News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter   
 

 Headlines:

 
 

Doctors Lounge - Orthopedics Answers

"The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician."

Back to Orthopedics Answers List

Forum Name: Spinal problems and back pain

Question: Pars Defect and Degenerative Disc


 SLPate - Wed Aug 16, 2006 11:45 am

My 17 year old son started having lower back pain 5 months ago. He is 6'1" and is a basketball player. He has been diagnosed with a pars defect bilateral and a degenerative disc of the L5. He has not had surgery and is currently undergoing PT. Of significant note, he has extremely tight hamstrings, making bending and flexing a problem. He now has periodic pain/numbness in his legs. The pain is sporadic; does not occur daily or on the same side. It occurs in one or both legs. It happens freguently when driving, but has also occured when sitting or standing. A second MRI does not show compression of the nerves. Could this new symptom be indiciative of an underlying systemic problem or a normal symptom of his condition? At what point do we become concerned that the disc is progressing? Please advise. He's wanting to play varsity basketball this season and has been given the ok if he can tolerate the pain.
Thank you
Lynn
 Dr. Safaa Mahmoud - Thu Aug 17, 2006 1:03 pm

User avatar Hello,

Not all individuals with degenerative disc lesions have symptoms. Athletes like basket ball players are more likely to have symptoms at some time as certain back movements can exacerbate any existing back problem.

In most of the cases the primary cause is muscle spasm. An associated Muscle spasm alone can cause or aggravate the pain due to disc lesions.

Physical therapy, certain exercises, epidural steroid injections, non-steroidal anti-inflammatory medications, and regulating daily activities during pain period are the main approaches to control the pain non surgically.

The effect of treatment may be gradual but clear and periods of acute pain may last for 3 month.

Surgery for disc herniation is only considered if symptoms are not controlled after at least one month (6 weeks) of medical and conservative treatment, or in very complicated cases with serious symptoms.

MRI results are very important in the diagnosis of vertebral changes, but the clinical picture, I mean the complaints and the physical examination are more important to determine the management approach.

|

Check a doctor's response to similar questions

 

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us

 
Copyright © 2001-2010
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME Articles

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

We subscribe to the HONcode principles of the HON Foundation. Click to verify.We subscribe to the HONcode principles.
Verify here