done at?
Posted by: G Keeb | May 23, 2006, 2:00 pm 2:00 pm
After a traumatic work injury, I was left with a shattered L5/SI disc and limited mobility. It was my desire to regain my flexibility and former activity levels. Throughout my quest for treatment options I discovered Artificial Disc Replacement (ADR). While gaining state workers’ compensation wasn’t easy, it was definitely worthwhile. My ADR surgery was successful and I am once again hiking, biking, swimming, and sitting without pain!
Posted by: Crystal | May 23, 2006, 3:19 pm 3:19 pm
After years of pain and frustration and many different treatments I found Dr. G Lutz at HSS in NY and he performed IDET on L4L5 5 years ago and I am free of back pain able to enjoy all activities.
Posted by: Jeff | May 23, 2006, 3:51 pm 3:51 pm
Hello,
I watched the segment about Artificial Disc Replacement (ADR). I had a 2-level ADR procedure almost three years ago (I had my surgery at 23 years old). I am 100% pain-free and I am working out / lifting weights 5 times a week. I had to go overseas because of the FDA dragging their feet (I was a 2-level case and did not meet the inclusion criteria for clinical trials in the US).
We have a forum for those people contemplating ADR and those who have been through ADR and are on the other side of surgery. There is a lot of useful information about ADR, and it is a great support system for those living with spine problems.
Posted by: Justin | May 23, 2006, 4:18 pm 4:18 pm
Before you have surgery please either read “Pain Free” by Peter Egoscue or visit one of their clinics. I had severe back pain, by improving my posture through a series of exercises I was out of pain. No surgery involved. You just have to do the exercises on a regular basis.
Posted by: Silvion | May 23, 2006, 5:12 pm 5:12 pm
I was reading everyone’s post, and I noticed only 1 person commented about chiropractic care. I would recommend Chiropractic to anyone. I work for the best chiropractor in Staten Island. I started going to a chiropractor even though I had to pain, because I wanted optimum health. I can tell you all of the people that have come in with severe pain in their backs that now have little or no pain. The first thing when understanding chiropractic care is to research it. There are so many different types of care. I personaly like CBP.
Posted by: patricia | May 23, 2006, 6:46 pm 6:46 pm
I have DDD; I was in severe pain for three years before a surgeon would perform a two-level fusion on L4-5, L5-S1; and following my surgery to present I have been free of pain (5 yrs pain-free!)
Posted by: Heather | May 23, 2006, 7:00 pm 7:00 pm
Yes, Back surgery WHY SO MANY PEOPLE GETTING MORE THAN ONE????? If anyone would like to learn more about this, and if your in back pain now without having surgery..wait til you have one. You could end up with spinal cord disease called ARACHNOIDITIS OF THE CAUDA EQUINA…BUT NOW SINCE DIAGNOSED WITH THIS SINCE 1995….I HAVE FOUND A CURE AND LIVING WITH THIS MORE COMFORTABLE….BUT HAVE HAD BOWEL AND BLADDER PROBLEMS ALSO…SO YOUR BACK HURTS JUST WAIT…..I WAS HOPING THAT THE NEWS WOULD DO A STORY ON ME WITH THIS DISEASE AND ALSO BRING IN ABOUT THE ANTI-SEIZURE MED I AM TAKING THAT IS WORKING SO GREATLY…I WANT TO HELP OTHERS SO MUCH.
Posted by: Linda Inglett | May 23, 2006, 7:04 pm 7:04 pm
I had a disc replacement 5-1/2 years ago. I would do it again in a heartbeat. 95% pain free. I truley believe you can never get rid of back pain totally but this is the next best thing!!!
Posted by: lapham | May 23, 2006, 7:09 pm 7:09 pm
20 years ago, I had a very bad fall that injured my leg and after which I began developing increasing back pain that eventually went to my legs. I have seen soome of the best doctors all over the country. MRIS and scans have been done of my lower back and we found that disks have been injured (possibly fractured all through the many accidents in my early life when we only had rudimentary X-rays. Now I know I have degenerative disk disease, stenosis and severe arthritis as well as other problems in S1 through L5. My most recent ENGs show that I am losing control of my legs. They won’t always go where or how I want them to or think they are and I fall. Since there are 2 disks that are suspected of causing this, I am wondering if this new replacement disk can be done on more than 1 disk and if there is a chance it may help. I work everyday (after 17 years on disability because who can live on $600.00 a month) in a job where I have to walk around in all kinds of weather. Does anyone know the name of the doctor featured who does this disk replacement? I would like to contact the docotr for information before I am ina wheelchair and before the pain is so bad that the dose of medication needed to quiet the pain a little would be dangerous. I hate the meds almost as much as I hate the pain, and more i hate the stigma that goes with having to take them to survive and to live within my own, extremely painful body. Thanks
Posted by: Carla | May 23, 2006, 7:14 pm 7:14 pm
My 37 year old son has been having back trouble for the past 2-3 years. His back “gives out” and then he is in terrible pain for up to a month. He is in law enforcement and has to wear a 30 lb. gun belt every day. His medical care is at the Veteran’s Hospital. He is supposed to have an MRI, but it hasn’t been scheduled yet. I am concerned about him having back surgery at the V.A. hospital. He doesn’t have insurance for a private physician’s care. We don’t know yet what the exact problem is. I just need to know what to expect. Any advice?
Posted by: Jan Canales | May 23, 2006, 7:16 pm 7:16 pm
I had the steroid injection on the top and bottom.I have three dices push on my spine.And on the bottom.the doctor said that there are three on the bottom also. I life on pain killer.Some time ,I can not get out of bed!If it wasn’t for pain pill.I could not get around. I have 8 month old and a three year old.It very hard to help my wife.With the two girls.So do you think ,I need to have the surgery?
Posted by: walter krajewski | May 23, 2006, 7:20 pm 7:20 pm
I found some information on the DePuy site. Here is the URL for their artificial disk.
http://www.charitedisc.com/charitedev/domestic/patients/candidate_whentoconsider.asp
Posted by: Carla | May 23, 2006, 7:20 pm 7:20 pm
Elizabeth Vargas said something about a new surgery to block the pain signal.It would be addressed on the abcnews website: I can’t find it. Where is it?
Posted by: norma haygood | May 23, 2006, 7:29 pm 7:29 pm
Hi,
I can’t find the article on the surgery to block back pain signal to the brain. Can you help?
Posted by: Wilma Effler | May 23, 2006, 7:55 pm 7:55 pm
where can i find the info about the surgery that blocks the pain from traveling to the brain
Posted by: fred santino | May 23, 2006, 8:11 pm 8:11 pm
I currently have such severe lower back pain *sciatica going into my right leg that I cannot function without taking strong pain medicine. Literally I am in tears without strong pain medicine which I have been taking for weeks now after seeing my doctor. I have tried to do hamstring stretches and other passive exercises to get some relief but I am still having severe pain in my lower back, buttocks and leg. I have also had frequent urination symptoms but I thought that was unrelated until now. I had a disktectomy of L5 about 4 years ago and I am trying to avoid more invasive surgery. I was recently told by a sports medicine doctor that I probably need a epidural but I can’t continue to go on like this. Help!!!!!!
Posted by: Cindy M | May 23, 2006, 8:50 pm 8:50 pm
hi, I too would like to introduce you to my spouse, he is a 35 yr old electrician. He not only has back pain that radiates to his side, he grew up w/ scoleosis and osteogenesis imperfecta (brittle bone disease). we have an appt 5/24 w/ his spine specialist to discuss the device that blocks the pain signal as well as the surgery to open the spine holes to releive the pinched nerves in his back. The major surgery requires them to go through the front of his body, move his lung and diaphram amoung whatever else to get to his spine due to the curve and twist in his spine. We live in Maine and are very nervous about either. As I said, he is only 35 yrs old. The docs wanted him to take permanent social security disability, which is very hard to take. Can you please email me w/ any info that might help us decide what our best options may be and/or a name of a specialist in the U.S. that might be willing to talk to us. We have been told by so many times that the doctors that he has treated with, they can’t believe he is an electrician working on commercial properties. He is afraid he will end up in a wheel chair long before his time and would really like additional info.
Sorry this is so long, but I am writing to get more info as we have a lot to consider.
Thank you for your time. Kelly
Posted by: Kelly P | May 23, 2006, 9:11 pm 9:11 pm
I too am very interested in surgery to block the pain.
Posted by: charley | May 23, 2006, 9:15 pm 9:15 pm
I just so happens that i am sched to see a spinal surgon tomorrow (23may at 10am)..the pain is all
the way down the the arch of my foot…walking and
sitting is very difficult…how do i know if this
is something that maybe physical therapy can take
care of..what questions shld i be asking this Dr.
and can i trust what is told to me…thx
Posted by: patty smith | May 23, 2006, 9:40 pm 9:40 pm
prior to a knee revision replacement, in 12/05..i did have a litle numbness in my other legs toes. after the knee revision, that operated leg, the foot became numb, best described as vise/like pain, or if i was stepping in a log, that was in my shoe. a chiro ordered a mri, after doing some spinal decompression of L4/L5 . i took the mri to a ortho/spine guy at a teaching hospital, who ordered thereapy. i had it, for 6 weeks, and they said it was unethical, , to continue, not helping. i am going for my 3rd epidural, it’s maybe 30% better. it’s spinal stenosis, and DDD. the next step is fusion, with graft, which i do not want to do, because i have had, failed ankle fusions, with grafts, and screws. i have severe rhuematoid, using methotrexate, humira,, once a week. since this pain med anesthesiologist, said i have a facet, and pulled out synovial fluid, i think from L4 and L5, also, the back pain is better. i wonder about the relation of rhuematoid and back problems. seems not to be a connection known, they just say disc problem is from aging, and i am 57. the orth/spine guy, says he is open to alternative medicine. i don’t think dr sarno’s book will help me. anyone else with a numb foot, the rest of the legs are ok. i have to take 600mg of gabapentin a day
Posted by: pat | May 23, 2006, 9:50 pm 9:50 pm
I have read all of the posts and I FEEL your pain. I am 38 and have had a personal trainer for years. I love to snowski, jet ski, run, etc. I sit at a desk for 8 hours each day. I developed low back pain due to a bulging disk at L5-S1 5 years ago. I had nerve blocks, physical therapy and pain medication. When I could nott feel my right leg and an ambulance had to pick me up from the floor in my house, I had a diskectomy in 2004. My disk is now bulging to the left instead of the right. I am told I need an anterior spinal fusion by my neurosurgeon. My bone that surrounds the disk is irritated as evidenced on the MRI. Although I no longer participate in sports I am reading Dr. Sarno’s book and changing my attitude. I have also enrolled in physical therapy in the form of pilates to strengthen my core. This past weekend I washed my car, cleaned all the outdoor furniture, polished the stainless steel BBQ grill, washed all the house windows, etc. without further pain. Meanwhile I have an appointment scheduled for June 7th with another surgeon at UAB. I really believe that we have to keep a POSITIVE attitude and treat our body better than we treat our car. I would take my car to another mechanic for a costly repair…we need to do the same for our bodies and not feel guilty about it.
Posted by: Sheila | May 23, 2006, 10:06 pm 10:06 pm
My son is 17 years old and he has been having back problems since he was 14 years old. he just has back surgery in dec 2005 due to a herinated L5 and L4 WASN’T THAT BAD to correct the L4. He came out of surgery with no pain at all until 1 week ago it start all up again and now it is more severe and intense and pain going down his right leg. dr wants to do another epidural to relieve the nerve. we need help and any suggestions, MY SON IS HAVING TO ENDURE SO MUCH PAIN AS OF RIGHT NOW, PLEASE HELP US…MOM AND DAD…..
Posted by: tim galvan | May 23, 2006, 10:40 pm 10:40 pm
I have had two surgeries on my lower back. One 8 years to release spinal stenosis, the other 1 year ago, a cage procedure. My question is there someone who can help with the constant pain that the spinal stenosis has caused to the nerves. They just keep sending the message of pain.
Posted by: Jane Embree | May 23, 2006, 11:37 pm 11:37 pm
Hello Doc,
Please discuss the internal pump for pain, mine is by Medtronic. Due to the extensive pain I suffer from, the medication used is MS.
Posted by: Sandra | May 24, 2006, 12:01 am 12:01 am
It’s so ironic; the doctor told me a few weeks ago that I have degenerative disc disease and bone spur(s) on L4 & 5. However, I have a major knee injury for the past 13 years that I’ve left untreated (just working out and keeping the muscles strong). On the pain-o-meter, my back bothers more than my knee even though, medically, the knee is in worse condition. Back pain is misery. I’ve read your post and empathsize. I saw the report on disc replacement surgery and will probably investigate this if the physical therapy doesn’t work. As I write this, I’m lying in bed recovering from PCL and MCL surgery of the right knee. Oy vey!
Posted by: Pamela | May 24, 2006, 12:27 am 12:27 am
Hello i have a bad back,I had one surgery in 1980,,now i have three doctors want to do surgery on L3-4. I have pain in my loe back and right hip sometime my right leg, What can i do?
Please Reply
JH
Posted by: Jim Harris | May 24, 2006, 12:27 am 12:27 am
Dr. Sarno’s proposition that pain is mostly from one’s psyche is an intellectual insult to those with positive discograms, non-stop back pain, sciatica, and MRIs that show structural derangement. It’s a one size fit’s all paradigmn that ignores anatomical fact and physiological process specific to pain, dermatomes, and other scientifically based evidence.
It it works, great. My neightbor has been bugging me about Sarno for years and tells me to go ahead, lift as much weight as you want (( used to be a weight lifter) and start running: it’s in your pained psyche.
Best Regards,
Allan
Posted by: Allan | May 24, 2006, 1:18 am 1:18 am
I injuried my back in July ’03 loading my mail vehicle. I began seeing a company doctor that misdiagnosised and I endured so much pain. I begged this man to perform a MRI. He told me he was the doctor and I did not need a MRI. Finally my GP sent me to a neurosurgent that ordered the MRI and deteched the herniated disk. I had a decompression and fusion of L4-L5 in Feb’04. Immediately after the surgery I felt better. I was in the hospital all of three days, I went home without having a bowel movement and I still have problems in that area. The pain in my leg was gone. As time went on my back began to hurt again.
I was concerned that I wasn’t getting better, the neuro stated it would take six weeks at six weeks he said twelve weeks at twelve weeks he said I needed to go for counseling.
I was sent for a funtion capacity test in which the person giving the test (which was suppose to take 3 hours and only took 45 minutes) determined I was faking my pain and reported that to the neuro and he dismissed me and referred me to pain management.
I have been with the pain management for 2 years. I have had countless epidurals, nerve blocks, trigger point injections, I have a spinal cord stimulator and have enough different pain pills and patches to supply a small nation.
I had the back surgery in hopes of regaining my normal life back. Little did I realize I was giving up my life as I knew it. There is no more planning trips because you never know how you are going to feel.
I have gained a lot of weight because I can’t get up and move around the way I use to. I would love to be able to exercise or go dancing or go hiking or anything normal.
My husband has done a great deal of research on disk replacement and is now look at laser treatment for scar tissue.
