I survived the quake in Haiti. My condition was getting worse since I drove a vehicle over a rough road on 4 Jan, and during the quake I fell on my but. I managed to get out of Haiti 4 days later, and took off to my home country. I did my medical checks, first with the specialist in Orthopedics and then with the Neurologist. Basic translation of the findings is presented below.
Complains on the pain in the L-S spinal area, extended to the right leg throughout the last 15 days. Primary care was conducted by the regular physician. Clinical features: The patient is in antalgic gait, moves with difficulties. "Lazarevic" movement probe on the right was on 30 degrees, and on the left on the 40 degrees. Feet movement is possible. Anteflexion is reduced. The patient is sitting with difficulties.
X-Ray of L-S spinal area is attached.
Dg: Lumboischialgia 1.dex.
Th: Voltaren, Apaurin, Dexametason (1 each second day) amp. NO VI
To consult the neurologist
To plan the CT scan if the condition does not improve
CT Scan reading
The scan was conducted in native series of axial intersections on 5 mm through i.v. areas in levels L3-L4, L4-L5, and L5-S1.
Pathological changes are not seen in the soft tissues paravertebrally.
Initial degenerative changes are seen on the bone structures in anti-corporal and lateral-corporal directions .
The spinal canal is of a normal width.
I.V. area is narrowed in the area L5-S1.
There are neither signs of herniation of i.v. discs, nor any compressive phenomenon on cauda equine and related radix.
To consult the specialist in neurology.
Referral diagnosis: Lumboischialgia bil.pp.dex.
Anamnesis: The pain in the lumbus and sequentially down through the right leg
Physical check: Neurological assessment: No lesion of PMN.
Tests: CT Scan of L/S spinal area is attached.
Diagnosis: Lumboischialgia bil.pp.dex.
Therapy: Lubor 20mg caps 2x1 Luborette ung. Externally. Spa physical treatment.
Recommendation: Control check after 1 month
I also started urinating frequently feeling a burn and certain dose of pain, which also was my condition in the past, but I never paid so much attention to it. Just to clear any doubt in my mind, I requested the specialist doctor to conduct the ultra sound scan of my entire abdomen, and it was revealed that I had several infections of the prostate in the past, with an ongoing one currently. Both prostate and bladder were of increased size. Both kidneys were fine. No stone was detected in any area. The doctor said my liver was covered in fat, which only confirmed the high cholesterol and triglicerids reading that did not change for almost 2 and half years. The doctor gave me and my wife the NORACIN antibiotics to take for extended period of time. Neither my wife nor I have had a different sexual partners in the past, and I think it was me primarily who was infected first. I suspect the water I used to take shower, wash the dishes and loundry was/is not purified enough by the landlord in Haiti or eventualy the A/C unit in the office or official vehicle, since both were not maintained properly and filters were changed every once in a blue moon. The official vehicle was shared by many staff. The doctor said if antibiotics do not help, a sample will be taken to detect the bacteria for further treatment.
Furthermore, in regard to the lower back pain, both the radiologist and neurologist said I should protect my lower back from direct exposure from cold. MRI was not done yet for the reason explained before, and I have been advised to consult the surgeon for removal of the splinters before the MRI scan.
My question now is:
Can it be that infections of my prostate, and its increased size are somehow connected with lumboischialgia I was diagnosed with as well? Is the I.V. area which is narrowed in the area L5-S1 somehow related to the nerve block or eventual infection of the nerve(s)? I am sorry if my questions are a bit stupid, but I am just curious and concerned over any detail at this time, and would like to ask the doctors the right questions and be as straight to the point as possible since all the specialists I consulted are working in the state hospitals and do not spend much of their time per the patient. Other than that, I also do intend to upgrade the level of checks and consult either the private practitioners or a specialized clinic outside the country in order to get to the point and have appropriate diagnosis and treatment(s).
Thanks a lot in advance once again.