Dear Dr Mcsiff
Has this person seen a good McKenzie therapist? Does the pt have a
directional preference?
Sarah Fern Striffler, PT
[log in to unmask] wrote:
> 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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