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lytic lesion of spine

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lytic lesion of spine

Posted by Patty [6464.1351] on June 25, 2008 at 00:02:18:

Hi Walt, I'll try to be as concise as possible. I am 38 y/o female. I suffered a knee injury doing aerobics about 3 months ago and tore cartiledge. Not a big deal, but it left my right leg about 1/4 inch shorter than the left one, which threw off my gate. Prior to that, it had only been 1/16 inch shorter. I was measured by my chiropracter last year and way back about 20 years ago after a car accident.

The gate problem led to pain around the Sacral-Iliac joint on my left hip (so I thought). Very tight and intermittently painful. I have always been tight back there, so didn't push the issue too much. Then when I saw the ortho surgeon for f/u on my knee. I mentioned it again. They did L/S and pelvis xrays. They showed a "spot" on my spine.

Had an MRI. Nothing showed up in the S-I joint area that they could specifically identify as a problem. They said I did have early arthritis in my lower back. The big problem is they also found what they are calling a "lytic lesion"--single, encapsulated, not causing inflammation or compression of the spine at L1-L2.

I am scheduled for a bone scan on Friday. Told me that it could be 100 different things and couldn't give me a diagnosis yet, but the scan results could lead to the need for a biopsy.

I'm not thrilled at the idea of having a needle stuck in my spine, but I will if I have to. Really, what could be some causes for this "lytic lesion" other than cancer? My internet searches keep directing me to oncology websites! Thanks

Patty

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Re: lytic lesion of spine

Posted by ChironDave [8027.20] on June 25, 2008 at 06:18:37:

In Reply to: lytic lesion of spine posted by Patty [6464.1351] on June 25, 2008 at 00:02:18:

A good chance you just have a hemangioma and the same sacroiliac problem that MRI is not going to identify and an Orthopod is (unfortunately) not qualified to evaluate. Mainly because they have no treatment for SI dysfunction so the problem doesn't exist.

Bone scan and biopsy if necessary is the way to go to rule out anything serious there but I doubt that it's the source of your pain at this point.

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Re: lytic lesion of spine

Posted by Patty [12128.1351] on June 25, 2008 at 14:24:53:

In Reply to: Re: lytic lesion of spine posted by ChironDave [8027.20] on June 25, 2008 at 06:18:37:

thanks Dave. I appreciate your input. I hope it is a hemangioma and does not require follow up. But everything I read keeps saying "radiation, surgery, etc." quite scary when you are talking about your spine! I wish I knew what to do about the pain in my S-I joint. I get adjustments and massage therapy, but it has not helped at all. I also do yoga and have started swimming recently. Any other advice there? It's hard to know what to do when you don't have a diagnosis.

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Re: lytic lesion of spine

Posted by Ron [3468.2287] on June 25, 2008 at 23:16:23:

In Reply to: lytic lesion of spine posted by Patty [6464.1351] on June 25, 2008 at 00:02:18:

Hi Patty,

A 1/4 inch difference in leg length is something that we all might have, is we took the time to get checked..
One leg being slightly bowed could cause that.. So could a past fracture..

How someone could tell you about a 1/16 inch difference
is beyond me..
Loss of cartilage can cause a shorter leg, so an X-ray of suspect joints could be a big help to find out where
cartilage is thinner.
The Dexa Bone scan is even better, because it will detect early osteoporosis and give you a Bone Density number that you can use to compare to future tests.

Did they use the words Ankylosing Spondylitis when they discussed your lumbar area?

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Re: lytic lesion of spine

Posted by Angela [8242.4625] on June 26, 2008 at 00:32:28:

In Reply to: Re: lytic lesion of spine posted by ChironDave [8027.20] on June 25, 2008 at 06:18:37:

I went 1 1/2 years to 2 different chiropractors (and I believe in them) and they couldn't help me with hip and thigh pain caused when I fell from a standing position sledding down a small snowy hill. Then I got this book http://www.amazon.com/Minutes-Pain-Free-Life-Groundbreaking-Prevention/dp/0743476476/ref=sr_1_1?ie=UTF8&s=books&qid=1214458139&sr=8-1
The pain comes back if I go too long without doing the exercises but at least I get rid of it when I do them. Hope this helps.

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Re: lytic lesion of spine

Posted by Walt Stoll [93.3349] on June 26, 2008 at 06:16:59:

In Reply to: lytic lesion of spine posted by Patty [6464.1351] on June 25, 2008 at 00:02:18:

Hi, Patty.

Unfortunately ANY "lytic lesion" needs to be evaluated! If this was in MY back I would not hesitate to have a needle biopsy if that was recommended.

Let us know what you learn from all this. I wish the best for you.

Walt

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Re: lytic lesion of spine Archive in chiropractic.

Posted by Walt Stoll [93.3349] on June 26, 2008 at 06:48:17:

In Reply to: Re: lytic lesion of spine posted by ChironDave [8027.20] on June 25, 2008 at 06:18:37:

Thanks, ChironDave!

It surely is helpful for the BB participants that you are here to contribute your expertise!

Walt

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