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Bertolottis Syndrome

I am a 38 y/o man that has recently been diagnosed with a condition knowm as Bertolottis syndrome. I have been a carpenter most of my adult life so I have attributed my severe low back pain/sciatica to years of manual labor. About 4 months ago I had a fall at work which in turn resolted in me having a CT scan and a MRI. I was referred to a spine specialist who diagnosed me with this genetic conditon. After my fall my pain became unbearable. My current spine Dr keeps pushing spinal steroid injections. I have tried them and they DO NOT WORK! I have told him that two years ago I had a series of s

Research, Knowledge and Information :

Bertolotti's syndrome - Wikipedia

Bertolotti's syndrome commonly missed cause of back pain which occurs due to lumbosacral transitional vertebrae (LSTV). It is a congenital condition but is not ...
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Bertolotti Syndrome: A Diagnostic and ... - PubMed Central (PMC)

Oct 01, 2013 · Bertolotti's syndrome (BS), a form of lumbago in lumbosacral transitional vertebrae, is an important cause of low back pain in young patients. The purpose ...
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Bertolotti’s syndrome - Bone & Joint

BERTOLOTTI’S SYNDROME 1185 VOL. 88-B, No. 9, SEPTEMBER 2006 For patients over the age of 50 years with low back pain, plain anteroposterior and lateral lumbar ...
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Bertolotti's Syndrome - Radsource

Radsource MRI Web Clinic: Bertolotti's Syndrome. Clinical History:A 66 year-old male presents to his doctor's office with a history of low back and leg pain
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Bertolotti syndrome symptoms, treatments & patient forums ...

Bertolotti syndrome: Find the most comprehensive real-world symptom and treatment data on Bertolotti syndrome at PatientsLikeMe. 43 patients with Bertolotti syndrome ...
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Bertolotti's Syndrome - Home | Facebook

Bertolotti's Syndrome. 1,627 likes · 9 talking about this. Bertolotti's syndrome is back pain in people with lumbosacral transitional vertebrae. This is...
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Bertolotti's syndrome - Atypical Cause of Low Back Pain - The ...

Bertolotti's syndrome is an atypical cause of axial low back pain or buttock pain caused by a transitional lumbar vertebrae with a large transverse process that ...
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Bertolotti’s syndrome | The Bone & Joint Journal

Bertolotti’s syndrome is characterised by anomalous enlargement of the transverse process(es) of the most caudal lumbar vertebra which may articulate or fuse with ...
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Bertolotti’s Syndrome | Colorado Spine ... - Vail Denver Aspen

Bertolotti’s Syndrome is very uncommon. Many patients diagnosed with this disorder have degenerative facet or nerve root irritation in the lumbar spine.
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Suggested Questions And Answer :

Possible Bertolotti's syndrome?

Chances are pretty likely.  Sciatica like symptoms as well as low back pain are the main complaints of individuals with Bertolotti's syndrome.  There is controversey regarding the outcomes of surgical and non-invasive treatments considering we only make up 4-8% of the population.  Bertolotti's is congenital and case studies I have read explain that it may very likely run in the family.
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Treatment for Bertolotti's Syndrome?

Hi there! The management of the condition would depend on its severity. While mild/ mildly symptomatic cases are usually managed with anti-inflammatory medications and physiotherapy; moderate to severe cases may require interventional/ surgical procedures such as RFA or posterolateral fusion or resection of the transitional articulation. I would suggest discussing the management plan in detail with your treating orthopedician. Hope this information is helpful. Take care!
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Bertolottis Syndrome

I am sorry to hear of your current situation and the difficulties you are encountering. Long-term use of narcotic medications has been a challenge for anyone coping with chronic pain.  Many of the members on this forum have been attempting to manage their pain symptoms with similar barriers. Just recently the FDA is being informed of the effects of the acetominophen compounds present in Percocet and other pain medications.  There is discussion of no longer allowing doctors to prescribe these drugs in significant amounts and/or dropping their use entirely. This will cause many additional problems for all individuals attempting pain management. If you have not consulted with a pain management specialist, it is an option that may provide other approaches to your pain control.  (Also notice the post by Dr. Junig on the right side of the forum page regarding chronic pain.  It might give you additional information that could be helpful for you.) Bertolotti's syndrome is not widely seen or comprehended and finding a specialist who is knowledgeable with other treatment options may be the biggest hurdle.  Have you tried contacting a major teaching hospital/university regarding any further information in treating this condition?  If you broaden your search and get documentation from medical specialists who are experienced with this condition it might help. I certainly wish you success and hope that you find some resolution soon.
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Interpretation of test results

The test came back normal. I would say though that in general, one test does not rule in or out Addison's  though. But you were well into the normal.
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Serotonin Syndrome?

I don't think it is possible to have a serotonin syndrome from taking buspar and/or THC.  Neither of these things effect your serotonin levels or your serotonin receptors.  All medications that could cause this have to have the warning in the drug label.  Buspar does not have anything about this.  As far as "other" drugs that can cause this issue, stay away from ecstasy, LSD and Cocaine.  Here is a good site with more information
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Withdrawal syndrome from Risperidone

Well I had to go through cold turkey withdrawal once from Geodon which was really unpleasant.  The severity and duration pretty much depend on how suddenly and quickly you're withdrawn from an antipsychotic.  Some people go through a worse response to being withdrawn than others.  I think general rule of thumb if I remember right is if you're going through withdrawal it's going to take a couple of weeks to go away and the doctor is supposed to keep you on a dose until your withdrawal symptoms go away and then they lower it again.
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