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I got the MRI on my spine results


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This is what my Dr. sent @TUFKAK

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Central disc osteophyte complex at T6-7 contributing to thecal sac effacement and mild compression of the ventral cord surface. 2. Central to right paracentral disc osteophyte complexes from T7-8 through T9-10.

 

FINDINGS: The vertebral bodies are intact throughout the thoracic region. There is no evidence of fracture or marrow infiltration. Disc space height is well maintained. There is central disc osteophyte complex at T6-7 contributing to thecal sac effacement and mild compression of the ventral cord. There is mild right paracentral disc osteophyte complex at T7-8 and T8-9 and mild central disc osteophyte complex at T9-10 also to mild to moderate thecal sac attenuation. There is otherwise no high-grade central spinal stenosis. The cord signal is normal. The paravertebral soft tissues are intact. The lumbar spinal canal is of adequate size throughout. There is early disc degeneration at L5-S1 accompanied by very minimal disc bulging. The remaining lumbar vertebral discs are grossly intact. The paravertebral soft tissues are unremarkable.

I've been trying to get ahold of a spine specialist but it's been hard to get in contact with them.

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5 minutes ago, TUFKAK said:

I’m just an ER nurse, aka generalist, but this doesn’t seem that bad, bone spurs are a bastard but it’s not debilitating. Did you get a pt/ot consult?

I had the MRI this past Friday. On my Mychart app my PCP sent this note with the results. I haven't scheduled anymore physical therapy sessions yet but I can get 4 more sometime soon. I'll probably try to schedule those tomorrow for next week.

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MRI not normal. Please see a spine specialist soon as possible.

I've been trying to schedule with the spine specialist but can't get ahold of them. I was told before he's only in town 1-2 times a month.

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27 minutes ago, Remarkableriots said:

I had the MRI this past Friday. On my Mychart app my PCP sent this note with the results. I haven't scheduled anymore physical therapy sessions yet but I can get 4 more sometime soon. I'll probably try to schedule those tomorrow for next week.

I've been trying to schedule with the spine specialist but can't get ahold of them. I was told before he's only in town 1-2 times a month.

Next time you go ask the therapist for a list of exercises you can do moving forward. It sounds as if some basic posterior chain work would be beneficial but I don't know all your limitations and I am hesitant to provide a routine in your case over the internet in light of that MRI read.

@Spork3245 Thoughts?

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1 minute ago, best3444 said:

I see one Chiropractor on YouTube that litteraly saves lives with one technique he calls "the ring dinger". He pulls the patients head towards his body and aligns everything from the neck to the feet. 

No way I’d let him do that. 

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36 minutes ago, best3444 said:

 

You should see the patients relief after he does it. Let me see if I can find it. It's like a 1 minute video. 

 

Videos are too long. I won't post it. 

I wouldn’t watch it anyway. I remember when Kramer did it on Elaine. 

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On 1/1/2024 at 7:09 PM, TUFKAK said:

Next time you go ask the therapist for a list of exercises you can do moving forward. It sounds as if some basic posterior chain work would be beneficial but I don't know all your limitations and I am hesitant to provide a routine in your case over the internet in light of that MRI read.

@Spork3245 Thoughts?


Likely going to be a lot of glute minimus, glute medius, and QL strengthening and/or stretching exercises, probably psoas as well. I definitely am not going to recommend anything specific exercise or stretching-wise over the internet for this either, though. I do think @Remarkableriotsshould ask his eventual PT about adding yoga 2-3 days/week maybe: I’d recommend getting DDP Yoga (no, really) if they think yoga would be beneficial. DDP Yoga really does remove most of the more non-sensical pieces that are sometimes in yoga and focuses on functional stretching and strength building.

@Paperclypis a PT IIRC and would probably have the best insight on what to expect for treatment.

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@Spork3245 I'll ask them about that. I have to schedule four more upcoming sessions tomorrow for PT.

