I live in Richmond VA and I usually see Dr Harold Young who is a neurosurgeon, but his first available appointment is April27. I am having an MRI done this Thursday but the doctor that requested it acts as though he was doing me a favor. I have had the sciatic nerve pain for 2 1/2 yrs now and have been through all of the alternative pain care, to no avail. I am ready for surgery, quite frankly, and I dont think this doctor will care enough to do it. I already know I have a bulging disk with some nerve impengement, stenosis and DDD, from the last MRI 2 years ago. All of a sudden it has become much worse and I really need to feel better quick as possible. I have 6 children, 2 of which are under 3. So I would like to see someone sooner who isnt afraid of doing the surgery. Any help would be great.
[QUOTE=v8euphoria]I live in Richmond VA and I usually see Dr Harold Young who is a neurosurgeon, but his first available appointment is April27. I am having an MRI done this Thursday but the doctor that requested it acts as though he was doing me a favor. I have had the sciatic nerve pain for 2 1/2 yrs now and have been through all of the alternative pain care, to no avail. I am ready for surgery, quite frankly, and I dont think this doctor will care enough to do it. I already know I have a bulging disk with some nerve impengement, stenosis and DDD, from the last MRI 2 years ago. All of a sudden it has become much worse and I really need to feel better quick as possible. I have 6 children, 2 of which are under 3. So I would like to see someone sooner who isnt afraid of doing the surgery. Any help would be great. [/QUOTE]
Think long and hard before getting your surgery.. at best its only a 50/50 chance of making it better or worse.
unfortunately for me, it made it a lot worse. and i still deal with the pain almost 10 years after....
hi, I didnt get to see Dr Young but some of his associates- Dr Graham and Dr Delorenzo.
Dr Graham decided I must have mild Multiple Sclerosis, " no death sentence- just l;ive with it" and Dr Delorenzo was on the right track but gave up too soon.
I went to Dr Hallett Mathews on Parham Rd and he saw immediately the damage in my spine.
That was in Dec 2001.
I am a candidate for ADR of which Dr Mathews is doing at this time.
I have been holding out as long as possible,
I have constant leg numbness- waist to toes in right side and just started with left side sciatica which can be crippling if I am in a store trying to shop- I end up squatting in the floor of leaning over counters,, very annoying and disruptive.
I also have problems in my c spine- C-3-4-5-6.
Who knows what else has developed.
I am in Fredericksburg and the only doc here is a Squillante- he does not do any ADR and is against them.
Dont really know why - can only speculate.
Good luck,, like to know with whom you decide to go with in your quest for a good doc!!
I will get my reports out later today and post.
I think DDD, Stenosis, spondylithosis, sciatica,
Have you heard of those docs I mentioned?
It is getting closer to the day of surgery for me as I am having much discomfort just walking thru a store to shop for few items.
Also with each step at times the pain shoots down my leg.
Tired of hurting.
I live in N. Virginia and I got my Ortho. from several people who had used him as well as my G/P. His name is Dr. Ronald Childs and he is a spine specialist. I did have a fusion surgery, by him, but prior to that he had me do all the conservative approaches and when they didn't work he told me my options. But he never tried to pursuade me one way or another. I highly reccomend him. I saw him in his Fairfax office, but I think he has other offices. I just don't know where they are. Also, I was able to get in to see him in 6 wks.
I'm new to these boards, although I have been lurking for quite awhile. I just had to reply to this particular post however, since I live in VA.
I'm a 47 year old working wife, mother and grandmother. I had my fourth laminectomy a year ago. The first two were done over 15 years ago in Canada (where I'm originally from) The third was done in Roanoke VA by Dr. Feldenzer. He was wonderful, the surgery a success, but I went back to work too soon, and overdid it by working 10-12 hour days. I worked in a very busy Optometrist's office. Anyway, I had my fourth surgery just 8 months after the 3rd one, and it was done by Dr. John Jane. I owe this man my life (or at least the quality of my life). The sciatic nerve was so damaged that by the time I went to him I was already falling down, and had no strength whatsoever. I was referred to him by Dr. Feldenzer (the Roanoke surgeon) and he saw me within 3 weeks. Dr. Jane prepared me with a case scenerio of having to use a cane, and never working again.
However, I went back to work 2 months after surgery (at a slower paced office) and I haven't had to use a cane. My right leg is still much weaker than my left, and I limp when I'm tired. I feel pain almost all the time, but not unbearable, the only kind of med I take is Advil.
Anyway, just my few cents about a couple of doctors in VA.
Mild degen @ L5-S1 with no root impingement noted.
[B]MRI CERVICAL SPINE WITH AND WITHOUT CONTRAST[/B]
CLINICAL. HISTORY : Pain. Myelopathy Multiplesclerosis
Sagittal TI, T2-weighted and inversion recovery technique was performed. An axial gradient-echo T2-weighted sequence was performed as well as an axial proton-density. Post-gadolinium TI-weighted sequences were. also performed.
