mel1977
03-23-2005, 01:21 AM
I am trying so desperately to find some resolution, and I keep falling hard on my butt. I am currently healing from a lumbar fusion and that is doing great. However, the thing that initially took me out of work in July is NOT really improving.
I am going to seek YOUR advice and thoughts. Please please share with me. I have posted before but haven't gotten much feedback. I hope it is b/c I just didn't ask the right questions; I have a tendancy just to rant and not ask for help.
July 14 I went to work with a mild left shoulder irritation. It gradually worsened and in three hours my neck was in complete spasm and my left shoulder had pulled up and I couldn't move my arm or neck. A Physical therapist where I worked said I had an elevated first rib (which all drs say can't happen) and he did somthing to "put it back". It hurt so bad I was bawling on the PT mat for thirty mins. I had to go home and that was the last day I worked. My low back had been getting worse, but that is just part of the story.
My primary sent me to a shoulder dr who said it was my neck, not shoulder. He ordered the cervical MRI and lumbar MRI. I won't get into the lumbar stuff-
MRI on neck: small herniation C5-6, loss of normal lordosis, and I think mild central canal stenosis. The first dr I saw said there was nothing he could do but get an ESI and if I wouldn't do that I might as well leave right then. I left crying, but said I'd get the injection. I went for a second opinion and that dr chose to focus on my lumbar spine. He said I had cervical spondylosis and the small bulge. He did send me for an EMG which said I had a pinched nerve. A month after my ESI the neck pain seemed to go away. A month after my lumbar fusion, it came back.
I don't have the weakness or numbness in my left arm anymore, but here is what I still have:
spasms in neck, shoulders and upper back along with knots in all areas especially on scapula. I have tender spots just under the clavical, pain to both shoulders and down left arm. I get headaches. I can't look down for long, I can't look up and being upright for too long causes pain. Sometimes my SKIN hurts on the front side of my neck. I get fatigued very easily now too.
The dr who did the lumbar fusion was supposed to treat my neck, but we had to move from NV to MO. I had to find a dr to treat my neck. I was also planning on returning to work (I worked for this company in MO and NV, previously in MO for five years) and I had to be able to look down b/c I would be taking off drs orders for much of my day, and looking down for five mins causes great pain.
I sought a spine specialist, he did a spine fellowship so I thought he'd be perfect. When I saw him he acknowledged the herniation. He sent me in house for a new xray and said my neck shaping (curve) was normal. He didn't discuss the spondy. He sent me for a new MRI and he said I had the herniation and we scheduled another ESI. I had no follow up appt with him, and I had wanted massage therapy and ultrasound, niether did he order. He instead sent me to a SHOULDER dr. He thought I had a impingement there. Well, the SHOULDER dr said that was impossible and said my shoulder was not causing my neck pain. I am doing PT now for the left shoulder, but more b/c it sits a little low and out from the socket, but that has been from birth, and never has caused too much discomfort.
SO, I planned on just seeing a PM dr. Now I am just not sure. I don't know that I believe this dr, or that he is wanting to really "help". I was told surgery wouldn't help, and that is fine. One a year is good enough for me, besides, surgery of the neck scares me.
I want to know what any of you think. Those of you who have dealt with problems of the neck. I dealt with low back stuff for six years, but only since July with neck issues. I take 10/325 of percs for low back, but now more for my neck pain. Flexeril doesn't help. I am tight and knotted and in spasm 24/7. I left a mssg with my dr saying I wanted a script written for the ultrasound and massage, but he won't be back until next MOnday. I am wondering, should I see a neuro? i don't believe one dr is better than another but so far, I have now had two not so great orthos, and one awesome neuro (he did my fusion and helped when no one else would). OR, should I just get advice from a pain clinic dr? I was going to ride it out and see how my pain levels are when I go back to work, but I know the ESI isn't working yet, and I really need some relief NOW too. Thanks, and sorry this was so long. I appreciate any advice or thoughts on how to handle this.
Oh,for those of you who have had surgeries, what are you like now? Have you lost much ROM? How have your pain levels been? My neuro had said he had no problem doing a micro d on the disc or even a fusion, but he just didn't think it would fix me and make me feel much better. I am so confused. I am sorry if this is a rant, yet again!
I am going to seek YOUR advice and thoughts. Please please share with me. I have posted before but haven't gotten much feedback. I hope it is b/c I just didn't ask the right questions; I have a tendancy just to rant and not ask for help.
