Last May I tweaked my lower back pretty good, never felt pain like this before. Rested it, iced it, heated it, stretched it, did a few months of therapy, no improvements. Other than few gingerly ski runs in Sept I was off the water the entire summer last year.
Finally went to my GP and then a specialist in October who ordered an MRI which showed a compression fracture of the L4 vertebrae. It was not a normal outward type fracture but rather a fracture on the top of the vertebrae which allowed the disc above to seep down into the vertebrae. Technically I believe its called a Schmorl’s Node. He recommended continued rest, minor stretching to keep it loose, over-the-counter pain meds if needed, etc. and we would review it again in a few months.
Had another MRI last week and met with the specialist yesterday. Basically, there is no change, no improvement, and he has now suggested 3 options:
Continued rest, can use a back brace if I would like to, and basically wait it out and see if there is any improvement a year from now. Based on the type of fracture and no sign of improvement after 9 months he has very little confidence that this will be a long term solution.
Kyphoplasty – minimally invasive procedure where they insert a balloon into the vertebrae, blow it up to expand the vertebrae to its normal size/height, and then fill it with a bone cement. He has done this procedure many times with a very high success rate. But, he’s never done one on my top down/inward type fracture. He believes it will be successful but certainly not as confident as he would be with a normal compression fracture.
Spinal Fusion - If Kyphoplasty does not correct the vertebrae then consider spinal fusion. Nope, I’m not ready to consider this just yet.
If there’s anywhere to ask about back issues, this is surely the place. ? Has anyone here had, or know anyone, who has had a Kyphoplasty procedure done? If you have what was your experience: good? bad? risks? recovery?