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Neurology (Expert Forum)
T-Spine Disc Bulge
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T-Spine Disc Bulge
by Augusta, Aug 19, 2004 12:00AM
I fell in down some stairs March and hurt my back. A knot came up over my mid to lower back I went to Dr and got anti-inflamm and pain meds. It felt better but never totally went away. I had an MRI last week and it showed that I had a small focal disc protrusion at T10 and T11.. And endplate deformities with Schmorl nodes at T12-L1, L1-L2, and L2-L3 levels. I am being referred to have injections and therapy. I can't find anything about Schmorl nodes anywhere. I am only 30 and I have spoke with people who have had the injections and therapy and they all ended up having to have surgery. Would it be crazy to want to go ahead and have the surgery first:? Can the Schmorl nodes be fixed? I have really been in a steady pain the past 2 weeks. I have some tingling in my legs and I can't sit in straight back chair or any where without back support. I sat on the floor and when I finally got up I was really hurting and my back was sooo stiff. I do not want to battle this the next 2 years I want to get it fixed so I can get on with my life. I have two small children and I want to stay active with them. I have been taking anti-imflamm and pain med and using ice and heating pad faithfully the past 2 weeks. What is your opinion on this?
Doctor's Answer
by CCF-Neuro-M.D.-CS, Aug 22, 2004 12:00AM
Without reviewing the films and your examination I cannot provide specific advice. However, given the description of your spine, it does not appear that surgery is imminent. Anti-inflammatories and physical therapy are typically the first line treatments utilized. The Schmorl nodes are areas of reaction in the spine, related to the degenerative changes. None of these findings can be felt at the surface of your skin. The bump you felt was most likely a muscle spasm. If this is still a problem a trial of a muscle relaxant may be of some use. Good luck.
Spine surgery helps the vast majority of people who have it but some it does not help and some people have increased pain afterwards. The best advice anyone could give you at this point is to have more than one opinion from a qualified doctor and to educate yourself on your specific condition.