General Discussion Triathlon Talk » Disc herniation update any PT's/Doctors input? Rss Feed  
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2014-07-10 1:23 PM

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, Minnesota
Subject: Disc herniation update any PT's/Doctors input?
Well, haven't done any tris or much running this year while rehabbing my L5/S1 herniation. It's been a slow process but I may be on the backside now. I have opted for the non surgical path although I sometimes wonder if it was the right decision. Any PT/doctors with further input as to what I should avoid would be appreciated. My plan is to start biking a little, swimming and still avoid running until maybe Sept. I want to compete in a HIM next July and would rather take a slow approach and start ramping up my training as I get into late Fall/early Winter.

I was diagnosed in early Nov with the following:

L1-2 small focal, shallow right paracentral disc protrusion without nerve root compromise

L2-3 normal for age. Mild left facet hypertrophy

L3-4 normal for age. Mild left facet hypertrophy

L4-5 small shallow central disc protrusion and Mild left facet hypertrophy with no nerve root compromise

L5-S1 left paracentral/subarticular disc extrusion which posteriorly displaces the left S1 nerve root and extrudes and migrates superiorly. Superior migration has change in the signal density which may indicate a free fragment. This extends along the ventral epidural space and the left lateral recess to the level of the pedicle of L5. Degenerative end-plate changes are present with sclerosis and loss of disc space height. The exiting foramen remain patent.

Had a follow MRI a couple weeks ago and the findings:

L1-2 Mild disc bulge with small right paracentral protrusion. No significant spinal canal or forminal stenosis.

L2-3 Mild disc bulge producing minimal spinal canal and lateral recess stenosis. No significant foraminal stenosis. This level is unchanged.

L3-4 Mild disc bulge with mild lateral recess stenosis. No significant spinal canal or foraminal stenosis. This level is unchanged.

L4-5 Mild disc bulge with mild spinal canal and lateral recess stenosis. Mild right inferior foraminal stenosis. This level is unchanged.

L5- S1 Previously seen left paracentral disc extrusion has resolved with internal resolution of the mass effect on the left L5-S1 nerve root. A small left paracentral protrusion persists, mildly contacting the left S1 nerve root without significant displacement or compression. No significant spinal canal, right lateral recess or foraminal stenosis otherwise.


2014-07-12 6:32 PM
in reply to: lakelandsledder

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Champion
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Williamston, Michigan
Subject: RE: Disc herniation update any PT's/Doctors input?

Sounds like the L5-S1 is the main problem now and resolving.  80% of people get better without surgery.  I usually try people n a 2 week tapering dose of steroids and if that doesn't work refer them for epidural steroids then if that doesn't work they go to the spine surgeon.  SOunds like you are on the road to recovery

2014-07-12 10:19 PM
in reply to: Socks

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Extreme Veteran
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5001002525
, Minnesota
Subject: RE: Disc herniation update any PT's/Doctors input?
Yes, it's taken a lot longer than I thought it would but as long as I can get back to training by late fall/early winter I'll be ok with it. I'll also get my roady fit this summer so I can get some time in before the cold sets in. The tri bike will be a long term thought. I didn't have the most aggressive fit on the tri bike to begin with so it'll be interesting if mine will now work or if I need a more or less aggressive model. I plan on going to a fitter that is an exercise physiologist, biomechanic specialist and a F.I.S.T. Certified professional bike fitter. I thought someone that knew body mechanics would be a good choice for someone with my issues.
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