July 14 I went to work with a mild left shoulder irritation. It gradually worsened and in three hours my neck was in complete spasm and my left shoulder had pulled up and I couldn't move my arm or neck. A Physical therapist where I worked said I had an elevated first rib (which all drs say can't happen) and he did somthing to "put it back". It hurt so bad I was bawling on the PT mat for thirty mins. I had to go home and that was the last day I worked. My low back had been getting worse, but that is just part of the story.
My primary sent me to a shoulder dr who said it was my neck, not shoulder. He ordered the cervical MRI and lumbar MRI. I won't get into the lumbar stuff-
MRI on neck: small herniation C5-6, loss of normal lordosis, and I think mild central canal stenosis. The first dr I saw said there was nothing he could do but get an ESI and if I wouldn't do that I might as well leave right then. I left crying, but said I'd get the injection. I went for a second opinion and that dr chose to focus on my lumbar spine. He said I had cervical spondylosis and the small bulge. He did send me for an EMG which said I had a pinched nerve. A month after my ESI the neck pain seemed to go away. A month after my lumbar fusion, it came back.
I don't have the weakness or numbness in my left arm anymore, but here is what I still have:
spasms in neck, shoulders and upper back along with knots in all areas especially on scapula. I have tender spots just under the clavical, pain to both shoulders and down left arm. I get headaches. I can't look down for long, I can't look up and being upright for too long causes pain. Sometimes my SKIN hurts on the front side of my neck. I get fatigued very easily now too.
The dr who did the lumbar fusion was supposed to treat my neck, but we had to move from NV to MO. I had to find a dr to treat my neck. I was also planning on returning to work (I worked for this company in MO and NV, previously in MO for five years) and I had to be able to look down b/c I would be taking off drs orders for much of my day, and looking down for five mins causes great pain.
I sought a spine specialist, he did a spine fellowship so I thought he'd be perfect. When I saw him he acknowledged the herniation. He sent me in house for a new xray and said my neck shaping (curve) was normal. He didn't discuss the spondy. He sent me for a new MRI and he said I had the herniation and we scheduled another ESI. I had no follow up appt with him, and I had wanted massage therapy and ultrasound, niether did he order. He instead sent me to a SHOULDER dr. He thought I had a impingement there. Well, the SHOULDER dr said that was impossible and said my shoulder was not causing my neck pain. I am doing PT now for the left shoulder, but more b/c it sits a little low and out from the socket, but that has been from birth, and never has caused too much discomfort.
SO, I planned on just seeing a PM dr. Now I am just not sure. I don't know that I believe this dr, or that he is wanting to really "help". I was told surgery wouldn't help, and that is fine. One a year is good enough for me, besides, surgery of the neck scares me.
I want to know what any of you think. Those of you who have dealt with problems of the neck. I dealt with low back stuff for six years, but only since July with neck issues. I take 10/325 of percs for low back, but now more for my neck pain. Flexeril doesn't help. I am tight and knotted and in spasm 24/7. I left a mssg with my dr saying I wanted a script written for the ultrasound and massage, but he won't be back until next MOnday. I am wondering, should I see a neuro? i don't believe one dr is better than another but so far, I have now had two not so great orthos, and one awesome neuro (he did my fusion and helped when no one else would). OR, should I just get advice from a pain clinic dr? I was going to ride it out and see how my pain levels are when I go back to work, but I know the ESI isn't working yet, and I really need some relief NOW too. Thanks, and sorry this was so long. I appreciate any advice or thoughts on how to handle this.
Oh,for those of you who have had surgeries, what are you like now? Have you lost much ROM? How have your pain levels been? My neuro had said he had no problem doing a micro d on the disc or even a fusion, but he just didn't think it would fix me and make me feel much better. I am so confused. I am sorry if this is a rant, yet again!
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tammielively
03-23-2005, 07:15 PM
Hi! I know what you are going though somewhat. I have and are having alot of neck problems. One day last March I was cleaning leaves out from my lawnmower when I felt this sharp pain run down my left arm and in my chest so I went to the hospital because I thougt I was having a heart attack. But, it was not. It took them 3 months to find what was wrong. The pain kept shooting down my arm to the tips of my fingers, my arm stayed numb most of the time. It was a pain like I never had felt before. Any way my doctor sent me to a neurosurgen, he did a MRI and told me that I had 2 herniated disc (c-5 &c-6 ) but I also had my c-2 push back on my spinalcord that had danage it. He also told me that if I was in a car accident or even if I were to fall and hit my head in any way it could kill me. Great! News Huh!!!! Well to make a long story short I had to have the surgey. My 1st one was last July they did a Occipital C-3 fusion, which is a (u shape wire and 10 screws) in my skull and neck. I now have no head movement at all. This is how it's going to be for the rest of my life. I still have the numbness, spams, sharp pains and headaches all the time. I'm no longer able to work. I think that is one of the most differcult things for me. But, I thank God that I'm alive . So! Please go see a Neuro.
