Why the fear of surgery?, quite a few of elite athletes here in Australia
have had similar injuries as this treated with percutaneous discectomy
(similar concept to arthroscope). This surgery combined with specific
rehabilitation of transverse abdominus and multifidus and then further use
of pilates to take the functional use of these muscles to a higher level has
been very effective. To the stage where rowers have returned to
international competition. Cortisone can be very useful where inflammation
is concerned, but will do nothing to change the mechanical compression due
to the disc material.
Regards
Ivan Hooper
-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: Tuesday, 22 August 2000 17:05
Subject: BACK DILEMMA
>A 'civilian' member of another Internet list sent me some MRI details of a
>back problem that has afflicted him for more than 18 months and he is now
>quite desperate, since he is a competitive sprinter (aged about 28) who
does
>weight training. He has visited many physios, medical specialists,
>chiropractors, massage specialists and acupuncturists and spent a veritable
>fortune without any significant degree of improvement.
>
>Would anyone on this list kindly have any suggestions for this frustrated
>young athlete?
>
>------------------------------------------------
>
>L4/L5 Level
>
>There are features of disc degeneration with loss of height and signal
>intensity.
>No annular tear is evident.
>No annular bulge or focal herniation is evident.
>No central canal, lateral recess or foraminal narrowing is evident.
>No abnormality of posterior elements is seen.
>The L4 nerve roots exit normally at this level.
>
>L5/S1 Level
>
>1. There are features of marked central and left paracentral disc
>protrusion/extrusion evident.
>
>2. There is moderate anterior, extradural impression on the thecal sac
>which is compressed and displaced to the right side.
>
>3. There is virtual complete obliteration of the left lateral recess and
>slight encroachment of the left exiting foramen.
>
>4. The L5 nerve roots appear to exit normally at this level. There is
>however likely to be impingement of the descending S1 nerve root on the
left
>side.
>
>No significant changes of posterior elements are seen.
>
>I know many surgeons that would love to operate, that however is not an
>option for me. A physio suggested a cortisone injection in the area.
>
>What should I do?
>
>----------------------------------
>
>Dr Mel C Siff
>Denver, USA
>http://www.egroups.com/group/supertraining
>
>
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