I guess we are all in the same boat I will buy the book. I am lucky that I am a federal employee and there is a small chance I could get the disk replacement approved through workman’s compensation.
The pain management doctors state there are doctors here in the USA doing disk replacements.
Posted by: Ginger | May 24, 2006, 1:55 am 1:55 am
I was just wondering. I had eight back surgerys and I have a lot of scar tissue. I am in alot of pain. Could the scat tissue be causing my pain? What can be done about scar tissue? Is there any way of getting rid of it. I have degenerated disc disease, bulding discs, herniated disc plus other problems. I have two titanium cages and battery and a morphine pump in me. Please help me by answering my questions. My doctor does not want me to have anymore surgeries. He is trying everything possible to help me. He suggested that I go to John Hopkins to go through a spine surgery replacement. What is your suggestion?
Posted by: Linda Ledies | May 24, 2006, 2:09 am 2:09 am
This is how I found a non-surgical solution that worked and continues to work every day, even as I write this.
This is directed to those of you
(perhaps Jan Canales unless the MRI shows a more severe problem)
who have discovered, perhaps a few years after the fact, that you have lower back pain, likely produced from lifting heavy objects while bending over to reach them, which like my own experience did not appear until years later and became increasingly severe, but has not reached the level of breakdown of the disc or severe herniation, but as I found it is nevertheless extremely painful. This is long but read on.
I will outline my story so you can see if it matches your own. Prior to 1995 I could not tell you what back pain felt like I had been in perfect health. In 1993 I was in my mid 20s when I worked on a manufacturing machine that cut parts. After each run, I had to remove 40lb parts from a long wide table (about 40lbs was not the problem I was more than strong enough to lift 40lb parts, only later did I realize it was the bending over to pull them up that was silently causing problems) . Many times I bent over (forward and to the left) to pull the parts off and stack them after each 20 minute run, 8 hours or more per day. I did not realize at the time, that in doing so I had been compressing the lowest lumbar disc (probably L5) to the front and left.
I moved to another company, diagnosing computer problems and fixing them, and stood most of the 8 plus hour days, sitting only on occasion. I had to lift computers, no problem, and early laser printers 40lbs and monitors 10 to 50 or more pounds on many occasions, but still noticed no symptoms.
In 1996 I moved to another job doing computer work that usually required no heavy lifting. In 1998 I was moving of heavy old style computer tapes in boxes, up three flights of stairs and noticed a slight tingling in my lower back, which never having back pain, I ignored. That night that I got my first hint of what back pain felt like, but it did not know that it was a disc problem. It felt like I had a muscle cramp in my lower back, which was deep and that I could not quite pinpoint its location. By the next day the pain was gone so over the next 3 days I continued moving more heavy boxes of tapes up three flights of stairs, and I noticed the pain was back again as I moved my last boxes to storage.
Diagnosing my symptoms. Over the next weeks and months I kept trying to identify the pain and eventually concluded that it was not muscle cramps since massaging my lower back did nothing to alleviate the pain, and it was ever so slowly getting worse. I also noticed that the symptoms were, a dull but yet very bright pain at the lowest part of my spine whenever standing or sitting, and extreme pain whenever I bent forward and to the left. Bending forward and to the right was OK, and lifting my right leg behind and to the right caused a pain that traced down the back of my right leg to my right ankle, and still does to this day but now only slightly, when I raise my right leg behind me in this way. This is called sciatica). Lifting my left leg behind me causes no pain in itself. I realized it was a lower lumbar disc problem, so the first thing I tried was to reduce the weight on my lower lumbar disc by standing between my washer and dryer (which are close to each other) and putting all my weight on my hands and lifting myself off of the ground. If I bent my pelvis forward so my spine was straight, the pain dropped a bit but came right back when I could no longer support my weight via my arms and my feet hit the floor again. I then noticed one time, after walking up my stairs and turning a corner that when my back popped/cracked on its own, that the pain level dropped rapidly and the pain was relieved for a few hours.
In my first attempt at solving my pain problem (keep reading, this method was barely workable and exhausting and I now use the correct solution outlined later) I decided to try to induce this popping of my back myself. I held onto my corner bedpost and swung my right leg around in circles, but I could not get anything to happen. Only when I swung wildly at top speed (quite an exercise) could I get it to induce a slight popping in my back, which did relieve the pain for a few more hours, after which it would be very slight, but would, very slowly develop again, until after 3 to 4 days it was intolerable again and I hence I would have to use this wild swinging method, again. I used this method from 1998 though 2002, and it did work, but seemed like a poor inefficient solution. In 2002 I had a flare up of extreme pain (the kind that brings you close to crying) for a few days and I got tired of swinging my leg to get my back to pop. I tried the washer and dryer method of lifting my weight off of the ground and holding my legs together rotating my legs left and right, but there was not enough force to unstuck my stuck disc. Lying down on my back in a bed helped as long as I was lying down with my knees bent so my spine was straightened and the pressure on the disc was not as bad, but if I tried to stretch my legs out it just put pressure on the back part of my lower lumbar disc, and once standing again the pain returned.
The problem diagnosed:
I guess diagnosing and solving computer problems every day for years led me to get better at figuring out what was wrong with my back, but I needed a bit more data to put it all together. At some point I was flipping channels on TV and got the data I needed. A doctor was discussing back pain problems. He mentioned, as an aside, that the spine could only feed oxygen to the discs when they were rotating relative to each other because, although the rest of the body systems used blood vessels, the spine was unique in that it did not supply nutrients that way. I suddenly put everything that was happening to me, together. I now realized that my pain was caused by the fact that the discs are, at the molecular level like a lattice framework of molecules that, from birth are designed to be slippery so as you rotate your chest left and right they slide easily, but if they are ever compressed or deformed in any way, then the upper layers of the discs no longer have their smooth lattice framework and cannot fluidly rotate around a center axis anymore. Instead the mashed layer tends to stick to surfaces above and or below it, like Velcro. This sticking and inability to move is what causes pain to slowly build up over many days and weeks to the point where it becomes unbearable.
The solution was obvious now. I had to find an efficient way of popping the discs apart by rotating my upper body, so the discs (which I think are very slightly saddle shaped) could pop themselves free and spread apart very slightly and get whatever lubrication and oxygen they needed so they could at least attempt to repair themselves. I was quite annoyed when I went to WebMD, and found page after page on lower back pain, that did not cleanly separate muscle related problems from disc based problems; hence they were suggesting exercises to reduce lower back pain symptoms that might help muscle problems but would exacerbate pain caused by disc problems. This was (and I just checked the sight again and nothing has changed) and still is, because none of their exercises involved rotating the upper torso to release the discs in the first place thereby relieving the pain.
I decided to try rotating my upper torso myself. At first I fell over until I spread my legs out. I quickly realized that I also had to bend forward slightly to get my spine straight (since the spine has a natural backwards curvature). Of course my arms did not weigh quite enough to generate the torque required to get that lowest lumbar disc to rotate.
The ultimate solution was to:
Increase the weight at arms length by grabbing a plastic, full bottle of grape juice (which weights a couple of pounds) from my refrigerator, and to hold it in about 5 inches in front of me with both hands, spread my legs apart wide, put one foot 6 inches in front of my center of balance, the other 6 inches behind my center of balance, bend forwards slightly to straighten my spine (eliminating the natural curve toward the back) and move my arms and chest left and right over and over, then switch legs (in terms of moving the one that was behind, to forward of my center of balance, and moving the one forward, to behind my center of balance, and doing more left right rotations holding my juice in front of me to get the necessary torque.
My spine popped easily the first time I tried this upper body rotation method. My pain level on the first pop dropped by 75% and with next pop to 95%, just as it had with my previous leg method, but this rotation method was simple and efficient to do and a few more rotations later about 7 or 8 pops followed and the disc was free and the pain was gone. Later I worked up to, while rotating being able to bend forwards, a bit, and backwards a bit (not much either way) and still keep my balance. I did not want to lean too far forwards or backwards, as this would only cause the crushed layers of the disc to be stressed further and rub on the edges. I also found, while not as efficient without the juice bottle as a weight, that my bathtub is narrow enough that I can do 30 rotations while bracing my feet against the side walls of the tub and rotating, using just my clasped hands as weights, while taking a shower. Of course you have to be extra careful not to fall over and hurt yourself.
Things I have noticed using this method:
One rotation is defined as one left then right movement of the upper torso while holding a weight of a few pounds in with both hands.
- About 30 rotations (left and right being a single rotation) in the morning, and again later in the day, is usually optimal for me.
- When you rotate your upper torso you do not need to exert huge force/speed upon each left or right movement back and forth. A constant gentle force left and right, will slowly result in popping the discs free through many rotations. Apparently, each movement left or right does move the disc a tiny amount so simple repetition will suffice to get it free.
- Only when using this method for the very first time, when your discs are really stuck together might you need to exert more force, about 15 rotations out, to be certain the discs are rotated free.
- If you have been suffering for years as I was, you need to do these 30 rotation sets, perhaps 5 times in a given day for the first few weeks. After many weeks, you will find you can drop the sets of 30 rotations to only 3 times per day and notice that they do not stick as easily, and later you can drop to rotation sets of 30 only once in the morning and a once later in the day (usually after sitting, facing forward for a long time).
- Do not reduce the number of rotations you do in a given set below 30 for many months. You will be tempted to reduce the rotations to about 4 or 5 rotations in the morning and then stop, since the popping you hear and feel, will end after 4 or 5 rotations, and since perhaps, you were not even in pain for the last week or weeks, you will think you do not need it any more, but you need to do about 30 rotations at a time, while breathing to feed the discs oxygen and move fluid past them, lest back pain return with a vengeance, in which case you will start your 30 reps each, 4 to 6 times a day routine all over again, because you will have to eliminate the mind numbing pain (I fell into this trap, so do not try it).
- Driving on long trips will induce lower back pain again, mainly because you are facing forward (no rotation) and bouncing slightly causing the disc to stick. Before you start your car you should do what I do: sit in the seat without the seatbelt on. Lean slightly forward, put your hands together and hold your thumbs near your nose, and rotate your body a few times, left and right. The car seat hangs onto your legs really well and you will find your back pops easily with just your arms as weight. When you get to your destination you may only feel a tiny tingling or slight pain, but do not wait, do seven or eight rotations again and you will find that your discs have in fact gotten stuck again during your drive and did want to pop free even though you had not felt any pain yet.
- Sleeping: I have found that when sleeping you do need to pull your legs up into the fetal position lest you place extra stress on the back side of the lower lumbar disks and wake up with back pain. Lying on your back with knees straight, or on your side with knees fairly straight will also cause back pain the next morning. Do a few rotations before bed and stick to the fetal position to keep your spine straight.
When I first used the rotation method and the disc popped free I could still feel that the disk was rubbing as it moved, but over the months it did repair itself slightly. Now, years after I started this method when I pop it free I can feel it slide smoothly, but I find that I still need to do about 30 reps each morning and a few at night or during the day to keep it moving smoothly. The nice part is I have not had to endure that intense dull yet very bright pain for many years now, since using this rotation method.
I hope this helps,
RobertL
Posted by: RobertL | May 24, 2006, 6:39 am 6:39 am
Any news on the FDA approval for the ProDisc? I was so excited when the FDA approved the clinical part in January. Why is it taking so long for the site approval. I am already precertified for Prodisc ADR but I need surgergy within the next 3 weeks due to the progression of neurological symptoms. Any inside story on the ProDisc?
Posted by: L | May 24, 2006, 8:49 am 8:49 am
I had l-5 and S-1 disc surgery with Dr. Bookvar in April. I was in extrem pain prior to the surgery. I was totally pain free when woke up from surgery and was ready to go home, they made me spend on night in the hospital, but I felt and still feel great. Thanx Dr. Bookvar
Posted by: janet | May 24, 2006, 8:58 am 8:58 am
I had back surgery in 1982 at the age of 28. Everything was great for years, except for the fact when I was pregnant in 1986 my daughter laid on the sciatica in my left leg.
I started experiencing great pain in my left leg again a little over 2 years ago.
I finally went to my regular md a couple of weeks ago and he had 3 options for me. (1) do an MRI and he said they don’t like to do back surgeries anymore. (2) go see a chiro (3) have physical therapy.
I opted at the suggestion of a chiro. After 5 adjustments I feel absolutely wonderful! My chiro said my back was like crunched together and she would do her best at opening it up. Today I am pain free and also no numbness! I finally can do my walking each day, usually getting in at least 4 miles!!! So to everyone..chiros do work!!! I now have renewed faith in them.
Posted by: Debbie | May 24, 2006, 10:58 am 10:58 am
The assertion that “90% of back pain can be resolved without surgery” is at best reckless and would seem to have the affect of leaving patients fewer options and to be at the mercy of insurance companies who may defer surgery for other lower cost treatments. It was suggested in part II of the back pain series, that treatment “can be resolved without surgery if both doctors and patients are willing to try other treatments that basically help the back to heal itself.” In my case, I had 20 years of conservative treatment in allowing my back to heal itself to no avail. A neurosurgeon two years ago declined to offer surgery as an option, saying that I would have to be in severe pain before he would operate. After a tour in Iraq with the US Army, a more dedicated medical team examined me closer and determined that surgery was the prescribed course, following (spinal fusion) surgery, I have no pain in my back or leg and do not feel the affects of the surgery. Had I continued to follow the “conservative treatment” I would have a lifetime of pain and no relief. It is uncertain if I am in the “10%” – no one from ABC news has examined me. Suffice it to say, rather than discourage patients from seeking surgery or encouraging them from the same, a better approach is to say that surgery is an option to be determinned on a case by case basis.
From the article:
In the second part of the series, with respect to spinal fusion surgery: “Unnecessary surgery is even more of a problem with an operation called spinal fusion, which is sometimes done for patients with painful and unstable lower backs.
In this procedure, two or more vertebrae — the individual bones that form the spine — are screwed together to prevent motion that might cause pain.
‘Surgery takes about three or four hours, they stay in the recovery room overnight, they usually go home two or three days after surgery,’ said Dr. Roger Hartl of New York Presbyterian/Weill Cornell Medical Center.
But critics say many people undergoing fusion surgery could have done just as well with physical therapy.
Dr. Richard Deyo of the Harborview Medical Center said in many cases when comparing spinal fusion to nonsurgical therapy it ‘wasn’t clear there was any advantage of surgery over the nonsurgical treatment.’
So why are so many back surgeries performed in this country?
It could be a combination of too many surgeons who are too eager to operate and the impatience of many patients who want results quickly.
The truth is that 90 percent of back pain can be resolved without surgery if both doctors and patients are willing to try other treatments that basically help the back to heal itself.”
Posted by: Donald Sifuentes | May 24, 2006, 10:59 am 10:59 am
I had a herniation in my lumbar spine at L4 and L5. Had the MRI and was told that I would need to take a conservative approach. Also- I had a sciatic nerve problem that was so bad I felt as if someone just cut my Achilles tendon. The pain shot down from my lumbar into my toes. I refused to take any epidural and/or cortisone shots. I was lucky enough to discover MAT (Muscle Activation Technique) and this was the miracle I needed to get me back to the proper health that I needed. I am 98% free of any type of pain. It frustrates me to see that there are a lot of people with back pain. I urge you to look into MAT. I became such a believer that I joined the internship to help other people. MAT is all about biomechanics and the restoration of the muscular system. Please look into this as an option.