 

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Lumbar 4 view XR to rule out instability

Patient has completed 6 weeks of dedicated PT for lumbar spine, also trial of flexeril and gabapentin for pain management. Due to continued complaints, recommend MRI lumbar spine without contrast to assess for nerve root impingement that may be leading to LE symptoms. Patient is also a diabetic last A1C 4.9, controlled, however sensory changes can possibly also be neuropathy therefore recommend bilateral EMG testing.

I also have an upcoming appointment with pain management, and I need to make a few more appointments for other stuff. I'm not sure where to go for a diabetic eye exam. I have to get that soon.

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1 hour ago, Spork3245 said:


Likely going to be a lot of glute minimus, glute medius, and QL strengthening and/or stretching exercises, probably psoas as well. I definitely am not going to recommend anything specific exercise or stretching-wise over the internet for this either, though. I do think @Remarkableriotsshould ask his eventual PT about adding yoga 2-3 days/week maybe: I’d recommend getting DDP Yoga (no, really) if they think yoga would be beneficial. DDP Yoga really does remove most of the more non-sensical pieces that are sometimes in yoga and focuses on functional stretching and strength building.

@Paperclypis a PT IIRC and would probably have the best insight on what to expect for treatment.

no lie, yoga has made me feel a lot better and much more flexible. hurt my back a long time ago and had on/off pain for a while. any sudden movement or too much high impact stuff like running could mess my stuff up. started doing yoga and eventually felt better than ever 

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On 1/2/2024 at 10:11 AM, best3444 said:

I see one Chiropractor on YouTube that litteraly saves lives with one technique he calls "the ring dinger". He pulls the patients head towards his body and aligns everything from the neck to the feet. 


I say this with 100 percent seriousness: that man is a scam artist and you should never let someone like that manipulate your spine, especially your neck. 
 

I can provide my other thoughts about @Remarkableriots if you want when I have a little more time later. 

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24 minutes ago, Paperclyp said:


I say this with 100 percent seriousness: that man is a scam artist and you should never let someone like that manipulate your spine, especially your neck. 
 

I can provide my other thoughts about @Remarkableriots if you want when I have a little more time later. 

Agree 100%

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1 hour ago, Paperclyp said:


I say this with 100 percent seriousness: that man is a scam artist and you should never let someone like that manipulate your spine, especially your neck. 
 

I can provide my other thoughts about @Remarkableriots if you want when I have a little more time later. 

 

It's not just him. There are tons of chiropractors using the technique "ring dinger". Look it up. The patients feel immediate relief and it's not staged. 

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2 minutes ago, Keyser_Soze said:

I have a technique that works 100% and not a scam

 

You put your head in a vice and then jump and turn your body one way while twisting your neck the opposite way. I call it the ding donger.

 

You will experience relief in seconds guaranteed!

 

So stupid but here again you made me laugh. 

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8 minutes ago, Keyser_Soze said:

I have a technique that works 100% and not a scam

 

You put your head in a vice and then jump and turn your body one way while twisting your neck the opposite way. I call it the ding donger.

 

You will experience relief in seconds guaranteed!

 

I have a similar technique but you use your penis instead of your head.

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1 hour ago, best3444 said:

 

It's not just him. There are tons of chiropractors using the technique "ring dinger". Look it up. The patients feel immediate relief and it's not staged. 


I don’t deny patients feel relief, but they are not feeling relief for the reasons the chiros claim and the risks outweigh the benefits for any cervical spine manipulation. 
 

It is a short term solution to a long term issue and they are using potentially dangerous band aid techniques while justifying it with all sorts of quackery. 

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4 minutes ago, Paperclyp said:


I don’t deny patients feel relief, but they are not feeling relief for the reasons the chiros claim and the risks outweigh the benefits for any cervical spine manipulation. 
 

It is a short term solution to a long term issue and they are using potentially dangerous band aid techniques while justifying it with all sorts of quackery. 

 

Ok but what about my chiropractic experience where I saw this guy a few times and he completely healed my lower back issue? I was 17 when I litteraly couldn't ball anymore. Ever since then I never had lower back pain. 

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2 minutes ago, best3444 said:

 

Ok but what about my chiropractic experience where I saw this guy a few times and he completely healed my lower back issue? I was 17 when I litteraly couldn't ball anymore. Ever since then I never had lower back pain. 

