I need help with a client (born 1929, slim and always been active, today in not bad shape
in spite of his probems) who had a cyst removed from the facet joint to the right side on
L3-4 segment.
He was operated in november 2006, due to gait problems, back pain and decreased
power in his legs/feet. CT showed nothing, borrelia test negative, MR showed a cyst at L3-
4, and secondary spinal stenosis at L3-4 and L4-5. Operation included decompressive partial facet ectomy at L4-5 bilateral and at L3-4. And the cyst removed successfully. Blood tests showes no deviations, (Red blodcells 146, good kidney and sugar values)
Today almost 1.5 years after he still can’t walk properly, has atrophied tib. anterior on
both sides with no strenght at all i those muscles (=cannot dorsal flex his feet). Orthopedic examination showed that he has intact nerv signals to the feet and therefore
case closed!
TVA 60% .Measurement of his Lumbal section shows that he has a total of 10 degrees
(S/LX 0 + LX/TX 10) which we try to correct with foam roller, of course carefully due to his
spinal stenosis. I also make him do a lot of squats with support, H.S dynamic, a lot of cross patterns,
standing, sitting and lying down. SLBR and LA1 now progressed to LA2 and daily he tries to
dorsal flex his feet whenever possible. He also drinks lots of water with sea salt since our first session 5 weeks ago and double dosage of omega 3. Fysios have done TNS (electrical stimulation) with no effect. Anyone has any idea??!! PLEASE!
The tib ant is inn by the L4 nerve root (deep peroneal nerve) and gets some inn from L5 as well. It sounds to me that the stenosis may be foramenal, but also can be nerve canal stenosis. As well, have you assessed for any disc derrangements? If not, this is where I would start. AS well, I would reassess him using all your assessments, as well as dermotomal and myotomal testing. Is he shifted, any radicular pain, when is his pain worse, etc?
As well, there might be scar tissue from the surgery (which is likely) that is impinging on the L4-L5 segment.
Joshua Rubin
www.eastwesthealing.com
April 29, 2008
Posted by
Josh and Jeanne Rubin |
Pain, Rehabilitation |
facet joint inflammation and surgery |
1 Comment
Some things I would look into, as well as ask yourself:
1. Did the client go off all probiotics at least 2-4 wks before taking the stool test? If not, I typically see labs come back with nothing on them. I request clients go off probiotics for at least 2-4 wks, depending how long they have been on them.
2. If she does not have a fungal infection, did she before? If not, why all the herbs, cleanses and protocols?
3. I am sure you know, but the 4R program is more than just food elimination. AS well, typically a client needs 90 days of food elimination and erradication of other pathogens, etc before I move them to the second phase (replace) of the 4R program.
4. When you see things further away from the center of the body, typically they are more systemic. My intuition tells me that she most likely had and still has a fungal infection. I would continue on the fungal diet for at least 6 months.
5. I would do a retest just for HP and fungus.
6. I have found that clients with these issues a lot of the time have heavy metal toxicity as well from their job, hygeine products, fillings and so forth.
7. Make sure if she does have HP that she stays away from raw eggs, raw chicken and sexual fluids (until loved ones are tested).
With the info that you gave us, this is what I can recommend. Sometimes having another NLC practitioner assess her paperwork helps get some insight into what is going on. Everyone has the same forms, but some use different techniques and philosophies to dive deeper into behind the curtain.
Joshua Rubin
April 29, 2008
Posted by
Josh and Jeanne Rubin |
Digestion, Disease, Functional Medicine, Nutrition, Support Supplements |
H.Pylori symptoms |
1 Comment