Posted by: Dave | May 24, 2006, 12:24 pm 12:24 pm
Reading and understanding Dr. Sarno has changed my life and freed me from the pain of so many years. I also suffered many equivalent symptoms as many of the posters have mentioned such as ibs. The fear of the pain only enhances it. Sarno states that the majority of people won’t accept this concept and I have found that to be the case as I try to explain it to others. Most of you have been thru numerous exams, mris,etc, so I ask, why not read this book and give it a shot? It’s surely easier then having surgery. Sarno has made such a profound psychological discovery thru years of treating pain. It’s so sad to me to read the pain in these posts and know most of you will not pick up his book. A note to Alan, I have had all the positive results to tests and the exact pain you mention and was “fixed” by Sarno. Don’t let you neighbor offend you and instead maybe give it a try. The anger in your post is obvious and that is what really encourages pain.
Posted by: Susie | May 24, 2006, 12:38 pm 12:38 pm
My husband has lived with DDD for years. The 3 lower disc are completely gone. He was being treated by a doctor in Mt. Pleasant, SC. He had surgery in 2000 due to the sciatic nerve being completely smashed from his condition and causing severe pain in his right leg & hip. At that time he was told there was nothing that could be done medically for his back but hopefully the nerve had not been to severely damaged. He still suffers from hip and leg pain on his right side and sometimes has problems getting the right leg to function. He has severe cramping in his calves, thighs and hip on the right side. He lives in constant pain from DDD and the damage done to the sciatic nerve. Is there anything that can be done for him. Any responce would be appreciated.
Posted by: Debbie | May 24, 2006, 12:59 pm 12:59 pm
I have have been diagnosed with DDD & spinal stenosis (probably the same thing) and over the past seven years pursued the conservative approach trying to avoid surgery. The suggestion of the most recent doctor, a sports/spinal back doctor was to strengthen the “core” muscles. His method was both land and aqua physical therapy. The land theraphy was a series of excerizes with some aerobic. The aqua exercizes by far and away were the most beneficial. Pain is reduced to totally tolerable levels permitting not only daily activities as before but allowing outside activities the same like gardening, bike riding, fishing etc. One exception is golf, reduced considerably for I felt the continual rotation was not probably a good thing over time. The theory is simply “engaging your core” which now comes automatically when going about all physical activities. I highly recommend the “aqua” PT for development of the core muscles. Good luck.
Posted by: Wayne | May 24, 2006, 3:28 pm 3:28 pm
I had total discectomies at L4-L5-S1 ten months ago (July 20, 2005). I missed eight weeks of work and spent 16 weeks in a back brace. Before the surgery I suffered from low back pain for nine years following a bad fall on black ice.
I underwent the nerve block injections, PT and two epidurals. No improvement. I had two MRI’s. The MRI’s showed DDD and a bulging disk at L5-S1. Two neurologists advised against my having surgery. They said it probably wouldn’t help.
In December 2004, I went to an orthopedic spinal specialist here in Phoenix, AZ. His name is Louis Rappoport. Last April, he had me undergo a discogram. Take it from me, it hurts. However, the pain was worth it. The test showed that I had a torn disk at L4-L5. The neurosurgeons could have had this test performed several years ago. They couldn’t be bothered.
In June, when I got the news about the torn disk, I made the decision to have the operation. Dr. Rappoport used bone from my left hip and built two cages which were inserted between the vertebrae. He also installed pins and screws. My surgery lasted more than 8 hours. I was in the hospital for a week. They got me up walking two days after surgery. Four days post-surgery I was able to walk (with a walker) down the hallway in the surgical wing.
My surgeon waited until I was completely out of the brace and there was sufficient evidence the fusion was taking before starting me on PT. I had 10 weeks of PT (2 x week). I still have tightness in my back, but I have more mobility and range of motion than I’ve had in the past 10 years, thanks to this surgery and Dr. Rappoport.
Sure, I have three incision scars (one abdomenal, one for the graft, and one for the installation of the pins and screws), but I don’t mind. I have a desk job where I sit 10 hours a day, four days a week. Before my surgery, I couldn’t sit 15 minutes without pain. Today, less than a year afterward, I can sit an hour or longer.
Posted by: Glen | May 24, 2006, 3:28 pm 3:28 pm
OK. I”ll read Sarno’s book.
But I’m not so scared of pain. Rather, I”m scared of surgery. :)
Posted by: Allan | May 24, 2006, 3:30 pm 3:30 pm
For all those of you in chronic pain that don’t think Dr. Sarno can do anything for you because your pain is “real,” I challenge you to go to:
http://www.amazon.com/gp/product/0446392308 and read some of the hundreds of reviews by grateful readers of his book, Healing Back Pain: The Mind-Body Connection. You’ll find sufferers with symptoms as bad or worse than your own who became pain free by following Dr. Sarno’s treatment plan. All you’ve got to lose is your pain.
Posted by: Ralph | May 24, 2006, 4:43 pm 4:43 pm
I have spinal stenosis above L5 due to arthritis as an aftereffect of a fusion and laminectomy done 30 years ago. I saw a news story on the “titanium bullet” surgery. Is this appropriate for my case? Is it still considered experimental? I read that it costs $12,000. I am only 58 years old.
Posted by: Judith Siess | May 24, 2006, 6:57 pm 6:57 pm
I was diagnosed through MRI with a ruptured disk. The MRI summary stated that my L5 disk rute is obliterated. I also have two other disks that are degenerating and are bulging. I have opted for surgery on the ruptured disk, is this my best option?
Posted by: Scott | May 24, 2006, 7:01 pm 7:01 pm
I find it absolutely ridiculous that many doctors still tout the effects of Physical therapy. I am an orthopedic massage specialist and I can tell you that I think the medical community is trying as hard as possible to keep massage therapy out of the limelight. I cannot begin to tell you how many of my clients come to me as a last resort because of failed attempts with PT and its barbaris and inept ability to treat the pain. The problem I believe is that the medical community is hell bent on treating the patient as parts instead of as a whole. Back pain is a sum of issues found within body, mind, and spirit. It is usually developed because of deep seated anger, and lack of trust in the process called life. Medically it is often misdiagnosed as disc herniations and the like. Most MRI’s are erroneous, and so are wastebasket medical claims such as the infamous “sciatica”. I think it is about time to use Massage therapy the way it should be used as a first stop to total health instead of a last resort before surgery.
Posted by: David R. Fichera | May 24, 2006, 7:02 pm 7:02 pm
How come Chiropractors were not mentioned in your report?
Posted by: Celeste | May 24, 2006, 7:06 pm 7:06 pm
While I agree that all should be very conservative about their back treatment and exhaust all non surgical procedures before deciding on back surgery, sometimes it is just unavoidable. Had I believed everything I heard, I may be paralyzed today if I had not had the corrective fusion at L4-L5 location of my spine. I had originally had the disc repaired, and 6 months later it shattered, which my surgeons said was due to a poorly unstable spine, which left untreated, could lead to spinal cord damage. I also have spinal stenosis, and severe degenerative disc disease which causes me unbearable pain. I have to take prescribed narcotic medications and see a neurologist monthly to monitor my condition. I am posting this because I want people to know that there are some conditions that require surgical repair, and if ignored and untreated, you may have permanent damage which no surgery will help you. If you have leg pain associated with your back pain for an extended period of time, you may have a serious problem, and should see a neurosurgeon with all your records as soon as possible. A good one will exhaust all remedies before surgery. Including physical therapy, epedural injections, and miminal disectomy surgery. I had to undergo a fusion which is the last resort to stabilize the spine. Replacement Disc Surgery is in the infant stage and I would wait and see how well they hold up before undergoing this type of surgery. Can you imagine what a piece of titanium metal could do to your spinal cord if it should somehow become dislodged in an accident? Good luck to you in your research, and I hope you find the relief you so well need and deserve.
Posted by: Gordon Busby | May 24, 2006, 7:16 pm 7:16 pm
hello!! in my situation all started when I fell from a ladder 3 years ago(at work) my doctor took me out of work for 3 months on wich I spend most of the time in bed I couldn’t move to much the pain was growing everyday more it started on my lower back and then went all the way down to my right leg even breath is until now something that causes pain to do sometimes… so I started getting theraphy from a chiro wich really help but just for a couple days until pain comes back and that’s when they told me that my problem was that my fourth dics was moving to the right side punching one of my nerves and that’s where the pain came from I think is call Herniated Disc…I have opinions from doctors around town (lumberton,nc) and almost all the answered that I heard were HAVE YOU CONSIDER SURGERY?? wich until now scared me a lot..long story short is been 3 years and since the day that I saw that report from abc something change I see a light maybe a solution the one that I been waiting all this years…Im 28 years old but sometimes when pain gets really bad I look like 60… and I really need help about this because I don’t understand very much who do I have to see and what do I have to do.. questions like price of the surgery..and what can happens next I will be able to walk “normal” do all the things that I used to do before like run and sit for more than an hour because when pain gets here like now in this moment i just can’t do nothing normal..and I dont have children but Im planning to have someday if I have surgery that will cause any complication to my pregnancy??
thanks so much you were like angel send from heaven to me…
Posted by: Ida Alvarado | May 24, 2006, 7:19 pm 7:19 pm
i WOULD LIKE TO KNOW THE NAME OF THE MEDICENE FOR BACK PAIN THAT BLOCKS THE PAIN FROM THE BRAIN PLEASE LET ME KNOW THANKS
Posted by: VI | May 24, 2006, 7:20 pm 7:20 pm
Has anyone tried/considered having a chiropractor help them? I realize that chiropractic treatment isn’t the answer for every back problem, but going to a chiropractor for low back pain first, or at least as a last option/opinion before surgery, just makes sense. Chiropractic treatment has helped millions of people get out of back pain and is AN option (not THE option). There are cases in which surgery is needed. But, instead of shoving a lot of pills down your throat for years, causing additional health problems and addictions, or undergoing expensive back surgery that may or may not work (as testified by many people with multiple surgeries), at least give chiropractic a try. Even if your MD or surgeon dissagrees, it is YOUR BODY, not theirs. Find what is right FOR YOU….NOT THEM!
Posted by: Michael | May 24, 2006, 7:21 pm 7:21 pm
Seven years ago I had a baby which has left me with acute lowere back pain (well that is what some of the doctors call it). The pain is located in the hip area in 5 different areas. My right side is the worse. It started when I was pregnant. In my third month. As I progressed it got worse. I was unable to sit, stand or lay down of too long. After I had the baby it got even worse. I could hear when the joint got unstuck which would relieve the pain but not for long sometimes the first step or sitting into a chair or getting out of a chair would take me back to painville. I was in the army at the time and running or fast walking was very hard. When I did run or fast walk my legs go numb starting at my hip travelling down the front of my leg towards my knee and my toes would tingle. I had one pill I took to sleep (it just knocked me out), I had another I took after physical training and another for a booster if my day got to hectic. I have had physical therapy, electro shock treatment (well that is what I call it), pelvic floor therapy and I have continued to work out. I know that I should not do any jarring movements/ exercise because that trigers pain and I am still trying to find a doctor who will help me manage this problem or at least tell me exactly what it is. Your advise is greatly appreciated. Thank you
Posted by: Sharon | May 24, 2006, 7:23 pm 7:23 pm
I had a fractured disk in 1990 and let it heal
by itself which took ten months. In 2002, I had
another fractured disk and a slipped vertrabra.
Three surgeons recommend three fusions and a
decompression of a disk with two rods, six screws,
bone graft and rehab after surgery. I have had
physical therapy, but yet can’t walk a block or
stand for ten minutes without the bone one bone
severe pain. Have put off surgery for nearly four
years now due to fear. Live alone. Comments, please. Thank you. Mary Ellen
Posted by: Mary Ellen | May 24, 2006, 7:24 pm 7:24 pm
I herniated my disk in 1997 and in 2003, it finally broke through. I had a nucleoplasty in Oct 2003 which was unsuccessful. I have studied and researched back pain and chronic pain in general for a long time. So here are a few good links:
For everything Artificial Disk, including user feedback: http://www.adrsupport.org
For back pain and chronic pain in general:
http://brain.hastypastry.net/forums/index.php?
and
http://www.healthboards.com
each one has a back and chronic pain section
A great site to learn the real involved work about disks, how the work, very very good:
http://www.chirogeek.com
If you hurt your back, do NOT immediatley get surgery unless you are effected by bowel/bladder problems and/or wekness in leg muscles like walking.
Try all conservative means of help first. The best is physical therapy. Learn how to move, bend and posture with Feldenkrais (google it)
There are several outpatient procedures that can work depending on your situation. Nucleoplasty can work great, IF and only IF you have a CONTAINED herniation (nucleus has not broken through). Another procedures are SED (google it).
Fusion should be your last choice, and only after 2/3 other opinions. orthopedic surgeons love to cut. that’s how they make their money. neuro-surgeons usually are a little more open.
Think functionality. You may never be 100% again, but how ell do you FUNCTION? Is it worth major surgery? Always work from least conservative up to more liberal. Can pain meds and physical therapy do instead of a major surgery.
If the disk has to go, ADR is better than fusion. Most people statistically report that after a fusion, within 5 years other levels, usually the adjacent ones are compromised.
I personally found once I gave up trying to be 100% like I was, I could think of pain MANAGEMENT and how well i could function. After several years of PT and pain meds, I am 80% ok. I understand how pain management works.
The last idea I would like to give. If you have them available, chronic pain/back pain support groups are a major help. Only there can you be with others who know exactly what you go through when most others can’t. If you don’t have one, start one. You will find so many others who suffer who wish there was one. There are also psychologist who specialize in pain mangement. Ask your doctor or local hospital. Or call your local mental health association and ask for referrals.
God bless all those who have back and/or any chronic pain. we are some of the strongest peopel in the world. It is hard to understand the emotional pain that goes along with it. It’s like the old saying, you really don’t know someone until you stand in their shoes.
Ken
Posted by: Ken | May 24, 2006, 7:24 pm 7:24 pm
Try Chiropractic before surgery!
Chiropractors are the Back Doctors!
It works, try it, what do you have to lose? If it doesn’t work, then go get the surgery.
Posted by: jeff | May 24, 2006, 7:24 pm 7:24 pm
I have had chronic back pain for 5 years. I have come to the conclusion that I will always have pain. I take methadone 3 times a day and neurontin three times a day. I have pain relief that is anywhere from a 2 to 4 daily. I am never out of pain. I walk for excercise and I am not overweight. I have had many people even freinds and aquaintences say I am addicted. Is there any way to get people to understand my situation without being considered a drug addict. I am a nurse and this will someday hurt my career if it has not already done so. i am not working because I am to honest with possible employers.