The great thing about the body is it heals over time almost in spite of what we do to it sometimes. That’s the power of those modalities. They give people short term relief in the process of normal healing taking place, and the patient can then attribute causation to the treatment rather than give their body the credit it deserves. I’m willing to bet you could’ve gone to see a man in a magician outfit and a top hat 3 times a week and he could wave his magic wand at your back and you would have had the same long term result. 
 

The fun part about researching this is so much of the information online - including “studies” - is put out there by chiros, so even someone with a nose for skepticism could read into some of it and come to the conclusion it’s what they should be doing. 

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Chiropractic work can be incredibly helpful for recovery from some injuries if you have a good chiropractor (in terms of potentially speeding it up), I think that's hard to deny. However, things that are "out of alignment" will typically eventually go back "into alignment" on their own with time and/or proper rehabilitation (stretching and/or some exercises), but, chiropractic can certainly speed up the relief (especially when it's SI joint related (low back)) via that "short term relief" allowing for more proper rehabilitation via PT/additional means (ie: SI joint pain is lessened so you can now do proper movements for a glute strengthening exercise). That being said, manipulation of the atlas and cervical spine in general are often best avoided - sometimes "relief" that people feel instantaneously is a rush of endorphins that your body is releasing to compensate for and potentially mask an injury that just occurred. 

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4 minutes ago, Keyser_Soze said:

@Paperclyp Remember that user at IGN, Beefjerkme? He was a PT too. Did you ever have the pleasure of working with him?


I did not! I feel like I remember someone being one tho. I’ve only been practicing 9 years. 
 

@Spork3245 the problem is what does “out of alignment” even mean? Nobody’s body is in perfect alignment and it’s a fools errand to try to get it there. When put under scrutiny, most of those manipulations don’t change the position of any given joint anyway. It’s funny that the SI joint is often brought up, as it is one of the most stable and immobile joints in the body, and no health care provider should be telling you it is “out of place,” let alone that their silly maneuver will get it back “in place.” By the way, PTs are in NO WAY immune to this bullshit and they are just as guilty of that type of stuff. 

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1 minute ago, best3444 said:

@Paperclyp @Spork3245 Thank you for the information. For some odd reason these chiropractor vids keep popping up in my YouTube feed. I got addicted to seeing the pops and then the patient's crying afterwards saying the pain they had went from an 8 to a 2. 

 

Once you watch one it'll start throwing more into your feed, and the more you watch the more it recommends

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7 minutes ago, Paperclyp said:

 

@Spork3245 the problem is what does “out of alignment” even mean?

 

That's why I put it into quotations, as in:

Austin Powers Laser GIF

 :p 

 

SI Joint pain is typically more often some type of pelvic tilt of some sort due to weak or tight muscles elsewhere. It's why I said the "short term relief" needs to be done in addition to actual PT. 

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5 minutes ago, Spork3245 said:

 

Once you watch one it'll start throwing more into your feed, and the more you watch the more it recommends

 

But I just don't understand how anything like that entered my feed. I understand how YouTube works lol. 

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Just now, best3444 said:

 

But I just don't understand hie anything like that entered my feed. I understand how YouTube works lol. 

 

Some sort of sport/lifting/athletic/nutrition/health/whatever video you previously watched led to a suggestion of chiropractic for the algo.

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1 minute ago, Spork3245 said:

 

Some sort of sport/lifting/athletic/nutrition/health/whatever video you previously watched led to a suggestion of chiropractic for the algo.

 

Now how do I get rid of these feeds? Just keep ignoring them I suppose?

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3 minutes ago, best3444 said:

 

Now how do I get rid of these feeds? Just keep ignoring them I suppose?

 

Thumbs down them or hit the three dots and select "not interested" every time they pop up. It'll take a day or two but they'll start to disappear. 

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2 minutes ago, Spork3245 said:

 

Thumbs down them or hit the three dots and select "not interested" every time they pop up. It'll take a day or two but they'll start to disappear. 

That happened to me with those screen culture (i think that was the name) videos and that kept popping up. I hate those fake trailers that pose as real trailers.

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