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Family Medicine (Expert Forum)
Spine Compression from Uterine Ablation
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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Spine Compression from Uterine Ablation
by Suett, Mar 29, 2007 12:00AM
Hi All,
I am a 52 year woman who had an utrine ablation in Dec '06. Since then I have had lower back pain and lower right abdominal pain(I thought was just a pulled ligament). I woke up with this pain in lower abdomen in the recovery room.
The lower back pain is getting worse as time goes on. I thought it was from a recent diagnosis of hypothyroid but xrays revealed the following. Any help would be appreciated and do I need surgury? It hurts to sleep, sit and bend . . is walking OK?
Thanks, Sue
SPINE LS BENDING ONLY
** HISTORY **:
LBP x 3 months.
** FINDINGS **:
Very mild compression deformity suspected in the lower thoracic
spine (T12). Alignment anatomical. No subluxation on flex/ext
maneuvers. Bones are diffusely osteopenic. No lytic/blastic
changes are noted. Otherwise within normal limits.
I am a 52 year woman who had an utrine ablation in Dec '06. Since then I have had lower back pain and lower right abdominal pain(I thought was just a pulled ligament). I woke up with this pain in lower abdomen in the recovery room.
The lower back pain is getting worse as time goes on. I thought it was from a recent diagnosis of hypothyroid but xrays revealed the following. Any help would be appreciated and do I need surgury? It hurts to sleep, sit and bend . . is walking OK?
Thanks, Sue
SPINE LS BENDING ONLY
** HISTORY **:
LBP x 3 months.
** FINDINGS **:
Very mild compression deformity suspected in the lower thoracic
spine (T12). Alignment anatomical. No subluxation on flex/ext
maneuvers. Bones are diffusely osteopenic. No lytic/blastic
changes are noted. Otherwise within normal limits.
Doctor's Answer
by Kevin Pho, MD, Mar 30, 2007 12:00AM
, Mar 30, 2007 12:00AM
The plain film does not suggest any bony abnormality. I would consider more comprehensive testing at this point.
A nerve conduction study can be considered to evaluate for neuropathy or pinched nerve. A back MRI can also be considered to look for a herniated disk or ligament damage.
At this time, a referral to an orthopedist or physiatrist (rehabiliation MD) can be considered.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
A nerve conduction study can be considered to evaluate for neuropathy or pinched nerve. A back MRI can also be considered to look for a herniated disk or ligament damage.
At this time, a referral to an orthopedist or physiatrist (rehabiliation MD) can be considered.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