Posted by: Kay | May 24, 2006, 7:29 pm 7:29 pm
I am a 22 y/o male, 6 years post operation to repair L4/L5 degenerative disc disease. The surgery consisted of a discectomy and subsequent fusion with an ISOLA implemented for stabilization. The ISOLA consisted of two vertical rods secured by four screws and one horizontal connecting rod. I am pleased to report that I currently am in no pain or discomfort, and furthermore am in excellent physical condition. Moreover, 9 months after my surgery, I went undefeated in the 110 meter high hurdles during my senior year track season and won my district track meet. I went on to compete at the Division I collegiate level. I’m not trying to rub my success in anyone’s face, but am merely providing testament that the procedure can work if done correctly and followed by proper therapy. My doctor was Dr. Fred Hess at Geisinger Medical Center in Danville, Pennsylvania.
Posted by: Mark Olaf | May 24, 2006, 7:31 pm 7:31 pm
I am a 34 y-o female with chronic back pain. Recently an MRI showed a bulging/herniated disc at L5 S1. An EMG/NVC showed muscle weakness down my left leg. I have been seeing a pain doctor & have received numerous steroid injections including an epidural block & pain meds which have not helped. There are days I can’t even walk from the pain. Is surgery the next step ?
Posted by: Dulce | May 24, 2006, 7:32 pm 7:32 pm
In 1990 I had a reputured disk and let it heal
by itself in ten months. In 2002 I had another
reputured disk and a slipped vertrabra. Three
surgeons (neurologist & orthopedic) told me I
must have surgery of three fusions and a decom-
pression of a disk along with bone graft and
rehab after since I live alone. I have put it off
for nearly four years due to fear yet I can’t
walk one block or stand ten minutes without
bone one bone severe pain. I’m 67 and they tell
me to do it soon as I will heal quicker than
when I am in my seventies. Comments, please.
Thank you. Mary Ellen
Posted by: Mary Ellen | May 24, 2006, 7:36 pm 7:36 pm
My husband is 42 years old, and suffered an accident at work last week. He was in a gravel crusher when someone turned it on. He was folded in half, meaning it forced his head to his knees. His clothes were torn, back scraped and left knee swelled. This week he went back to the Doctor because of lower back pain. He had an x-ray and an MRI, know they say that he had a previous injury and just gave him pain medicine. My husband has alway been active. He worked in law enforcement for 15 years, worked as a butcher for 4 years. He has never had this kind of pain before. His back has never hurt him. We also go to the mountains every weekend during the summer and cut our own wood, this also has never bothered his back. Could you please give me some help in regards to this? I hurd you say that x-ray’s and MRI’s are not always accurate. How would he go about getting a second opinion or something.?
Posted by: Linda | May 24, 2006, 7:37 pm 7:37 pm
Dr. Tim: Would you comment on spinal stenosis? After being thrown from horse in my 30′s, the problems started in my 40′s and all down-hill from there. By the time in my 60′s, pain was so bad could hardly walk without sitting down every 20 steps or so. Ortho. said I had verterbra that had shattered pieces that were rubbing against spinal cord & he feared paralysis if not corrected. Had 2 surgeries between 2001 & 2004, resulting in 6 verterbra fused from waist down and rod and 6 pins inserted. Recovery was very painful for 1 mo. Pain is gone but now have curvature of spine (genetic) which has caused my left hip to protrude out further than right. My gait is noticeably stiff but I guess I should be glad pain is gone except clothes really fit poorly now. I always wonder if there could have been some other recourse? Had all the usual “befores”, i.e., P/T, injections, more P/T, swimming…
Posted by: njluikart | May 24, 2006, 7:49 pm 7:49 pm
I have information on a new machine called DRX 9000. It is highly recommended by chiropractors in my area. Wondering if it is recommended by surgeons or physical therapists as an alternative treatment for herniated and degenerative discs?Has anyone had success with this type of treatment? It is suppossed to be FDA approved decompression method of treatment
Posted by: Helen Gaden | May 24, 2006, 7:54 pm 7:54 pm
What can be done for spinal stenosis? Not shots or surgery. Anything else/
Posted by: Ruby | May 24, 2006, 7:56 pm 7:56 pm
Dear Dr. Tim
I have had chronic back pain for 3 to 4 yrs.
I have (3) bad disc in my mid-back. Will the disc replacement benefit me any @ ALL? Please ask the specialist,becuase if it will stop some pain, I would be interested in that surgery. Can at least 2 discs be replaced or not!!!
Thanks For Your Advice, Ms.Kay
Posted by: Ms. Kay Redd | May 24, 2006, 8:07 pm 8:07 pm
At least we know we are not alone…In response to questions and comments regarding when to have surgery, it really should depend on your individual condition. There is no one answer for everyone. However, in my case, by my orthopedic surgeon (Dr. John Peloza, Dallas) being conservative (with much common sense)I was able to postpone surgery for several years. A great physical therapist is just as essential as a great physician. Only then try pain management in pill form or injections, sparingly. If DDD or stenosis continues to progress, then and only then consider surgery. I have had two separate cervical fusions and a two level lumbar ADR surgery. I have had wonderful success with all three surgeries. The pain level became non-existent after surgery recovery. Because of DDD, and the nature of fusions, the discs have herniated above both surgeries. I chose to have a spinal cord stimulator implanted in the cervical area rather than have more surgery. Dr. John Peloza supported my decision. Find a surgeon that will be your partner in facing this type of health problem. Back problems are onging so you need someone that will talk straight with you, be honest even if it is something you don’t want to hear, and be supportive when there is an end to what can be done. You have to also be honest with yourself and do what your doctor advises like exercise, get the extra weight off or face the problems it causes, etc. I do aquatic therapy every week. I take control of all that I can in doing what I can to exercise, maintain proper body mechanics, eat as best I can, get rest, etc. Just remember that doctors are not GOD. Take as much responsibility as possible in helping yourself. I have had to fight to take back my life. I pray for strength to get throught every day and some days are more difficult than others but I am making it. I give much of the credit to my surgeon, Dr. John Peloza, Presbyterian Hospital, Dallas, Tx. He would not let me give up.
Posted by: Stacy | May 24, 2006, 8:11 pm 8:11 pm
I find it amazing that so called “specialists” reporting on a topic could ignore the most current research. I missed the first few segments so excuse me if I am in error, but I dont beleive spinal manipualtion was ever introduced as a solution for low back pain. There is probably more research for using manipulation for low back pain than any other intervention, including surgery. Like I said, I did miss some of the segments on this topic, so disregard this point if I did miss something.
I did, however, directly witness a blatant disregard for current literature in tonight’s segment. The doctor mentioned that most cases of low back pain will resolve in 1-2 months. He is probably referring to an outdated study done that asked family docs when low back pain patients stopped care. Updated studies show that people did not stop medical care because they were better, but because it was ineffective. Please refer to the following link for details on one of these studied. Dr. Johnson, please take a look so the myth is not perpetuated, especially by someone called on to be an “expert” on low back pain.
Click here for the research abstract:
http://tinyurl.com/jxbuq
Posted by: B.Touchinsky | May 24, 2006, 8:23 pm 8:23 pm
I injured my L5 S1 over a year ago. Have had 3 outpatient surgeries in the last year. 1 side injection, 1 caudal catheter injection, 1 bi-lateral. Originally my bladder and bowel function was sluggish, but has improved as long as I don’t overdo. I still cannot sit without pain (it’s not healing up). I am suspicious that I have a tear in tissue near the ruptured disk site that makes it impossible to sit without pain. I am 53, and have an osteoporosis history. I got a new back brace that not only supports the lumbar, but also the sacro-iliac, last week, which seems to help somewhat. What do you think?
Posted by: J. J. | May 24, 2006, 8:26 pm 8:26 pm
I suspect very strongly that backache among the Americans are due to sitting in the car long time. The car seats are not designed properly for the back. I do not know about the backaches among Swedish people as the Swedish cars such as Volvo has been installing orthopedic seats for many years. If the Swedes suffer less backaches than the Americans this would be the cause.
Won Bae, DDS
Posted by: won bae, dds | May 24, 2006, 8:26 pm 8:26 pm
Dr. Tim,
Reading through many of the posts on your website, I notice very little mention of another non-surgical option for management of back pain…
Interventional Pain Management.
The truth is, as you state, most young healthy people with non-work-related back pain will resolve without intervention. 20-30% of back surgeries result in continued or worsened back pain. This percentage worsens with repeat surgery or when certain “red-flag” indicators are present (i.e. work-related injuries, litigation, untreated psychologic conditions such as depression/anxiety, or current untreated substance abuse). The chance of good surgical outcomes are highly dependent on the skill of the surgeon to carefully select his surgical candidates. Based on outcomes studies, surgeons have had a difficult time doing this historically. Why? Because reimbursement by government and private payors is extremely poor when it comes to time spent talking to patients and coordinating care rather than time spent operating.
This is where the Pain Specialist comes in. These are highly trained and highly skilled physicians who can not only perform pain limiting diagnostic and therapeutic procedures, but also have the specific skill set required to identify and find treatment for these underlying conditions associated with poor outcome. The skills they provide can help identify good surgical candidates and separate them from those who either need additional non-surgical therapies first or those who simply would not benefit from repeat surgery. They can also help to localize “pain generators” to ensure appropriate surgeries for those who are candidates for surgery. Furthermore, for those who are not good candidates, they can suggest appropriate medical regimens to effectively treat chronic pain.
Pain is best treated from a multi-modal approach. There are true indications for surgery, but it is not the only answer–even for those with chronic debilitating pain. A combination of physical therapy, medical management, psychologic therapies in select cases, and consultation with a trained pain specialist can help patients avoid surgery or increase their chances of a good outcome if surgery is eventually employed.
Posted by: William | May 24, 2006, 8:28 pm 8:28 pm
I’m in the process of trying to decided whether or not to have spinal surgery. I have degenerative scoliosis & have been trying to put off surgery since 2000. I’ve been thru the phys therapy, injections, pain meds etc. & nothing has worked. I’ve had an eval at Georgetown U Med center who has recommened surgery & am going to JohnsHopkins tomorrow for another opinion. Needless to say I’m very nervous about having such a serious surgery. Can you give me any advice. Is there anymore info on the stem cell method used in fusion? Thanks
Posted by: Judy | May 24, 2006, 8:35 pm 8:35 pm
I’m surprised in all the segments on back pain, chiropractic has not been mentioned. It is one of the leading, non invasive ways to alleviate back and neck pain. In addition to this, the immune and nervous systems are so interconnected, that when the spine is taken care of, one’s health potential in all areas is increased.
Posted by: Windy | May 24, 2006, 8:59 pm 8:59 pm
Sir: I have had an operation on my lumbar spine. They broke off the outer lobes of the spine and made the hole bigger for the nerve so it could move. I have arthritis of the spine. I am now in the process of having an additional surgery on my cervical spine to relieve pressure on the nerve to my arms. I have pain that runs from under the clavicle and all the way down the arm to the hand. most of the time there is a feeling like my arms have “gone to sleep” with tingling in both arms and the two lower fingers in each hand. What will they do if they operate? The same thing they did on my lumbar spine? Thanks for your help in advance. Sincerely Allen Bruner
Posted by: Allen Bruner | May 24, 2006, 9:01 pm 9:01 pm
I was injured a year and a half ago while at work. I broke the fall off the van of an elderly lady. I held all her weight….and I have been in “PAIN!!!!!!!” ever since. I was sent to PT, MRI’s Tens Unit and a plethora of pain medicine.MRI confirmed two bulging discs…L4/L5.I have continous pain from my back with spasms down my left side including… .butt..leg..heel..big toe.My condition has caused havoc with every aspect of my life.I have been treated conservatively…….Do you have any other suggestion????? I cannot sleep on my left side nor can I step or walk barefoot…..THANK YOU…
Posted by: yolie carrillo | May 24, 2006, 9:46 pm 9:46 pm
I have something that is affecting a lot of people, but I haven’t seen it in any of the postings and it is so painful. Most people, when you start to explain it immediately think it is backpain, but it isn’t, it is more spinal. It is SM, or Syringomyelia. I was 15 when my horse ran into a car going 45 and we collided. The horse ran away and I used the curb and street as my brake. I was in a coma for 2 weeks and wasn’t exactly pretty afterwards. My doctors didn’t hold a lot of promise for my family at the time, but I fulled them all and completely recovered or so we thought. Now all these years later this ugly disorder has creapt up on me over these past few years and just about crippled me. I live in constant pain that feels like I am having my ribs broken one by one and yanked out of my body. It confuses most doctors cause it is in the fun catagory of “rare” diseases. Plus, add to that the fact that it affects nerves and it moves around and you look like the local nut case when you try and describe it to your GP or any kind of so called specialist. I also have Chrohns (6 Major surgeries) so luckily had a bunch of doctors that knew me well enough to know that even though I don’t test well and x-rays etc. don’t always show stuff on me, most times things don’t show up at all, when I say I am in pain, there is something up cause I have a extremely high pain level. The last surgery I had for my chrohns was one where my intestine was almost completely closed off at one point and my surgeon was amazed that I wasn’t just dying in pain and still able to function at all. The day before the surgery I was still at home getting the kids off to school and doing all the regular stuff. When, after this surgery I was still having problems and had lost over 30 pounds in less then a month and running a fever of 103 and my ribs were so tender they sent me to an infectous disease doctor to see what was up. He ran a bunch of test and took enough blood to make another person. He also sent me in for an MRI. All the blood and tissue samples/test came up within normal levels. The MRI was a different story all together. He had me come in to anounce that I had SM. Unfortunetly he really didn’t know much about it and told me to contact a specialist and the internet for information. It is extremely rare or was in 1997. With MRI’s getting more common it is getting more and more common for people who had no idea why they were in constant pain and couldn’t get a diagnosis to be given this one. It is to the point that more and more people know someone who has it or have themselves. It wasn’t that long ago that MS or ALS was in the same rare catagories as SM is now and look how common it is now, unfortunetly. Along with SM is Chari Malformation which is tonsils that go to far into the spinal coloum and cause problems thus causing a syrinx to form. Trauma is also another common cause of SM which is what caused mine. There is no known cure for either of these disorders and they are so painful and disabilitating to the person and family affected with them. I just wondered if you had ever heard of either of these in your years of being a doctor and if you had ever worked with anyone affected with either of them or knew anything about treatments or medications that have been successful for anyone. It is miserable to live constantly in pain and try to live normally. I wouldn’t wish that on anyone. I would rate my pain levels, even while on pain meds still at about a 7 or 8 every day of my life. I can’t imagine what it would be with nothing. I sure hope someone would work on something that would work just for this disorder and the nerve pain that affects so many of us. I also have DDD and spinal stenosis along with muscle milacia (sp?)
Thank You for listening.
Posted by: J. Reeser | May 24, 2006, 10:32 pm 10:32 pm
But what if you need back surgery and cannot get it ,I hurt my back at work 12 years a go when i slipped lifting a foof top heating & ac unit,i spent 2 years going to doctors,physical therapist, and chiropractics, they all said i have to live with it. Nothing worked so i got a different type of job then was fired after 3 weeks because of my back pain.I got another job in a factory, it was better for my back.But 10 years later i started having more back pain, i find out i have a ruptured disk and can not work.Workers comp insurance IWIF is denying medical treatment and the case is still open.I still pay week to week at the place were i worked for my healthcare and thay are denying medical treatment because the workers comp case is still open.To make it worse no lawyers will take my case,there is no money to by made.This injury has severely crippled me my finances my happiness it tears my life apart.Last Thanksgiving was in the Washington County hospital for 5 days, for major Depression i was planing suicide,I take antidepressions go to support groups. i sent workers comp a letter,somethings got to give,i am so tired and frustrated this is a night mare,all i want is to go back to work.
