Numbness

[Wicked_Concepts]

Back in Feb. I had lifted a heavy box wrong and felt my back tweak. I informed my work but they still made me work and lift heavy objects. Finally after working 2 months with this the pain was to much, and was occompanied with partial numbness to the back of the right leg, *** to foot. The MRI came back: Mild dextroscoliosis of the lumbar spine is seen without acute fractures, Dislocations, lytic or blastic defections or congenital anomalies. The intervertebral disc spaces appear to be adequately maintained. There were no perivertebal soft tissue masses, calcifications or bone adnormalities. Mild facet hypertrophic changes.



IMPRESSION 1.Mild dextroscoliosis and DJD lumbar spine.

Im going to see a specialist this week but was told he has no bed side manners and if I faltered with uh... welll... uh... he basically walks away so I ask this hoping for a mild understanding of whats wrong.

[rekha48]

five years back i was diagonised with dextroscoliosis idiopathic adolosence..i was askd to wear the brace..bt due to diffculties i could not..now gradually i feel as though there s diff n my shoulder level..and there was severe pain n the legs.bt now the pain has subsided and for the past few days i feel numbness n my right leg..and the numbness n the right leg increases if i sit for a long time..can u pls tell me what i have to do...

[Neuro Forum]

RACZ, or epidurolysis, is an injection procedure that I do not have experience with and my knowledge is limited regarding it. I will therefore defer from commenting, but I encourage you to see the pain management physician you have been referred to for his/her opinion, and I think it's good that you have established care with a neurologist, so that he/she can further address your symptoms including the pins and needles sensations and coccygeal aching. Good luck

[mrsdaffodil]

What is your opinion of RACZ? My neurologist has referred me to pain management after my  latest MRI indicates severe scarring impinging nerves L4-5 area. I had surgery many yrs ago (33) I  have osteoarthritis, fibromyalgia, restless legs & the past few months have :constant aching legs" pins & needles on bottom of both feet. Low spinal pain in cocix are has developed when sitting. Should I be concerned about Arachnoiditis? Using heat is comforting & Vicodin helps but the "aching" stays all day.
Any insite or advise you can give me would be appreciated. I have a consultation on June 12th with pain mangement.
Thank You

[Neuro Forum]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.

It sounds like you had an MRI which showed dextroscoliosis and DJD.

I would be happy to describe to you what dextroscoliosis is. Normally, the spinal column has certain curves that are normal and necessary to maintain mobility. Scoliosis refers to abnormal lateral (side-to-side) curvature of the spine, similar to, for example, the letter 'S'. When the curvature to is to the right (when viewed from behind), the prefix 'dextro' is used, hence dextroscoloiosis. Levoscoliosis is curvature to the left.

Scoliosis is not uncommon. It has some causes (primarily conditions diagnosed in childhood that are often genetic/developmental) but in the vast majority of people it is what is termed 'idiopathic' or without a known cause in otherwise healthy people.

Whether or not scoliosis is treated depends on several factors including the degree of curvature. In children and adolescents, treatment may include bracing or surgery.

I am unable to discuss with you your need for treatment given that I am unable to examine you and take a full history. However, it is possible that your symptoms are entirely unrelated to your scoliosis. For example, they may instead by muscular, though the symptoms down the back of your leg may not be consistent with that. The partial numbness at the back of your leg may be neurologic.

DJD means degenerative joint disease, basically arthritis of the spine. It is very common, particularly as a person ages. When DJD is severe or in a particular location, it can compress on the nerves exiting from the spine, causing pain and other neurologic symptoms. It sounds like the report of your MRI reads 'mild DJD' in the facet joints which are part of the joints of the vertebrae (bones of the spinal column). Based on the MRI, your physician will be able to determine whether or not the DJD is compressing nerve roots or other areas of the nervous system.

Thank you for this opportunity to answer your questions, good luck.