My next orthopedic appointment is in February and I don't know what to do. A year ago, I was at two orthopedic surgeons and one said that it was necessary to operate, and the other that it was not necessary. Is there maybe another way to reduce pain and function normally. Here is the last description of my X-ray from December this year. "Lumbar lordosis abolished. L4 / 5 stenosis, slight L3 / 4 stenosis and posterior L5 / S1 stenosis. Degenerative changes at the edges of L3-5, S1 bodies. Right-sided curvature of the L spine with vertebral rotation"
A detailed opinion on the treatment of degenerative changes found in your case can only be issued by a doctor after examining you in the office and reading the x-ray of the lumbosacral spine (cliches plus description). The inoperable treatment of such ailments is de alt with, apart from orthopedists, also by neurologists and specialists in rehabilitation medicine. Be sure to try and get advice from one of the specialists listed. Please also remember that surgery is the last step. Factors predisposing to the formation of degenerative changes and, consequently, pain in the lumbosacral spine include excessive lifting (and thus overloading the spine, sedentary lifestyle (especially taking up incorrect, distorted postures) and being overweight. factors that predispose or worsen back pain, it is necessary to correct it. Good gymnastic exercises are very helpful in relieving pain in the spine - however, they should be determined by a physiotherapy specialist, because wrongly selected exercises can aggravate the pain. Generally, a good type of sport, helpful in reducing swimming is such ailments - the muscles in the water are relaxed, which in turn leads to the reduction of pain.You should know, however, that in the case of changes in the sacro-lumbar region it is generally not recommended to swim with a "frog" - because I know this style can make my pain worse. Using the swimming pool should not involve professional swimming, rather it should be simple games in the water that give a feeling of pleasant relaxation. In severe casesThe use of over-the-counter pain reliever paracetamol is an ad hoc help.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Krystyna KnyplInternist, hypertensiologist, editor-in-chief of "Gazeta dla Lekarzy".
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