Posted by: MICHAEL | May 25, 2006, 12:21 am 12:21 am
I have been in pain for over 5 years now been thru tests, therapy, you name it I’ve tried it and nothing helps the pain at all. I have Degenerative disc disease thru entire spine, degeneration of both sacral joint’s osteoartheritis thru the entire spine, sacral joints, legs, feet,arms, and hands. NO one will touch me for surgery and I just can’t live in this pain much longer before I end it. Any suggestions to help relieve this ungodly pain PLEASE!!! Thanks
Posted by: Rochelle Collins | May 25, 2006, 12:32 am 12:32 am
If you are considering ADR or would like to gather more information visit the ADR Forum:
http://www.adrsupport.org
Posted by: Crystal | May 25, 2006, 1:44 am 1:44 am
I have had two back surgeries (92 & 95)to fuse the disk at L5-S1. One of the pedicle screws shifted against the nerve so the neurological surgeon completely removed all of the hardware. I still live with chronic pain. The pain in my lower back and down both legs stabilized with low doses of pain medication & muscle relaxant after losing approx. 40 lbs. While doing a sit down job in Feb 2005 sharp pain radiated on both sides of my lower back and down both legs. I did not do anything to aggravate the injury. I have seen several physicians and the prognosis is “Osteoarthritis” in the disk of L5-S1. I also have permanent damage where the pedicle screw shifted against the nerve. I had several injections to alleviate the pain but it only alleviates it for about a week and the pain returns full force. I was told to get a surgeon to implant a pump under the skin to inject medication electronically. Unfortunately I have not had any success in finding a physician to perform this procedure. Is it possible to have the disk replacement surgery (demonstrated on the news)after having a fusion? I was told surgery would be too risky and I may end up paralyzed. I am only 5’2″ and weigh 105 lbs; so weight is not an issue for me. I know how excrutiating the pain is at age 37; I want to live my life to the fullest physically…instead of looking out the window watching life pass me by. Any information would be greatly appreciated. Thank you for educating society with the latest medical technology.
Posted by: Brenda | May 25, 2006, 4:01 am 4:01 am
I recommend you read two very important books on this topic, both by John E. Sarno, MD.
1) Healing Back Pain- which is not only about back pain
2) The MindBody Prescription
You have nothing to lose but your pain.
Posted by: Peter | May 25, 2006, 8:13 am 8:13 am
I saw the report today on the disc replacement surgery and am amazed! I am 33 yrs.old and also have a herniated disc as well but mine is cervical spine c5-c6, which causes enormous pain, am on all kinds of meds for pain as well as depression because I have been out of work now for 3and 1/2 years and have 3 children, It is so hard to sit and not be able to join in on activies with my kids. As I said I have constant pain in my neck and across to my shoulders, I can not move my head from side to side or turn from side to side, I also have lower back pain as well not exactly sure why but in any case no dr. in this area will touch me. They all say they won’t do surgery until I am already in a wheelchair and of elderly age which totally blows my mind! You would think they would do it now seeing how I am younger and heal faster plus physical therapy would by easier all in all I think waiting until I am old and decrepit is such a waste!!!! Do you think I would be a good canidate for this new surgery based on my age and location of disc herniation and deterioration? thank you
Posted by: corinne | May 25, 2006, 9:26 am 9:26 am
hi I am a 30 yearsold and have four herniations in my lower back. my surgeon Dr. balderston of 3B ORTHOPEDICS through the university of pa. has been doing total disc replacement on patients with multiple levels oh herniation. Each case is presented to the FDA for aproval. He uses the pro disc. Anyway last auguest i under went my secon discagram and he said i would neeed three or four replacements. He has replaced three discs in many patients. I have been suffering from this problem since 1999. The first time I saw the doctor he told I COULD GO TO fRANCE OR gERMANY to have it done. SInce this was a caraccident/workercomp case. I did not have money to persue that. He then told that in the near future he could help me. I am 30 and collectimg social security and medicare. Now that I qualify as a perfect canidate . the surgury cost over 60,000 dollers and medicare and etnat will not pay for it. I have been on very strong narcotics for almost 7 years. Now I am on methadone abd there less side affects then other drugs like morphine. Can you give me some adivce on finding on of the surgeons who do multiple replacements. I want my life back.
i FEEL LIKE THIS IS MY LIFE SENTENCE WITH OUT A CRIME TO BE PUNISHED FOR.
alyssa
Posted by: alyssa | May 25, 2006, 9:37 am 9:37 am
Dr. Tim:
I have had 2 bi-lateral laminectomies between L-4 and L-5 (I am very weak in that area), the first April 2004 then again Sept. 2006, I was one of the 20% who’s surgery didn’t work the first time. The results with the second have just been o.k. not alot of pain but my activities have been very limited, can’t ride in a car for over a hour without pain, can’t sit in church pew for more than half an hour. I just don’t feel like that I will ever get back to where I will have any quality of life again without risking another blow-out. I am only 43 and would really like to have my life back. I do work but I do get tired more easily and would really like to start some sort of exercise plan to gain some energy back. I have been so afraid I might hurt myself with exercise I haven’t started anything yet and have gained 10 pounds adding additional strain on my back. This is truly a viscous cycle, no one knows until they have been through it how it effect mind, body and soul. Please let me know if I could be a candidate for the disc replacement (I was told by my surgeon, probably not) and also want is the best exercise I can do to get off this extra weight.
Thank you,
Tracie Dove
Posted by: Tracie Dove | May 25, 2006, 9:51 am 9:51 am
WOW, THERE SHOULD BE SUPPORT GROUPS FOR PEOPLE IN BACK PAIN OR NEEDING SURGERY. MY NAME IS MISTY AND I’M 26 YEARS OLD. I WAS IN A CAR WRECK ABOUT 4 YEARS AGO AND THEN HAD A BAD FALL AT WORK ABOUT 2 YEARS AGO. WHEN I FELL I WAS 5 WEEKS PREGNANT SO NOTHING COULD BE DONE UNTILL I DELIVERED MY BABY. I HAVE HAD 2 BACK SURGERIES IN A YEAR AND A HALF AND BOTH FAILED. MY DOCTOR IS NOW WANTING TO DO A FUSION OF L4 AND L5. I DON’T KNOW WHAT TO DO. EVERYONE HAS BEEN SAYING THAT IF I DO A FUSION IT WILL GET WORSE LATER BUT IS THE BEST FOR A QUICK FIX. I DON’T EVEN WANT TO GO THROUGH ANOTHER SURGERY BUT THE PAIN IS HORRIBLE. AND THEN SOME DAYS IT’S MANAGABLE. I NEED TO BE ABLE TO TAKE CARE OF MY CHILDREN 22 MONTHS, 5 YEARS, AND 8. MY 8 YEAR OLD HAS DOWN SYNDROME AND IS A HAND FULL. PLEASE ANY ADVICE WOULD BE HELPFULL.
Posted by: MISTY HAMPTON | May 25, 2006, 10:03 am 10:03 am
I am 38 and have suffered with back pain for 11 years after a car accident. L4,5 &6 are degenerated to less than 20% left and S1 is leaking . I have had pain injection therapy 4 years ago and have had a great result for the pain, but the problem of degeneration is still occurring. Is there any hope for replacement for me or would fusion be the only way to go to prevent more problems in the future. I’ve been told that eventually the vertabrae will fuse themselves. As I am having new symptoms of pain in the last year not that I can’t live with yet but it would be wonderful to have an answer that would leave me pain free.
Posted by: Cheri Shields | May 25, 2006, 10:17 am 10:17 am
I had a discetomy in January, 2005 which failed–8 months later I had a fusion, L-5, s-1. I am in more pain now than ever. The latter surgery has also created drop foot which I have to wear a leg brace to compensate walking. The leg brace is now causing me to have a knee problem because of over compensating. X-rays were taken on my last office visit and bone graft has began forming, so my surgeon has suggested because of my thin built that removal of the rods and screws may help some of my pain and help with mobility. My question, after a fusion, it is possible to have artificial disc and should I proceed with removal of the hardware? Is there any physician willing to give me proper advice as I am desperate!!
Nancy
Posted by: Nancy | May 25, 2006, 10:18 am 10:18 am
Dear Dr.Johnson,
Could you please mention the red flags for emergency back surgery. When I went to the doctors with back pain, leg pain and urinary incontinence the MRI was ordered a week later for cauda equina sydrome which is a medical emergency. MOST back problems do go away with time and exercise but if you have loss of bowel or bladder you need to be decompressed right away not a week later so you don’t end up with permanent damage. Many doctors and nurses haven’t even heard of this cauda equina. Who knew there was such a thing as emergency back surgery!!!! I wish I had….Andrea
Posted by: andrea | May 25, 2006, 10:31 am 10:31 am
I’m 46 years old and have been fighting chronic back pain for 2 years. I’m one of the lucky ones after reading some of the postings.
I have been diagnosed as having chronic back pain caused by, slight scoliosis, spinal stenosis and facet syndrome in the L4 and L5. I’m 5’7″, 185 pounds. When 1st starting having pain I weighed 205.
About 3 years ago I started noticing pain in my back. I’m a manager in an industrial environmental. I have to wear safety shoes and stand on concrete the majority of the day. My first thoughts were I bought a bad pair shoes. As the pain level and duration of pain increased I sought medical advice.
I have seen a neurosurgeon you made the diagnosis, told me they couldn’t do any thing for me then referred me to a pain management clinic. The neurosurgeon was definitely against any form of major surgery which I consider myself lucky to have found a doctor that didn’t rush the knife.
I’ve done and/or am doing the following: Physical Therapy, Yoga, RS simulator, Pain Counseling, weight loss, exercise, inversion table, steroid injections, an RF nerve severing, a new bed, and a steady diet of narcotic pain killers.
Of these the Yoga, the new bed (firm Sealy Posturepedic), pain counseling, and the nerve severing have given the best relief although the nerve serving in only lasted 4 months.
My questions and frustrations:
My pain level has been increasing for three years is it going to stop increasing? At 40 I had no back pain at 46 it’s controlling my life. Do I have a degenerative condition?
My MRI is now 2 years old should I have another MRI done?
With the state of health care in the US and my insurance I’ve not found any doctor willing to help me through the multiple aspect of my condition. Instead I get pass from specialist to specialist. Each one orders expensive test only to tell me that they can’t help me. I don’t have any medical professional steering my ship. There is no one doctor that can say that I’ve been monitoring your progress and this should be you’re next step. I sure others are in the same position of managing their condition with out professional medical counseling. Do you have any recommendations?
I work in a high stress environment, we’re understaffed and threaten with annually termination through forced ranking. I’ve been working for this company for 10 years and have an excellent record of demonstrate work ethic and accomplishment. The company expects 60 hour work weeks out of its professional staff. It is extremely difficult to work in a few hours of physical therapy, a few hours for exercise and to practice the pacing and stress reduction techniques that I have been taught by my pain counselor. I have found little empathy for chronic pain suffers from my management. I hate to say this but if I was officially label handicapped the company would make considerable efforts to accommodate my needs. Instead I get if you can’t cut it we’ll get somebody that can. Any thought on how to raise corporate America’s level of compassion for pain suffers? Ironically most of our company’s senior management are over 50 surely a large percentage of them have experience acute or chronic pain.
Thank you running the series and making this forum available.
To my fellow pain suffers, even with pain life is a precious commodity. Don’t let what you can’t do keep you from enjoying what can. Keeping a positive outlook will lower your pain level a notch or two.
Good luck with your treatment.
Posted by: Mark | May 25, 2006, 12:56 pm 12:56 pm
At 31, I am overjoyed to be a 1st time Dad and my 10 month old boy wears me out. However, life is hard with severe spinal stenosis at L4-5 with an annular tear and stenosis in L5-S1 based on circumferential disc bulge. The big question is do I get surgery? My 3rd epidural didn’t take as well as the first two and standing more than 20 seconds stinks. This happened 3 months after he was born…what luck.
Posted by: Greg | May 25, 2006, 3:52 pm 3:52 pm
My son is 17 years old and sustained a lower back injury while playing football. When he was hit, he said there was a popping sound. He experienced pain down the legs and spasms. We took him to get an MRI and it showed that he had a slight bulging disk. So, he rested(no workouts or running of any kind) for 8 weeks. The pain got better, but did not go away completely. While resting he also took naproxen and had physical therapy. This has been since November of 2005. I finally took him to get injections for the pain. Well, he is not in as much pain, but there is still some. It is more of a constant soreness on the lower left part of his back(where the muscle is). He also complains of a stinging in that area. Any suggestions? I am at my wits end and do not know what to do for him anymore. He wants to go on and play college ball. Any help will be greatly appreciated.
Posted by: Kim Springer | May 25, 2006, 4:33 pm 4:33 pm
I am 30 and had a discectomy almost 3 years ago. Everything was great until one morning about 6 months ago, I woke up and could barely walk. The disc they trimmed was L4-L5 and I had some degeneration in L5-S1 at the time of surgery. Now L5-S1 is bulging just enough that it is hitting the nerve. I am wondering if I would be a candidate for disc replacement on L5-S1 if they left L4-L5 alone. I understand that they can only replace one disc, but I am just curious if this would be an option. I am living on methodone and vicodin. Thanks.
Posted by: Laurie Overton | May 25, 2006, 5:11 pm 5:11 pm
Hello I have had lower back surgey on my (L5-S1) almost 4 year’s ago the disc was herniated disc and sicne then i have been to so many doctor’s because of the server pain I am in .It’s worse pain then befor the surgey I’ve also had epidural’s and they have’nt worked either WHAT MORE CAN I DO!!! I see a doctor in New Jersey and he is going to try on June 9th to do the back burning of the nerves that you have on your sight.I also have arithists and fiboymigila do you think this will help? I am 36 a mother of 6 and a wife and I need some help PLEASE REPLY
Posted by: Tara Perez | May 25, 2006, 5:32 pm 5:32 pm
What can you tell me about the legitimacy of the many ads I have been seeing about a new FDA approved technology that uses non-surgical space technology spinal decompression to treat debilitating back pain? My husband is in sever pain but his doctor has no knowledge of this. Thank you.
Posted by: Lois Lequyea | May 25, 2006, 6:34 pm 6:34 pm
Can this be done on the upper back? I had a fusion of the c5,c6 Dec. of 2004 and I am still in alot of pain.
Posted by: Kevin | May 25, 2006, 7:06 pm 7:06 pm
btw, insurance companies generally will not cover medical procedures until they have been approved by FDA for at least five years. less than five years old and it’s considered experimental.
Posted by: Sam | May 25, 2006, 7:57 pm 7:57 pm
Dr. Tim please email me concerning your information/comments on a particular and unsual surgery I am to have soon. I have had back surgery and now am being told that all of my pain coming down my left side from the hip to my toes is from Piriformis Muscle that is causing pressure on a nerve. The pain is soooo bad in my left hip, ankel and last three toes (as if they are broken).
