I´m interesting in contact persons with this syndrom, I´m 35 years old and I have the syndrom, I would like to know different experiences, trataments and results.
Do you recomend the surgery to remove the transitional vertebrae, my is in the fith.
I use a spray called RADIAN B from the chemist which takes the bite out of some of the pain it lessons the sharp shooting pains and some of the muscle guard to make it a bit more bareable and i alternate between this and Ibulieve.
Finally can anyone tell me if there also have problems when they lay flat on their back does anyone else have "clicking" in their knees and hips and a build up of tension before the click which is almost unbearable the clicks are very load and hurt sometimes if you've not clicked in a little while, these a generally worse in evening, does anyone else feel very very tired and irritable all the time? and have problems walking?
It is of course a very painful syndrome , there is paucity of data in literature to the best procedure / treatment for this condition.
A review of literature provides this useful information, Hope they may be of help for some of you :
However , before considering on any major surgery , it is worth trying less invasive procedure like viz,/ Facet block/ RF ablation of nerves supplying the hypertrophied L4-5 Facet joint ,that is believed to the the root cause of pain on the side opposite to the abnormal fusion .
These procedures are usually done by an anaesthetist with Interventional pain relief qualifications/ interest.
It is also possible for some patients to have pain on the same side of abnormal fusion at the pseudoarthrosis site.
It is the status of the Disc between the two vertebrae at L4-5 and L5-S1, that dictate the best treatment option for surgical treatment if less invasive eventually proves in effective.
If the disc is healthy , then definitive treatment will be in favour of - Disarticulating the abnormal articulation.
The other set of patients with disc degeneration, Fusion becomes a alternative , with facet resection , leaving the abnormal articulation untouched.
Make the best effort to meet the appropriate doctor.
Take home message :
This condition has varied presentation [same /opp side pain ], that may or may not run down the buttock / leg.
A degenerated disc adjacent the transitional vertebra makes the diagnosis / treatment decision more difficult.
Minimally invasive procedures are worth trying even though at times it may not help / not harmful also if it fails.
Surgical treatment is often individualised , lucky ones can have lifetime relief from this pain.
Have you had the surgery to remove the transitional vertebrae?
How do you feel now.
Did you have disc hernation before surgery?
I´m also interesting in contact persons with Bertolotti syndrom.
mines in the fifth as well as they didnt offer surgery they gave me toradol and tylenol 3 and said do Physio