Ander
03-23-2005, 08:06 PM
Mel1977, you sound like you have alot of my symptoms. The spasms are killers. I did real good on Bextra and Flexeril but quit the bextra and things started to get bad. The shoulder pain some days brings me to my knees. Massage helped me for a while untill the therapist got a little carried away and I had one muscle that hurt for months after. Necks are weird and can't take the PT like the rest of the body. I had ACDF 4 years ago and now need a posterior fusion because one level never healed. I just hope the surgery next week will fix things once and for all. I want to be pain free for once. Good luck in looking for the right doctor. I was lucky and found a great ortho who I trust.
mel1977
03-23-2005, 08:35 PM
thank you both. I saw the therapist for my shoulder and he will work on my neck and jaw stuff and hope to help a little. Hopefully too, I'll get that script. I will try the therapy for a little and see how that helps, and then seek that second opinion. Neck surgery scares me to death. For some reason I have no problem letting drs cut into me anywhere else, but there, well, it freaks me out. I have my first bout of pt tomorrow, it will be interesting how I feel after. I will post later. I really appreciate the feedback.
chitowngl
03-29-2005, 03:58 PM
Mel,
I had a single level cervical fusion with plating in Jan. Before I got the surgery I had many diagnostic tests to determine exactly what was wrong with me. I would suggest that you get an EMG and a CT myelogram. Both tests, especially the EMG, were extremely helpful in pinpointing the problem.
Carrie
I had a single level cervical fusion with plating in Jan. Before I got the surgery I had many diagnostic tests to determine exactly what was wrong with me. I would suggest that you get an EMG and a CT myelogram. Both tests, especially the EMG, were extremely helpful in pinpointing the problem.
Carrie
mel1977
03-30-2005, 09:17 PM
I did have an EMG back in November, it showed a pinched nerve. And, since I get pain down my arms still I know it might be there. The numbness and weakness i had off and on in my hand has gone away. I talked to my drs PA and he said we'd try the PT, and another ESI. If my pain is not manageable, he said surgery might be an option. Of course, we both agreed LAST RESORT. I just need to get to the point where I can work and go to school with a pain level that I can handle. One that doesn't cause me to fatigue and pay more attention to the pain than class or my work. I don't want to be on percocets either. He did say many people had good results, even better than those with back surgery (which I am currently healing from). So, we shall see. I will give it a few months, I should know by then how things are going. I would need to have surgery before I go to school, which would be this fall.
My therapist told me they don't get reimbursed for massage therapy, does anyone know anything about this? The drs office also said they usually don't write for it. What is your input? Should I find an independent Massage person or call my insurance and see if they would cover it? ( I am on a care enhancement program for chronic pain, so I am hoping they would). I start work either Friday or next week, so I will know soon enough how I will do. I am praying I do okay. I can't even take anti-inflamms right now b/c of my back fusion. Thanks!
Oh, how did those of you do after surgery of the neck???? What was it like? Gotta prepare myself, just in case......
My therapist told me they don't get reimbursed for massage therapy, does anyone know anything about this? The drs office also said they usually don't write for it. What is your input? Should I find an independent Massage person or call my insurance and see if they would cover it? ( I am on a care enhancement program for chronic pain, so I am hoping they would). I start work either Friday or next week, so I will know soon enough how I will do. I am praying I do okay. I can't even take anti-inflamms right now b/c of my back fusion. Thanks!
Oh, how did those of you do after surgery of the neck???? What was it like? Gotta prepare myself, just in case......
Ander
03-30-2005, 09:25 PM
Most insurance policies will not cover massage. I did get some sessions covered because the Dr called the PT and asked to provide it in a way that the insurance would pay. I guess it's all in how it gets written up. The PT would sign off on the therapy as PT but the massage therapist did the work. Surgery tomorrow, wish me luck. :)
mel1977
03-31-2005, 12:44 AM
Goodness, GOOD LUCK! I'll be thinking of you and hoping all goes well.
Let me know how it all goes when you are able!
By chance, does anyone know how much massage therapy is out of pocket?
Does insurance cover ultrasound?
Let me know how it all goes when you are able!
By chance, does anyone know how much massage therapy is out of pocket?
Does insurance cover ultrasound?