I have been told by my surgeon that it is a very unusual medical condition and most physicians are have not performed but maybe a couple or so.
Please tell me anything you know about this condition for I am so hoping they can fix the condition.
Thank you very much.
Posted by: Brenda J. Morris | May 25, 2006, 8:22 pm 8:22 pm
I Still have pain in my lower back L5 S1 and its pinching my nreve all the way down my right leg to my toes I have had 3 injections, Ive been to the chiropracter, and Im on pain meds I was told to have surgrey were they use a saw to shave off some where around my disk . Ive been off work for 6 weeks now. but i dont want surgery. does anyone have any ideas of what to do to help me?
Posted by: Joy | May 25, 2006, 8:45 pm 8:45 pm
my husband has a tethered cord.he was told by a surgeon it will only get worse as he ages. he decided against the surgery at that time but when the pain was soo great he rethought the surgery but the doctor now will not see him because he rejected the surgery. he was referred to anther doctor who did not think the surgery would be the best option sending him for injections. when he went for first injection that doctor told him he should not be letting anyone put needles in his spine unless he is in such severe pain that he is in tears. now he does not know what to do .he is taking over the counter pain pills constantly only relieving the pain to tolerate it. he has a very physical job which does not help to get any relief. can you give him any guideance? please
Posted by: rhonda | May 25, 2006, 9:12 pm 9:12 pm
Disclaimer: I have _no_ affiliation with this website, other than posting in its forum from time to time.
Two good places for back support issues, and Artifical Disc Replacement discussions:
http://www.adrsupport.org
…and…
http://www.adrsupport.org/groupee
Many of the questions I saw above could probably be answered (or have already been answered) at the forum.
Thanks!
David
Posted by: David | May 25, 2006, 10:22 pm 10:22 pm
I’m 56 and have had cervical pain since my 30′s, but never had lower back/leg/foot problems until after I took a fall and injured my knee a year and a half ago. From reading these posts, I don’t have to share my details. Many of us appear to be in this struggle together.
Like several others, I was looking for the story regarding stopping pain messages before they reach the brain. I’m wondering if it might be the radiofrequency procedure mentioned to me by my (third) pain management specialist. I’ve had 3 lumber epidurals, which didn’t help at all, 2 courses of PT, and am now like many of you on pain meds. Last week I had my first SI joint injection which helped some, and my M.D. (a physiatrist and interventional radiologist) said if two injections didn’t last, he’d “injure” the sensory nerve so it didn’t transmit pain messages to the brain. He also gave me the following website to consult for info:
http://www.spineuniverse.com
Dr. Tim, if you read these posts, could you post a text story about the technique mentioned re: interrupting pain messages to the brain? I’ve had difficulty downloading the video stories.
If anyone has had this radiofrequency procedure, I’d love to hear your experience.
Thanks…and peace to you all.
Posted by: Christine | May 26, 2006, 12:05 am 12:05 am
I have heard so many times about how people who take pain meds are addicted and only take pain meds because of their addiction until I can’t stand it anymore. I was a heathly 24 yr. old wife and mother of 3 that worked 6 days a week and woke up one morning unable to move. I went to the Dr and that started the last few years of my life being full of Dr visits, not being able to work and loosing what life I had. For 18 months I was on everything you could imagine and one day my Dr decided because of my age I didn’t need to be on narcotics for the fear that I might become addicted. I still was only taking what was prescribed, never asking for more or even early refills but I’m assuming others were and that’s why they made this decision. The Dr sent me home with ultram and vioxx and my body had become dependant on the lortabs and others as if on heart meds or insulin and I nearly died from withdrawals. The Dr apologized and gave me a presciption half the strengh and dose and said so long. He refused to treat me because he thought I was going to sue him for getting me addicted to pain meds. The problem I saw with that was that I wasn’t addicted, my body was dependant, not addicted. Anyone else with this problem? Well, I found my own treatment that is neither addictive nor will your body shut down without it. You only have to take it when you need it and it does not cause your other organs problems with all the side effects. The DEA better start worrying more about ICE, HERION,COCAINE and even alcohol in my opinion and leave people who are in pain alone.I have tried every pain med, anti-inflamatory,chiropractor, pain blocks, physical therapy, you name it, I’ve tried it and nothing compares to medical cannabis.I did not make this decision lightly. My family and I discussed this in depth and with our pastor and church group. They help me deal with the obvious reasons not to go this way. After spending 4 yrs on my couch and eventually not being able to wipe my own butt I tried it. Not smoking it, vaporizing it for quick relief and cooking it as a time released medication in breads mainly. It not only helps with pain but nausea that comes along with being in so much pain it makes you sick.Also muscle spasms, it helps you sleep,and with depression just to name a few. It might have its own side effects but I have done the research and it has no where near the side effects that all the meds the docs had me on does. I know that if our corrupt government could make a profit or the money hungry pill makers could figure out a way to make money off of it, it would already be legal.I am a very God loving person that now, thanks to my new medication, can go to back church, spend time with my children and just over all have my life back to some type of normallcy. God will be the only judge in the end and he is at peace with my decision and so am I. I know there are alot of people who choose the same medicine as me, they just don’t talk about it because they are scared. Mabye if more people did, then Docs & the GOV would see that it isn’t as bad as they make it out to be. I have seen what “legal” alcohol, cigarettes, and certain meds can do and I know now that this is not no where near the same thing. I believe in it so much we are discussing moving to another state just so we can live a somewhat normal life with my kids having their mom back and my husband having his wife back. I used to think people who did it were going to hell, and now I am grateful God put it on this earth naturally with no help from humans or greedy people who are out to take you for every dime you have.(you know who you are)Remember, this is a free country and if it can help you get out of pain, isn’t it worth a try?
Posted by: Tonya | May 26, 2006, 9:24 am 9:24 am
I am 36 years old, libe in Iowa, and have had severe back pain for years. I had a lumbar diskectomy on L5 S1 in March 2004, and again June 2004. The pain has become extensively worse since my surgeries. I have tried physical therapy, multiple epidural injections, and nothng is helping. I have problems walking & sitting and standing for any period of time is out of the question. I can’t even sleep through out the night because I wake up in severe pain, and my husband has to help me rollover and get out of bed. The surgerion that did my previous surgeries now refuses to see me, so I consulted my family Doctor, who then referred me to another surgeon at another hospital. After yet another MRI they determined that I have scar tissue forming where the previous surgeries were done, and that there are additional bone fragments in the same area, but tell me that surgery will not help. I was told to take anti-inflamatories and learn to deal with the pain. They also found that I had 3 herniated disks in my neck (C5,C6 & C7) and they decided to do surgery on my neck in July 2005. I had a cervical fusion and 2 cadaver disks put in, but once again, I am worse than before surgery. I have consulted with the surgeon that did the fusion, and all he can tell me is to continue with the anti-inflamatories. I had requested another scan to see if there was a problem because the numbness and tingling has returned in my fingers and the pain and nausea is unbearable, but I was told I did not need another scan and to give it time. Forgive me for being upset, but I am very frustrated and at a total loss at what to do. I can no longer work because of the pain and nausea, which in turn makes me depressed! I cry everyday because of the pain and frustration. I keep hoping that there will be something that someone can do so I can try to get some quality of life back. I am 36 years old and I do not want to live the rest of my life like this. I would appreciate any suggestions that anyone might have.
Posted by: Terey | May 26, 2006, 10:52 am 10:52 am
I live in Quebec, Canada and had truly miraculous disk replacement surgery (L4/L5) six months ago. After nine years of debilitating pain, I am now virtually pain free. The surgery lasted barely an hour and I was up standing the same day. Less than one week later I was literally walking pain free for over an hour a day. Totally impossible for me before. Today, I walk to work every day, I’ve hiked up a few mountains, bike long distances, cross-country ski, and am ecstatic. It was one of the hardest decisions I ever took, 3 out of the 4 specialists I consulted strongly advised against it. For me, the surgery was truly a miracle and I am deeply thankful every single day.
Posted by: Dominique | May 26, 2006, 2:03 pm 2:03 pm
Tonya, I really feel for you. I suffered from very bad pain and tried everything but surgery, even though 2 Surgeons claimed I needed it immediately. What finally helped me was reading Dr. Sarno and listening to his audio book, which I downloaded from audible.com. He has help hundreds of thousands of people who have tried everything else. I recently had a relapse and it took me a month to get better, but this time I knew exactly what was going on, and that I would soon be better.
Posted by: amv | May 26, 2006, 2:32 pm 2:32 pm
I started last July with pain in my heel it progressed to pain in my right leg, had Xray and MRI. The MRI showed Grade 2 spondylolisthesis at L5-S1 and bilateral narrowing. Tried epridual shots had 3 on the right side and was pain free for 1 month then on the left was only able to get 2 and no relief from pain. Next was physical therapy which made the pain worst. Last week I seen a spine surgeon he suggested surgery, were I would have a plate with screws in my lower back. I start going to a chiropractor he said some times he can help some not I trying it for a month. Would appreciate any imformation from any one with this same problem
Posted by: gertrude | May 26, 2006, 8:50 pm 8:50 pm
I don’t know how many times I said, “I just want my life back,” while I suffered from chronic upped body pain. I’ve seen that phrase here so many times too.
I hope that somebody reading this post does the same thing I did when reading a similar post three years ago and that is read The Mindbody Prescription by Dr. John Sarno.
I know there is a tendency to feel insulted and incredulous when someone first mentions Sarno’s work to you when you are in pain. I know because in 2001, the first time somebody told me about his patients’ amazing recoveries, I said, “That’s great but he can’t help me. My pain is real, physical, the result of a documented car accident.”
It took me another year and a half of suffering and trying everything: PT, chiro, accupuncture, myotherapy, drugs, more drugs, surgery to deaden nerves in the affected areas etc.
I experienced continous increasing pain after a “rear-ender” car crash in 1998; by 2002 I was suffering from what I thought to be a full-blown case of fibromyalgia triggered by the soft tissue damage from the accident.
In the fall of 2002 I read Sarno’s books and by the spring of 2002 after doing some basic exercises, I was pain free and doing everything I had done before the accident and more. I took up downhill skiing at the age of 33.
I would have been pain free sooner had I let go of the fear that the cure was too good and too “easy” to be true.
I have been pain free for over three years. On top of that, I no longer have the mild knee pain I had before the accident.
It is so tragic that we are willing to take drugs with dangerous and chronic side effects or to subject ourselves to lasers and scalpels yet we are afraid to take a look at the cause beneath the very real physical pain that our very powerful psyches are capable of generating.
The pain is real; Sarno knows that. He never says “it’s in your head,” what he does is explain how the mind and the body are intricately connected and how the nervous system makes pain.
What he says is that many, many people have “structural abnormalities,” and that they only appear to be the cause of the pain.
What he offers is a way to get free of it.
What do you have to lose to find out if he’s right? Only your money and your life, wasted years of your life. The thing that spoke to me the most clearly about Dr Sarno’s intentions, is this, he doesn’t want your money.
He’s too busy to see you, really, there’s too many patients who think they need to see him in the flesh for the cure to work – I never have met him but if I ever do I’ll shake his hand for saving my life.
What he says on his website is to read the books (available at your local library for free) and to buy the CDs only if you really think you need them. Compare that to the thousands of dollars you’ve already spent on practicioners and doctors who can’t help you but won’t tell you that.
I know this sounds like Dr. Sarno is paying me – he’s not, for the record – but I just want to save somebody from spending unnecessary years in pain like I did. I feel it’s the best way to repay the good Doctor for his services.
Posted by: Jeana Burton | May 30, 2006, 2:35 am 2:35 am
As a neurologist who sees many people with chronic neck, back, and other types of pain, I must also weigh in with those here extoling the virtues of Dr. John Sarno’s TMS theory. There is a reason why so many people are posting here about their failed neck and back surgeries–because they are not treating the real problem.
If one reviews the medical literature (for example a very good recent article in the New England Journal of Medicine) on back pain, the most impressive finding is that none of the current treatments for back pain has been consistently found to be helpful! In what other condition do doctors prescribe medications and surgical treatments that have so little evidence of effectiveness? In my opinion, the current approach to pain syndromes is equivalent to treatment of infections prior to the discovery of germ theory–useless (or even harmful) nonsense.
In this case, Sarno’s TMS theory is like the discovery of microscopic organisms, a completely new paradigm that is being ignored by the medical community, to the detriment of our patients. I’m not sure what it will take to change people’s minds, but I hope it happens soon. I remind myself that it took decades to convince doctors to wash their hands with soap and water after Ignaz Semmelweis proposed that as a way to prevent infections contracted during childbirth. (Doctors were going straight from performing autopsies to delivering babies without washing!) I think this will be similar…
Posted by: Dario M. Zagar | May 30, 2006, 11:12 am 11:12 am
Hi,
I have severe thoracic spine pain that feels like my spine is locking out of place. I have to be extremely careful of every move I make or it will lock. This pain has gotten so unbearable, and I have tried every treatment-chiropractic, facet blocks, rhizotomies, prolotherapy. No doctor can do anything, because all of my tests are normal. This pain has gotten to be unmanageable. I don’t know why imaging is so antiquated. I know there is something horribly wrong.
Posted by: Jules | June 3, 2006, 2:15 pm 2:15 pm
I have to add my voice to the people here recommending the work of John Sarno. I am a scientist and a skeptic and was insulted when anyone suggested my pain was psyochogenic (because I interpreted that as ‘not real’). I was a test junkie and had stacks of MRIs and other clinical evidence that I was sick. But after 6 different surgeries I was no better and I had sunk into a depression. The hopelessness was overwhelming and I finally ordered the book and read it. IT changed my life- I realized that in addition to back pain I had other ailments Sarno calls TMS equivalents and something just clicked. I realized Sarno is not saying that back pain isn’t real just that the pain can be a physiological response to some of life stressors. Very similar to how your face may flush or you get butterflies in your stomach when you are anxious.
I went and scoured the scientific literature and I was absolutely shocked at the lack of scientific evidence supporting the various back surgeries I had subjected myself to. And even as a scientist, I had never thought to check the literature- I just thought if you have a disk problem, you have surgery. But it doesn’t work- look up the statistics and you will not have surgery!
Please just read the book- you have nothing to lose- take 3 hours out of your life. Read it with an open mind- not with the attitude that it can’t possibly be true- and if it doesn’t ring true go ahead and have the surgery. But if it does, start trying the things that Sarno suggests and see what happens. I know that I would not have believed it if it hadn’t happened to me. I started getting better almost immediately and was completely back to normal in about 3 months. This after 8 years of agony and restictions. It really breaks my heart to see the posts on boards like this where everyone is rushing into treatment that can do more harm than good.
