In this video Dr. Castanet will show you this lumbar MRI, a herniated, extruded L5-S1 disc, what normal discs look like in comparison, and explain this person’s symptoms and how they differed from her clinical presentation. In other words, her symptoms and MRI findings were a bit discordant, as sometimes is the case.

This patient had left lateral hip and thigh pain that did not radiate any farther down the leg. The disc herniation and extrusion were actually a little more toward the right side. Usually the symptoms and the lesion will be concordant, i.e. on the same side, but occasionally this is not the case. The patient’s pain varied from a constant 4/10 in severity to an occasional 8/10 in severity. It was not incapacitating pain but it was annoying because it was everpresent. She did a total of about 8 treatments and her pain was resolved.

For most neck and back pain, the most effective treatment is to decompress the spine. The reason for this is that the aging process results in a progressively compressed spine and this gives rise to pain from 3 common sources- the disc, joint or nerve. And in my experience, providing the treatment of spinal decompression has been the most effective treatment for these problems. And its superior efficacy is by a large margin, not just a little more effective. The reason is that this slowly progressive, degenerative, compression of your spine will occasionally “insult” a tissue like your disc, joint or nerve, causing an inflammatory and painful response. And by decompressing these tissues, the inflammation is reduced and the pain dissipates over hours and weeks, depending upon how bad the problem is.

If I can help you with your neck or back pain, please call 404-558-4015. I’m in Decatur, Georgia and I’m Dr. Castanet, in practice since 1987, with 18 years experience in orthopedics, physical medicine and physical therapy, and another 5 years in a neurosurgical practice.