Lumbodynia amid spondylarthrosis or aseptic necrosis of a vertebral apophysis

Question from Bulat:

Hello, dear doctors and readers! I will try to explain everything briefly: I'm in pain in the lower back that I got when lifting a heavy object and in case of unsuccessful game of football (gradually, so to speak): it hurt, run it could not, but hoped that it would pass. However after a month or two the pain disappeared. Had MRI of the spine. Was diagnosed with lumbodynia, due to something in the form of a spondylarthrosis (more info can be found on the drawings in the reference below).

Treated, pain treated for a very long time, but the most sad that I can't run so far! Actually question: whether the correct diagnosis was made and how the doctors would advise you to be treated? Please answer after analyzing the results of the MRI. Really really want to start training.

Answer:

Thank you, Bulat, for the question and the provided materials. Your medical history is of interest. The fact that spondylarthrosis exists in almost every human being (and gastritis). "Shove" it back pain would be wrong.

Interesting, but in the analysis of magnetic resonance imaging doctor of beam diagnostics indicated that there is a fragmentation of the vertebra. All the other doctors paid no attention to her. However, there is such a diagnosis as aseptic necrosis of a vertebral apophysis. It occurs on the background of hemorrhage in the trauma of the vertebrae. If we analyze the MRI scans and there, in the area of the apophysis of the body of the 5th lumbar vertebra, there is an isolated fragment. He suspected aseptic necrosis or chondropathy L5.

For lumbodynia in this case, there is no objective data. When magnetic resonance imaging revealed no hernias or protrusions. In the analysis of pictures (although the quality is not very good) we have not seen objective evidence indicating impairment of the nerve roots in the spine, which resulted in the lumbodynia.

If we're right and you aseptic necrosis, rational administration of drugs to improve the blood supply to the spine (pentoxifylline, cavintone), removing the static load of the spine. However, this disease can be treated for a very long time and requires periodic dynamic state control of a vertebra using x-ray or MRI.

unfortunately, Bulat, intense exercise is contraindicated for you!