Posted by: Laurie | June 3, 2006, 11:02 pm 11:02 pm
I HAVE SUFFERED WITH BACK PAIN SINCE 2001. AT THAT TIME I COULDN’T SIT. THE SCIATIC NERVE WAS BOTHERING ME. I HAD P/T, WAS ON CELEBREX, BEXTRA ETC. INJECTIONS AND NOTHING HELPED. I WAS REFERRED TO A SURGEON HE PERFORMED A DISCECTOMY ON MY L3 & L4. I STILL HAD PAIN. HE SAID THERE WAS NOTHING HE COULD DO FOR ME. NOW I AM SUFFERING WITH STENOSIS OF THE SPINE. I HAVE HERNIATED, BULGING, DEHYDRATED DISCS AND I HAVE BONE SPURS PRESSING ON MY SPINAL CORD. I HAVE A BONE SPUR PRESSING ON A NERVE ROOT IN MY LUMBAR SPINE. HERE IT IS 2006 AND I CAN’T SIT STAND OR WALK. I CAN’T SLEEP. THE PAIN RADIATES FROM MY BUDDOCKS TO MY GROIN TO MY KNEE DOWN MY LEG. I AM SO MISERABLE…I CAN’T FUNCTION. I HAVE NO QUALITY OF LIFE. I CAN’T DO THINGS WITH MY GRANDCHILDREN. LIKE TAKING MY GRANDDAUGHTER TO THE MALL. SHOOT BASKETS WITH MY GRANDSON. I’D GIVE ANYTHING TO BE ABLE TO DO THE THINGS I LOVE TO DO. I LOVE TO BAKE….. I CAN’T EVEN DO THAT. I CAN’T SHOP OR CLEAN THE HOUSE. I’VE EVEN BEEN IN SO MUCH PAIN..THAT I ASKED MY LORD AND SAVIOR TO TAKE ME. I HAVE NO QUALITY OF LIFE. I CAN’T HAVE COMPANY AND I LOVE TO HAVE PEOPLE OVER. I HAVE HAD EPIDUALS AND A NERVE BLOCK. THAT DIDN’T HELP. I AM PRESENTLY IN P/T AND THAT IS ONLY A TEMPORARY FIX.
Posted by: CAROL | June 5, 2006, 2:14 pm 2:14 pm
Whatever you do, do not have surgery or any invasive treatment before you have read the John Sarno books. They helped me like nothing else and I’ve had every treatment going, including surgery which i now find I didn’t need.
Just because you have MRI’s showing supposedly distorted disks does not necessarily mean they are the cause of your back pain.
Also look at Bank Sense by R D Siegel.
Good luck
Posted by: Rudy | June 5, 2006, 3:28 pm 3:28 pm
I’ve suffered for years with back pain and it’s many problems, going back the last 12 years. After several hospitalizations with buldged and herniated discs, I had a posterior lumbar interbody fusion done in 2004 on my L4- L5 disc. This was absolutely totally required due to a total disc collapse that had started some 10 years before. After this operation, I still had pain,and the Dr. who did the Fusion tried everything, with no results for over a year, and then basically gave up on me. I then went to another Dr.(a Orthopedic Surgeon this time)< After a lot of tests he concluded I needed to have a left side sacorilliac joint fusion to my hip.I agreed from the test results, but this operation went hay wire and resulted in permanent pain & nerve damage to my left foot. This Dr.is now not totally convinced that the joint fused very well, because he had to take out the 2 screws/bolts that he installed in place for the bonding process. He somehow ran thru 2 of my nerve roots,at the base of my spine and gave me my damage. He is now talking about wanting to do another 2 levels of fusion on me, at L3-L4, and S1-L5, and re-work and tie into the fusion hardware already in my back at the L4-L5 level. Also he wants to do a right side sacorilliac fusion, and possibly a re-operation of my left side sacorilliac. I stay in a constant high level of pain, and take a lot of medications which only help a little. I've had tons of tests,and seen tons of folks, but I'm worse off now than when I started. Does any one out there know of where I can find a competent Dr, who can actually finally fix my back, or is this wishing too much….Please help me if you can. Thanks, Frank M.
Posted by: Frank M. | June 10, 2006, 5:50 pm 5:50 pm
After I had back surgery, my spine actually got worse. I was going out of my mind in pain. A fiend recommended The Furshpan Maneuver and I couldn’t believe how quickly I got out of pain. It really was immediate. My Sciatica disappeared and now I feel like a new man. It’s been over a year and I recommend this maneuver highly.
Posted by: Jerry Schneider | June 11, 2006, 7:14 am 7:14 am
Because of my lack of belief in myself and/or my abilities I have spent most of my adult life working dead end jobs and going nowhere. I never had extra money to just spend, and became a master at only paying enough of my utility bills to keep them from being terminated. More than once I missed my mark and had my power, gas, and/or water cut off for as much as a week at a time.
I have a natural ability to build and fix things. I can use power and hand tools as good as or better than most of the men that I know. In the mid nineties an acquaintance of mine recognized my talents and approached me about going into partnership with her in a home renovation company. After about six months she decided that she did not want to do that kind of work anymore, and left me hanging high and dry.
There I was, within two months of being thirty four, two failed marriages, living in a three room house that my mother owned, and I had no idea where I was going or what I was going to do.
One night I got the classified ads out of the news paper, and looked at every single one. After several hours I kept finding myself looking at the same type of work. I wanted to be a computer/electronics technician. The only trouble with that idea was that I had never even turned on a computer, but something inside of me kept telling me that I could do it.
Within a week somehow I was sitting in a classroom. I made my decisions so fast that I have a hard time remembering details. I do remember asking myself “what did I think I was doing”. More than once I thought about dropping out. I did not do well in high school, and here I was in my thirties starting college.
I graduated in December 1997 and in January 1998 moved to Northern Virginia with a really good job. The pay was excellent, and the benefits were unbelievable. I could afford to live in a three level house, pay my bills, drive a nice SUV, and still buy something extra when I wanted it. I worked there for almost two years, but for personal reasons I decided to move back to my hometown.
It was harder than I thought it would be to find a job. I had thought that coming back home with my degree and experience that it would be easy to find work, but I did not take into consideration the military influence in the Hampton Roads area. There are so many military people that stay here after retirement with electronics experience, and they are the first to be hired. It took me three months to find employment, and it was nowhere near what I had been doing. I kept looking while I was working until I found something that I really wanted.
In May 2001 I landed my dream job. I was a Field Service Engineer for a copy machine company. I had to pinch myself daily because I just could not believe that I had it so good. For the first time in my life I felt smart, and that meant so much more to me than the money. The natural aptitude that I realized that I had was an unbelievable feeling. Most of my life I had not felt very intelligent, but all of the sudden I did. It was not only me, but I overheard more than one conversation whereas other people thought the same. I was considered one of the best technicians that the company had. Within the first six months I had far surpassed my peers that had been working there for years. My job performance reviews were outstanding, and I never ask for a raise that was denied. I was at the point were I could name my price and get it. I had customers that only wanted me to work on their equipment. I even had several customers write to the company because they were so please having me as their representative. Without a doubt it was the best job that I had ever had!
On June 9, 2003 my world fell apart. I was working on a machine, and standing in the same spot for about two hours. When I finished I bent to pick up my tool bag and felt a tremendous pain in my lower back. After the routine of reporting an on the job injury, going to the company recommended doctor, and after several weeks being referred to a back specialist, I was told that I had herniated a disc at the L5-S1 left level. Any procedure and/or test that my doctor felt that I needed was a fight with the workers compensation insurance company, and it would take up to months to approve anything. Finally in February 2004 I had a discectomy/laminectomy. It seemed that the surgery was going to correct my problem, but it did not. In May 2004 I had to have a fusion of the last two vertebras in my back.
The last surgery was slow to heal. My doctor wanted to perform a “hardware pain block injection”, but the insurance company would not approve it. I had not been back to my doctor in three to four months, but was released to go back to work on light duty in November 2004. I went back to the company where the injury occurred, but was unable to perform the job that I had before. It was very hard for me to go from Field Service Engineer to dispatching, not to mention that my pay was cut more than in half. I felt that I had gone from hero to zero in a split second. Even though my immediate supervisor allowed me to leave my desk to walk as needed to rest my back, I was not allowed to speak and/or socialize with any of my coworkers.
The company was bought out in January 2005, and the new company benefits were to go into effect on April 1, 2005. On March 31, 2005 at 4:30PM I was told by the human resources manager that they did not need me anymore, and I was escorted out of the building. She then went to the receptionist and told her not to take and/or forward any calls from me.
Because I was still having some problems from the injury my TTD was reinstated from the workers compensation insurance company. They also hired a vocational rehabilitation specialist to help me obtain work.
On July 18, 2005 I went to work at another company. I was a bench technician working on micro electronics. I felt at first like I had taken a huge step backwards. It did not take me long at all to satisfy myself with the job. I caught on fast, and was able to keep up with my peers. I was the first woman in the history of the company to work in that department. I was treated with kindness and respect by everyone that I had contact with in the company. I still was not making the money that I had made before the injury, but worked 50 to 60 hours a week to compensate my wages. I had all intentions of just staying there and possibly working myself up into management.
After working the long hours that I did, and driving in Hampton Roads rush hour traffic I was exhausted when I arrived home. I usually just worked five days a week, but every once in a while I would work on a Saturday too. I was really enjoying the job and the people that I worked with.
On October 3, 2005 while sitting on the toilet, urinating, I heard a “pop” in my back. Almost immediately I felt pain in my right hip and leg. I called my doctors office and let them know what was going on. I was still on prescribed medications, and was told to “up” my dosage. The nurse kept in contact with me and monitored me by phone everyday. The pain was so terrible by the 6th of October, she told me to come straight to the office. Once again I was getting ready to battle the insurance company.
From December 30, 2005 until present I have and am waiting for the insurance company to approve my having surgery. On April 17, 2006 I went to a hearing before a judge so he can now make the decision on weather I will be allowed to have the surgery and receive workers comp pay from Oct until I can be released to return to work.
It is now June 21, 2006, 2006, and I am still waiting. Since the fall I have broke up with my boyfriend, have had more so called friends turn their backs on me than I care to count, I have lost my job (health insurance), my home, my ability to drive and do other normal day to day activities, and I have put my elderly parents in well over $15k in dept. I can not walk any kind of distance (no more than the length of a standard room). On my good days I can only walk about twenty feet before my leg gives out on me. Most of my time is spent either in my wheelchair or in bed. All of my personal belongings are now being stored in my parent’s garage, and I live in one bedroom in their house.
I have always been a strong independent person, but now I feel like I have been beat down. My attorney has informed me that there is no pain and suffering workers compensation laws in Virginia. I do not want to be rich, but I want to be better so I can go back to work and feel secure again.
I know that there are a lot of people out there that are just out to scam the system and get whatever they can for free. I am not that kind of person. I want more than anything in life to have my surgery and get on with my life.
I can not imagine my depression getting any lower. The insurance company (workers comp) will not approve any antidepressants, but are still paying for a lot of meds like methadone (1200 mg a day), duragesic patch, flexeril, and I still have to take Tylenol PM (4 – 6 three times a day) in order to sleep any at all.
The only reason that I have not already ended my life is because of my parents. I just do not know how they could survive that. Is there any way to get help that is free?
Posted by: BK | June 21, 2006, 7:38 pm 7:38 pm
My husband has had 3 back surgeries, 2 of which were fusions. After 6 years of doing well, he now has pain in his lower back. This pain is going into both buttocks, down both legs and into both feet. It is so severe that he can’t stand, sit or lie down to get relief. The doctor has done mri’s, ct scans, eng (?) to test for nerve damage, all tests come out perfect, no problems. So where is the pain coming from? No one can seem to tell us why he has such pain. Now he is trying pain therapy, he’s loaded up on meds and still can’t work. Is there any hope? I see from the other comments that we are not alone. If anyone has any ideas, please let me know. Thanks so much.
Posted by: Cat | June 22, 2006, 5:54 pm 5:54 pm
I HAVE SUFFERED FOR GOING ON FIVE YEARS WITH BACK PAIN. IT STARTED WITH A PAIN IN MY LEFT HIP SO MY ORTHOPEDIC DR. SAID I HAD BURSITIS SO HE INJECTED BOTH MY HIPS WITH CORDIZONE. IT HELPED A LITTLE BUT THEN I HAD SHOOTING PAIN DOWN MY LEG THE RIGHT LEG MOSTLY SO I HAD AN MRI OF MY LUMBAR SPINE I HAD DEGENERATIVE DISC DISEASES…HERNIATED, BULGING DEHYDRATED AND STENOSIS OF THE SPINE. NOW I HAVE PAIN ABOVE THE BUDDOCKS SOMETHING PRESSING ON A NERVE ROOT TO THE GROIN, TO MY KNEE TO THE RIGHT FOOT. I FORGOT TO MENTION THAT I HAD A DISCECTOMY ON MY L3 & L4 AND STILL IN PAIN. IT IS SO BAD NOW THAT I CAN’T SIT, STAND OR WALK. I CAN’T SLEEP BECAUSE IF I PUT PRESSURE ON THE BUDDOCKS IT CAUSES PAIN IN THE GROIN AREA. I’VE BEEN TO A CHIROPRACTOR, I’VE HAD NERVE BLOCKS, EPIDURALS, AND P/T NOTHING WORKS. I’M STILL IN PAIN. I HAVE NO QUALITY OF LIFE. I’VE PUT ICE AND HEAT ON THE HIP AND GROIN AND ON THE BACK. IT HELPS TEMPORARILY. I SYMPATHIZE WITH ANYONE THAT IS HAVING TO BEAR THIS AGONIZING PAIN. WE CAN SEPARATE SIAMESE TWINS BUT WE CAN’T CURE BACK PAIN. THERE IS SOMETHING WRONG WITH THIS PICTURE.
THE BIGGEST PROBLEM IS THAT DOCTORS DO NOT LISTEN TO THEIR PATIENTS. WHO KNOWS OUR BODY BETTER THEN WE DO. THEY LIKE TO PRESCRIBE ALL KINDS OF MEDICATION BUT NOTHING IS WORKING….SO WHAT DO THEY DO PRESCRIBE MORE MEDICATION. I COULD OPEN MY OWN PHARMACY. THE DOCTOR THAT OPERATED ON MY L3 & L4 WON’T EVEN ANSWER MY PHONE CALLS…DOES THAT TELL YOU ANYTHING. SOME DAYS I WANT GOD TO TAKE ME BECAUSE THE PAIN IS SO UNBEARABLE. SITTING TYPING THIS IS SO PAINFUL BUT I HAD TO REACH OUT TO SOMEONE. I’M GOING FOR ANOTHER MRI THE LAST ONE I HAD WAS ALMOST A YEAR AGO AND AS YOU CAN SEE I’M NOT ANY BETTER. I HAVE PLANS TO MAKE AN APPOINTMENT TO SEE A DOCTOR IN THE CITY…IF HE HELPS ME….I WILL DEFINITELY LET YOU KNOW. YOU ARE IN MY THOUGHTS AND PRAYERS.
Posted by: carol | June 23, 2006, 2:11 pm 2:11 pm
Be sure to get an MRI on both your cervical and lumbar spine. When people have lower back pain they only concentrate on the lumbar spine. Our spine starts at the back of the head to our buttocks. If the pyramid had a crack at the top..what happens to the bottom. It’s the same with the human body. It’s only logical.
