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Could my back problems be neurological in nature? 25 years

 
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  • Answered by:Dr. Mark
  • Neurologist (MD)
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Customer Question

Could my back problems be neurological in nature? 25 years ago I was diagnosed through my work comp injury I had 2 herniated disks. I lived at the chiropractor for the first 2 years and throughout the last 20 always have had to get regular adjustments 2-3 times a month usually for pinched nerves in the L4,5. A couple years ago, I had a pain episode so back I couldn't breathe. Shooting pains everywhere throughout my back. The pain clinic Dr gave me nerve facet shots, epidurals and finally some strong IV medication which at last brought me relief. I was in her office for over 6 hours and she had no explanation whatsoever for what was wrong with me. Now in the last year, i get cramps or spasms in my back many times when I lay down. It's almost impossible to sleep no matter what I do. I have moved to Ecuador, and the last chiropractor I went to actually sat down with me to discuss my problems. He told me an xray does not determine a herniated disk which is the only thing I had done at that time. Subsequent MRI's, scans, xrays show nothing only a slighter higher pelvis on one side. He told me to talk to a neurologist as that was the problem.

 

Optional Information:
Person's Gender: Female
Person's Age: 55

Already Tried:
Chiropractic care for dover 25 years, all facets of that care. Some acupuncture, massage. I work out regularly to keep my back from being stiff, but no matter what type of exercise I do I am in constant pain. Even swimming hurts.

Submitted: 378 days and 14 hours ago.
Category: Neurology
Value: $28
Status: CLOSED
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Expert:  Dr. Mark replied378 days and 14 hours ago.

Well, without reviewing the MRI of your lumbar spine, it is difficult to know if your issues are neurologic in nature.

 

Xrays do not diagnose herniated discs -- so that advice was correct.

 

It would be helpful to know what the actual MRI of the lumbar spine report showed in your case.

 

But certainly, having an appointment with a neurologist would be helpful in determining the cause of your pains, and to see if it is an issue with the lumbar spine, or perhaps another issue, such as fibromyalgia, or another myopathy or neuropathy.

Customer replied378 days and 14 hours ago.

My MRI showed nothing. As I stated, nothing shows up in any scan I've had so the Dr's never tell me anything is wrong. They act like it's in my head. I know I don't have fibromyalgia as I would be hurting all over, and I know others who have that. My pain is only in my back. I was told once I have narrowing of the canal in my back whatever the heck that means.

 

I know you can't diagnose, but your answer was hardly what I was looking for. What is the difference between myopathy and neuopathy?

Accepted Answer

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Expert:  Dr. Mark replied378 days and 14 hours ago.

Well - if you have narrowing of the spinal canal in your back -- that is called "lumbar stenosis".

 

This would be apparent on your MRI.

 

Which is why I think you should get the actual report of your MRI, instead of being told that your MRI showed "nothing".

 

Myopathy is an issue with the muscles, such as an inflammatory disorder that can cause muscular pain.

Neuropathy is an issue with the nerves, that can cause a "burning" type of pain.

 

I'm sorry, but you have to realize that it is very difficult for us to know what is going on, especially since your own doctors, who have seen your imaging scans and examined you have no idea. This would be best evaluated by a neurologist in person, who can actually review your MRI pictures.

Expert TypeNeurologist (MD)
Category: Neurology
Pos. Feedback: 96.2 %
Accepts: 1985
Answered: 5/8/2012

Experience: Neurosurgeon - Brain, spine, and peripheral nerve surgery

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