I just want your opinion on whether a Neuro or Ortho would be better in my case. I have been seeing an Ortho since may of this year. It's a long story but I will try to keep it as short as possible, some of you may already be familiar with it. I've been off work for 2 years. My findings so far are Spondylolisthesis and sciatica. My first appt with my ortho went really well. He was very positive and willing to help me. He scheduled an MRI and made an appt for when he got the MRI back, that second appt was suppose to be for a consult for surgery. When I went to the second appt he was very negative and said he was not going to operate because I was too young (22). He is now putting me through aggressive rehab and physical therapy for a minimum of 3 months. I start rehab next wednesday. But for the past 2 months I've been treadmilling every day and doing excersises to strengthen my back and stomach muscles. I've noticed a difference with building my muscles but my pain is not better if not worse. My reason for asking whether or not I should be requesting a Neuro is because I'm not sure that my Ortho is exactly what would benefit me best. Also, I have had a problem with my neck and he has ignored it. And in the past few months I have had terrible problems with my feet. I can barely walk in the morning, I stumble like crazy and can barely stand. It subsides for a little while but as the day goes on it gets really bad.
Can somebody help me? I guess I just want to know who would be best for me right now. I am going to do the rehab for the 3 months, because if it does work and i can avoid surgery I will be very happy. However, I just think that there are other serious issues that I have that are not getting the proper care that they need. I don't know if I have to be more aggressive with my orhto or see a Neuro. Any opinions would be greatly appreciated and very helpfull. Thanks in advance. Kristy.
Everything depends on your insurance. They have to try three months of PT to justify what they are doing to the insurance companies.
Neuros are for nerve pain, orthos are for joint and bone. Which are you?
If you are experiencing numbness in your arm from neck pain, then Nuero is the way to go, but, they are going to send you to PT also because that is part of the pain plan using conservative measures first. If your insurance allows it, you can always go to the Nuero and have an EMG while doing PT.
well, sounds like me. Here is my suggestion: do your PT and then if the pain does not get better see your ortho again. He will prob recommend epideral injections, while they don't seem to be all that effective, most drs will want you to atleast give them a try. Then if he still isn't willing to help, try your luck with a neurosurgeon. This is the road I have taken with my low back and neck. I too am young, had my first sugery for my low back at 24. The first ortho I saw didn't want to touch me with a ten foot pole for surgery b/c of my age. That was when I sought out the new neuro doc. I am going through a lot of tests as I am sure you know, but as long as my pain is present and not subsiding, I will do what I have to to get what I feel I need. If you don't want to wait, you can go ahead with a second opinon to find a new doc while you are going through pt. My PT didn't work, neither did the traction, rest, or injections. Now I am going through more testing. My neck and back hurt and I am not willing to just sit and take it forever, got too much life left to lead. Good luck to you!
Thank you for your opinions. My problems are both nerve and bone and that's why I am not exactly sure where to go from here. I have done PT in the past and I have had epidural injections. And to me it seems kinda of crazy to be going to rehab for my feet, neck, back and legs. I am absolutely still going to do the rehab no matter what (for my back). I guess, I just don't know how urgent this is and how long I should wait before I schedule an appt with my ortho and if he will even be able to help me with my feet and legs. I have never had an MRI on my neck and again I don't know how urgert this is. I've waited in the past and only gotten worse, in regards to my back. Well thanks for your help. Kristy.
KristyG...Neuro & Ortho??? Sounds like possible TOS. Pain radiating down the neck across the back, over the shoulder, around the elbow down to the two outside fingers pain? Forget about standing or sitting for extended periods pain??? Hurts your shoulder to drive pain??? If I could just pop my shoulder one good time pain??? Okay, I rattled enough.. I suffer from TOS for the past 2 years and the docs are all quacks...some saying it doesn't exist, some trying to aggresively attack it...all haven't a clue in the world...it affects everything from how you sleep(how long it takes to fall asleep) to mowing the lawn and forget about a sex life...you are racked with pain afterward...I injured myself working about 35 feet up on a telephone pole for my company. Still working but now in Management. The docs say they don't want me to take meds and just suck it up...Can't do it anymore...they sent me to an Advanced Pain Management Clinic last year and I said there was no point...I'll just have to accept this can't be fixed and move on...now I can't function properly...because I lose so much sleep, because I can't get to sleep, I forget things so easily. In my line of business, I'm not allowed to forget anything. You are fortunate that you are not working so you can at least try to heal, I'm the breadwinner...I have no choice...
I am now going back to the drawing board because I am only 36 and cannot accept that I have to deal with this level of discomfort for the rest of my life. I did all the MRI's & EMG (that smarts!) but it was all inconclusive...This is 2004 for goodness sake...and they can't even determine where the pain radiates from and how to fix it...Personally, I think it's an insurance scheme..
milleset, what is TOS? What you describe is identical to my neck issues. Unfort. I have the low back problems too, well, maybe in a way that is good. I don't know. I would like to know what that is. Thanks.
My neck pain is not quite that severe, yet. Right now it seems to only be in my neck. I mean I have pain throughout my whole back, mainly lower but it does radiate into my shouler blades. Like I said I have Spondy and sciatica so sometimes it's hard to determine what is what and what causes what. I have, on occasion had a numb arm that radiates to my hand but I certainly don't complain about it because compared to my other problems it is managable, for now at least. It is however a huge concern for me because I don't want it getting worse and I want everything to be fixed asap so that I can get back to a normal life and get back to work. It's tough not knowing what is going on inside when everything hurts so friggin much! Thank you very much for your reply. I hope all works out well for you. Take care of yourself. Kristy.
I just want your opinion on whether a Neuro or Ortho would be better in my case. I have been seeing an Ortho since may of this year. It's a long story but I will try to keep it as short as possible, some of you may already be familiar with it. I've been off work for 2 years. My findings so far are Spondylolisthesis and sciatica. My first appt with my ortho went really well. He was very >>
Kristyg: Have you told the doctor about the numbness in your hand/arm? This is what sent my husband to fusion. He was told by several specialists that one day he could wake up without the use of his right arm. The nerve was pinched. This is serious. You have to either deal with it now, or live with it later.
No I haven't told my doctor about the odd numbness in my arm and hand. Even when I told him about my neck pain he kind of dismissed it and just focussed on my back. I'm not concerned about my arm and hand as it hasn't been bothering me for about a month. My neck still hurts a whole lot at times though. The next time I see him I will tell him I want an MRI. Thanks for your reply. Kristy.
Either an ortho or neuro as long as they have a spine fellowship behind them. My ortho has a spine fellowship and I was so lucky to find him just 20 miles from home. He did a laminectomy and fused me from L3-S1 with BMP. He is young but he is an expert!