Posted by: CAROL | June 23, 2006, 2:16 pm 2:16 pm
I originally got hurt at work in 2000. Since then I have had three back surgeries. The latest was in June of 2005. I had my L/4 L5 and L/5 S/1 fused anterior and posterior. It has been over a year now and I still have not achieved fusion. Since then I have developed bone spurs in my left big toe. And now my right arm falls asleep or tingles more than half the day. I can make it do this just by leaning my head backwards. So now I walk around stareing at the ground.I have extreme pressure with pain on the very bottom of my spine. I am lucky if I can walk more than 1/2 mile without being in pain the next day. My bladder is still not normal. To this day no one can answer me if this has anything to do with the stolen cadaver tissue/bone that was implanted in my back for the fusion.I should would love to get some answers from some place. Oh by the way I told my surgeon that another operation or another discogram were both out of the question NEVER AGAIN give me morphine first.
Posted by: Kevin | June 26, 2006, 7:18 am 7:18 am
i have a stenosis in my lumbar spine as well as a herniated disk and diabetic neuropathy. Which one of these conditions is causing my drop foot? I have very little pain unless I sit for a long time. does surgery get rid of the foot drop or is it a permanent condition. What happens if i don’t have surgery?
Posted by: Susan A. Jella | August 31, 2006, 10:32 pm 10:32 pm
PAIN CURED! READ THIS!
I have spinal stenoses. Mega-doses of injections didn’t help, and surgery was in my future. My lower back hurt the worst when I drove my car, causing my legs to ache and my feet to tingle and go numb.
A friend recommended that I read Dr. John Sarno’s books. JUST READING two of his books got rid of my pain. I didn’t have to do anything but READ the books and understand what I was reading. Get your mind off your body (stop going to physical therapy) and READ with your mind. When my pain suddenly disappeared from my lower spine, I experienced intermittent pain in other, unrelated areas of my back for 2 weeks. The pain was “on the run.” I started reading one of the books over again. One-third of the way into the book, ALL PAIN WAS GONE.
All you have to do is (1) have an open mind (WHAT HAVE YOU GOT TO LOSE?) and (2) read Dr. Sarno’s books. Thousands of people with the same conditions WE have (back, neck, shoulder, knee, or foot pain) do not have pain. Find out why!
Posted by: Tara | September 3, 2006, 10:59 am 10:59 am
I have had neck/shoulder/mid-back pain for 17 years. I have seen 24 specialists,tried every kinfd of medication from celebrex to morphine. Pain has worsen each year despite type of treatmentand /or type of pain medication. I have 4 or 5 bulging discs with constant pain without the numbness in extremities all the doctors want to do is test and re-test. They want me to undergo a second discogram so they can explore thru surgery which fusion may work. This involves a 12 inch needle stuck into all 7 cervical discs without any anthesthia and posibe side effects of indroducing infection into functioning discs where recovery may take up to 2 years. I have had
20 mri’s,c-scans and numerous x-rays. I have had no life for past 7 years other than work and bed rest. I pray constantly and I hurt so bad that I sometimes wish for my heavenly trip sooner tyhan later. Specialists are grouped into two groups. Those who use for research and those who pass you to next doctor to “practce medicine on you and I mean practice. I have very little hope in the field of disc surgery since most of the techniques originated in the 1950′s. I have burdened my family to point that my wife should and may end up leaving me because whats the point of living with someone who’s state of mind is constantly focused on how to get thru the next hour to 30 minutes. I have a wonderful pain management Doctor but he is afraid of prescibing enough and strong enough medicine since the DEA will and does harass all of us who suffer. This country has gone nuts on enforcement and it would be easier to be a herion user than getting enough medicines. I have to go thru withdrawal 5 to 6 times a year and who knows if my body will be able to continue on. I almost died from tyenol intoxication where my liquid wastes were constant for 5 years. I also had constant nausea for thsoe same 5 years. Now I am om time released Ms-Contin and I have some life but I can not travel for more than 1 hour without going into days of pain.
I am close to loosing my job,my family and quite possibly my internal organs and my life and I haven’t even had one operation. I fear tHAT THE END OF SOME SORT IS NEAR. I want do anything rash or stupid but the course of events are tumbling downward very slowly and very painfully. I can only put my hope in Jesus at this point because Doctors either can’t or won’t help without covering their malpractice posititions. I know from my pain clinic THAT SECOND TO CANCER THIS IS AMERICA’S NUMBER 1 HEALTH THREAT WHEN PEOPLE ARE LEFT WITH NO REAL CHOICES FOR CHRONIC DESPERATE UN-RELENTING PAIN. i HOPE TO MAKE IT TO 55. GOD BLESS YA’LL WHO SUFFER BECAUSE THOSE WHO DON’T KNOW THE HOW IT REALLY FEELS ARE IN THE DARK! tHANKS FOR HERING ME OUT.
Posted by: John | September 22, 2006, 3:55 pm 3:55 pm
8 years ago I had back fusion very succesfully. Out of a wheelchair…to a cane…to normal walking and evntually working as an EMT with minimal pain. (good lifting procedures).
After a car accident 3.5 rollover with 45 minutes upside down seatbelted I’m back to almost where I started. Most of the doctoers say my fusion moved, but x-rays by the doctor who did th fusion show no movement. I tust him implicitly. I argue that it feels that the scar tissue from the surgery is getting bigger and bothering the nerves. It took 3 years before someone listened and we just tries cortisone in the area. Some doctors said that scar tissue wouldn”t start to grow again but I’ve had one surgery and 3 nerve blocks proving differently.
I really hope and pray that this will work.
Posted by: Clarence Moore | October 11, 2006, 3:45 am 3:45 am
two back surgeries,chronic foot and ankel pain,pain management can’t help, drugs as well. can’t sleep, difficult walking don’t know what to do?
Posted by: Abdul | November 7, 2006, 2:42 am 2:42 am
I had back surgery about three years ago on my back plates and pins were placed, the surgeon who performed my operation said that I had a compressed disk. It was from an accident falling down. Since my operation I have one pin that sticks out and is very uncomfortable when i drive or sit, i have started to have lots of problems with my right arm now it’s always seems to be sore tight and numb at times. I would like to know what options are out there or if anyone has any idea why i feel this pin, should I get this plates removed? The pain has gone away I couldn’t walk or let alone speak cause the pain was too much. After the second day of my surgery that pain went away I never had back problems in the past prior to this accident but after the surgery I always am having back pain there are times that I feel I dont even want to get out of bed cause it hurts so much. Can some one give me some options of what alternatives I have.
Posted by: Crystal | November 8, 2006, 6:05 pm 6:05 pm
I am so glad I found this site . Everyone else has told my story. The only reason I am still alive is that it is God’s choice. My house is in foreclosure,I am only 50y/0 and the pain has taken over my live I can’t work enjoy my family.The dr.s has told me I have to have sugery,but social security has turned down my claim. disability is my only hope. Myra
Posted by: Myra | December 20, 2006, 1:08 pm 1:08 pm
5 months ago I went to germany and 3 cervical discs (c3-c7) and L5 S1 repalced also, I have severe left arm pain, nerve pain and bilat tingling and numbness in my ft, I was wondering if anybody knows any mds working in this area, the doctors in my area don’t know what to do with me. thanks marjie
Posted by: marjie | December 26, 2006, 11:16 am 11:16 am
Sealy Posturepedic Bed
bizrate.com Holiday Sale Also comes in other versions, but this is the historic m
Posted by: Sealy Posturepedic Bed | January 22, 2007, 3:16 am 3:16 am
I’ve heard that there’s a doctor in LA that uses a needle to insert a liquid into the disc area.This liquid has a catalyst in the mixture and the liquid turns into a jell in about 20 minutes. This then replaces the old disc with a new. If anyone knows of how to find more information I would be thankful in receiving an answer.
Posted by: Donald | January 26, 2007, 4:06 pm 4:06 pm
Dr. John Sarno’s books are key.
There’s a link (it’s a video) for ABC’s 20/20 show where Dr. Sarno was featured – and how John Stossel himself benefited from learning about how TMS (tension myositis syndrome) affects so many of us. John Stossel has been cured of his backpain as well as shock-jock Howard Stern.
Posted by: Carla | January 28, 2007, 12:04 pm 12:04 pm
Ive had sciatica for 2 years now, actually knowing the cause of the problem for only several months. I’m 20 years old and health conscious. The pain was so unbearable, starting from the left buttock and going down through to my foot, especially worse on colder days. I used to think it was a muscle related problem since I workout and lift heavier weights, as well as play squash for my university, where Im constantly lunging and twisting. Lately, with physical therapy and the Mckensie technique,the pain has been tolerable and sometimes non-existent, which is a huge step from 3 months ago. My question is, having an epideral injection scheduled for the end of the month, should I go through with it if the pain has subsided, or take it anyway to avoid pain flare-ups altogether, which have had a huge impact on my sleep, causing me to wake up often a dozen times a night in uncomfort.
Posted by: Jakub | March 8, 2007, 5:33 pm 5:33 pm
I see this post from 2006:
“I have information on a new machine called DRX 9000…” but did not see any responses to it. I am considering this after the typical courses of action (chiropractic, massage, acupuncture, PT, steroid injection, etc). Can anyone out there advise if they have had this treatment performed and if it was worth the cost? Was it successful?
Posted by: JAC | April 12, 2007, 1:19 pm 1:19 pm
Life begins at conception, begins at birth – Or come up with another stage and develop a different persuasive speech topic
Posted by: look good feel good | June 27, 2007, 8:39 pm 8:39 pm
My husband has had moderate left-sided formanial stenosis at L3/4 secondary to disc bulge and facet hupertrophy. In Sc it is almost imposible to get the orthopedic to refer a person to the pain clinic, we have been waiting for 2 weeks to get the repot sent to the pain clinic. They said the reson was their Doctor had to look at the MRi and report first. Its bee 2 weeks and he has been in his office every day. How long should a doctor put someone who is having severe pain off just for their convenience. This orthopedic clinic does not treat back pain but just needs to make a referral.
Posted by: Ann | August 19, 2007, 9:41 am 9:41 am
Public schools have to say, don’t have to say the Pledge of Alliegence
Posted by: crime | September 24, 2007, 9:48 pm 9:48 pm
My fiance has had 2 discectomies on his L-4 L-5 vertabrae in 2005-2006. This seems to have made it worse. Now the doctors think he should have a fusion or replacement involving L-4, L-5, & S-1. The problem is we’ve had rec. for fusion from one Dr & another suggests replacement. Which is the better choice? He’s in pain all the time & after the discectomy is leary of another “useless” surgery. We know neither will make him feel like before he got hurt but how do we decide whch will be more likely to eliminate most of the pain so he can function “normally”?
Posted by: Nicole | March 27, 2008, 8:53 pm 8:53 pm
I am a 49 year old women who had a ACDF
surgery @ c5,6,7. Everything has healed fine except at my 6th month check up the dr found one of the screws in the hardware had worked its seld out. He also told me that it could possibly work all the way out and travel. Very upsetting. Has any one else had this happen?
Sue
Posted by: Sue | July 19, 2008, 9:37 am 9:37 am
I was in a bad car accident in 94. In a coma for 2 days . had a fracture head skull 68 staples didn’t remember the accident. In hospital for 2 months. lost my hearing in my left ear completely bone all got crush. Lost my smell and taste. Had to go through pt. ot.st. all kind of doctors eye neuro psychiatrist can’t remember everything due to memory loss to. My three kids were in the accident and to this day they see the pictures they get goose bump. So as a mom I couldn’t do anything for 2 with my children. The impact and the neck , back, head ,all this I have problems raising my kids they never had any idea what i was going through until within the last 7 years things have been going wrong. In april, I had surgery on c 5,6, 7, i developed sharp pain within a week after my surgery the whole right side sharp pains down my neck crackling couldn’t turn my neck sharp pains in my shoulder blades cause numbness in both shoulder can’t sleep on my shoulder, or lift my arms do daily work pains down my back down my legs cramping at night time my back is so weak can’t sit or lay in bed or my back. one doctor did a ultra sound though it was a rotary cuff. then told me it was arthritis . Now the kicker of the whole situation is I’m not 51 had to quit my job with no insurance and my car insurance has stop paying for me their doctor is saying this is not related to the car accident it’s to do with age and arthritis . so don’t think your in good hands with your car insurance this no fault is for the birds because if anyone else has ever been in a accident you know that down the road things do happen with your body even if you were in a clean bill of health which i was an this has taken a toll on me and nobody knows or understands the aches and pains us accident victim go through. Even the doctors it’s all about the money and where it’s gonna come from. Well anyone interested in writing back fill free and God Bless
Posted by: diane kunkle | October 14, 2008, 9:22 pm 9:22 pm
I had the Artificial Disc replacement at the age of 23 I am now 27 AND still in pain. They said because I was so young(and of course all the problems with my back) I would be their best candidate for one of the first done in USA. I was supposed to be “resilient” and bounce back quickly and heal. Now I find out that the surgery was contraindicated because of the severeness of the L4-L5 and S1 discs. NOW they want to do a fusion. I am in severe pain all day because I refuse to be “doped” up on pain medication. You all know how it feels to be withdrawn from the people you care about and uninterested in the things you once were. I know as well that depression soon follows because you have lost everything that you worked hard for and you now feel guilty as if you could have stopped this. I am there too because I lost my nursing career, real estate license, and used to be so involved in community and sports with my children. I have been dealing with this pain/back problems since July 2003 and have noticed that it is so much easier for a busy and “so far behind today” Doctor to prescribe you Oxycontin, Morphine, Tylox, Lortab, Avinza, Opana, etc and treat the SYMPTOM rather than take the time and research “The problem that is causing that symptom”…I think that if a Doctor would have thoroughly read my MRIs and films and not relied on just the radiologist’s report HE would have known that I was not a candidate for Artificial Disc Replacement. I’m sorry to sound so complaining and I know that there are really good Doctors out there, I just have to find one…which is why I was on this blog, reading about this wonderful Dr. who I believe is taking the time to try and help us…AND I THANK YOU FOR THAT. PLEASE everyone and anyone reading this….Do your homework and make sure the Dr. you are seeing is familiar with ADR, fusions, and your specific back problems. Good Luck to everyone and if anyone has any questions you can email me at
Posted by: Crystal D | January 27, 2009, 4:12 pm 4:12 pm
Just try to guess…
I think nissan is good.
Posted by: nissanauto | March 20, 2009, 8:43 am 8:43 am
My mother has been diagnosed with Arachnoiditis. I unerstand there is no cure. She is in the process of getting an appointment at Shands Hospital in Gainesville, Florida. Is there a better place that sh e should try. I know doctors at Shands have performed miracles and I’m not doubting them but I just want her to get the best care. It hurts our family to see her walk so crooked and not be able to enjoy life. She is only 59 years old. Is water therapy a good way to releive her pain? Of course because she cant do very much without being in pain she had put some weight on and I’m sure this is not helping at all. Just send us some ideas. Thank you, Angie in Florida
Posted by: Angie | May 2, 2009, 7:11 pm 7:11 pm
The lower back procedure sounds very interesting. Thanks for the information!
Posted by: gainesville physical therapy equipment | December 15, 2009, 5:15 pm 5:15 pm
there are many serious types of back pain and sometimes they create great hassle to patients. .
Posted by: Gail Holst | July 15, 2011, 3:36 am 3:36 am