Bank Officer With Spondylolisthesis

MRI ANALYSIS OF LUMBAR SPINE  (Copy from report of Radiologist)

Trans-axial T1 weighted, sagittal T1 weighted and 2-D partial flip sequences were obtained. There was 1st degree spondylolisthesis of L4 over L5. Associated pseudo disc herniation or left-behind L4/5 disc was seen. This had caused encroachment of both neural foramina.

The rest of the lumbar disc appeared normal. No intradural nor intramedullary lesions seen. The conus medullaris appeared normal.

Conclusion: 1st degree spondylolisthesis L4 over L5. Associated pseudo disc herniation of L4/5 was seen.

General symptoms experienced by patient:

Prior to the Sonotron therapy, the patient - a bank executive - complained of pain whenever he carried heavy things like an ordinary pail of water or his baby. He reported a pain score of 7 out of 10.

Whenever, he went shopping with his wife, he would have to take a rest after only about 15 to 20 minutes of walking because he felt pain at the back of his trunk, on the left side. The pain, also at a pain level of 7 out of 10, descended downwards to both knees, L-thigh and L-calf muscles.

His right heel/ankle area was also affected and had a pain score of 7 out of 10.

He used "tiger balm" regularly to relief his condition but it always only managed to reduce his perception of pain for a short while.

He had been treated by a major Government general hospital with Short Wave Diathermy for a period of 5 months, before he stopped 3 months prior to Sonotron Therapy. He reported that the therapy didn’t help him at all. Pain killing drugs also failed to work on him.

He had also tried traditional massage but it didn’t help.

RESULT AFTER 1ST THERAPY SESSION ON MAY 11, 1995.

The pain relief lasted the whole day after therapy. He also rested the whole day, as advised.

 
RESULT AFTER 2ND THERAPY SESSION ON MAY 12, 1995.

In the morning when he woke up, he felt a bit "uneasy". His pain came back but at a lower level than before the start of treatment. He reported a pain score of around 5 out of 10 at his L-trunk, L-thigh, L-knee, L-calf muscle areas and R-heel/ankle, when he rolled over on his side while on bed. Pain at his R-knee was gone.

Just before treatment, he reported a pain score of 4 out of 10 for his L-trunk. Pain at his L-knee was in the region of 4-5 out of 10 and also 4-5 out of 10 for his R-heel/ankle area after walking 15 - 20 minutes. A numbness feeling of 4-5 out of 10 was felt for his L-thigh, L-knee and L-calf muscle area.

Immediately after treatment, he had no more pain at his L-knee but felt only numbness which registered a score of 2 out of 10. He also felt the numbness at his L-thigh and L-calf muscle area had improved to a score of 2 out of 10.

He felt no more pain at his L-trunk and R-heel/ankle area. Pain at his L-knee was also removed totally.

After treatment, he went shopping. He visited The Mall and Subang Parade Shopping Complex in Kuala Lumpur and then back to The Mall - and walked a total of 4 hours. He felt no pain at his problem areas.

Even seven and a half hours later, at about 6 p.m., he observed that he didn’t feel any pain at his L-trunk. However, he felt slight pain at his R-heel/ankle area. The pain score was 2-3 out of 10. He also felt a reduced numbness at his L-knee.