The cause of Lucy’s lumbar pain was initially hard to pinpoint.
The cause of Lucy’s lumbar pain was initially hard to pinpoint. While MRI scans showed degeneration at L3/4, L4/5 and L5/S1, and a SPECT-CT scan confirmed there were no tumours, there was also no obvious generator of Lucy’s pain.
Over the following eighteen months, Lucy had a series of spinal injections which relieved her pain. It was very clearly explained to her that the analgesic effects of the injections would wear off after some months, and that she was being provided with a pain-free window of opportunity to enable her to fight her condition with rehab. Tom referred Lucy for physiotherapy to help strengthen her spine and the surrounding stabilising muscles. As she suffers from hypermobility, he also recommended Pilates based exercises.
Lucy started seeing physiotherapist Michelle Lewis to start an active rehabilitation programme and reformer Pilates. By the summer of 2016, Lucy was doing her exercises daily, regular physio and reformer Pilates sessions and preparing for her wedding, yet despite her dedication to her rehabilitation and being in the best physical condition of her life, the pain was worse than ever. Going back to see Tom, he confirmed that her condition had become exacerbated despite all of the hard work she was putting in. Having been very cautious of operating, it was now time to review her options as new imaging showed marked modic inflammatory changes at L4/5, identifying this disc as the main pain generator.