The finding of note is demonstration of diffuse cervical spondylosis with degenerative changes at multiple levels,primarily C3-C4, C4-C5 arid C5-C6, There was some canal narrowing and cord abutment. The findings I believe are greatest at C4-C5, C5-C6 and C6-C. The cervical cord however, had a normal appearance with normal signal. Specifically, there were
no findings of abnormal increased signal or areas of enhancement that might suggest foci of myelitis or areas that might
Moderato to diffuse cervical spondylosis with findings of possible mild acquired spinal stenosis, greatest
at C5-C6 and C6-C7.
MRI OF THORACIC SPINE WITHOUT AND WITH CONTRAST[/B]
Clinical HX: Pain, Myelopathy, Multiple Sclerosis
Sagittal T1,T2-weighted and inversion recover sequences were performed along with an axial T1 and T2- weighted sequence.
A post-gadolinium T1-weighted sagittal and axial sequence was also performed.
Overall the examination was unremarkable. There is felt to be no abnormal signal from the vertebral bodies or the spinal
canal. There were changes of slight disc space narrowing, but no definite evidence of focal disc protrusion or cord abutment.
No other specific abnormalities were identified.
[B]HEAD MRI WITHOUT AND WITH CONTRAST 10/19/01[/B]
indication: persistent Numbness right side of body extending from waist to toes.
TECHNIQUE: flair, axial and sagittal acquisitions. T2 weighted turbo spin echo axial acquisition. Ti weighted spin echo acquisitions both prior to (Axial plane) and following (axial and coronal plane) uneventful iv administration of omniscan.
There are no comparison studies available for review at this institution. This patient has orthodontic braces on the maxillary
teeth. There is significant, associated susceptibility artifact primarily in the distribution of the middle cranial fossa. This
makes evaluation somewhat limited. On the flair and t2 weighted turbo spin echo images note is made of multiple, small foci of T2 prolongation within the cerebral white matter bilaterally. At lest ten or twelve small focal lesions are identified, none of which
show any significant associated mass effect and none of which show enhancement on the postcontrast images. Most of the
lesions are distributed in a peripheral, almost subcortical location. The appearance is nonspecific. There is one lesion that lies near the body of the corpus callosum on the right. The appearance of this lesion is more suspicious for the presence of a demyelinating process. However, the corpus callosum is otherwise noninvolved and no lesions are identified in the distribution of
the brain stem or middle cerebellar peduncles .Therefore, it is difficult to impart a diagnosis of multiple sclerosis for this patient.
There are no imaging findings to suggest recent or remote cerebral infarction.
Normal flow voids are noted in the major intracranial vascular structures.
The size and configuration of the ventricular system is within normal limits for stated age. The cortical sulci and cisternal
subarachnoid spaces appear normal. No focal brain stem or cerebellar lesion is identified.
1. There is significant susceptibility artifact arising from the patient' s orthodontic braces. This makes assessment, particularly
in the middle and posterior cranial Fossa somewhat limited.
2. Several small foci of t2 prolongation are identified in the cerebral white matter as described. The appearance is nonspecific.
Such findings can be seen with multiple sclerosis, however, differential diagnostic considerations would also include
vasculitis, posttraumatic change, etc. there are no, specific diagnostic features that would raise one to consider a diagnosis
of demyelinating disease.
3. There is no evidence of previous stroke.
Sorry it took so long,, ,,, and still no real dx,,
God Bless ,
Don't let anyone touch you unless they have a spine fellowship. I went to a neurosurgeon who told me I wasn't in enough pain, and he said he didn't know/couldn't do anything about my legs. Then I found an orthopedic spine specialist, two years off a fellowship, and he fixed my legs and stabilized my back. Did you check out the list at spine.org?
If you're able to travel to the DC metro area, then I would recommend the Virginia Spine Institute in Reston. They work on the Redskins, and are some of the pioneers in both BMP (new fusion option) and ADR (artificial disc replacement). I've been seeing Dr. Hasz, and he is phenomenal!
I'm a little late on this on but I also have been seeing Dr. Hasz for some time now. I had a neurosurgeon do my first back surgery and I REGRET IT!
Dr. Hasz is fantastic!
I can also tell you that I know someone who used to work with Dr. Childs and even the other Dr.'s in his practice said they wouldnt have him do any surgery. The Dr.'s in Child's office recommended me to Hasz.
Just a little more information.
Virginia Spine Institute has a website if you ****** it. But be prepared that there is usually a long wait to get to see him.
he's hard to see, but worth it i think. my pcp actually preferred him to schuler, but they both are amazing!!! have a fave pa??? mine's david falkenstein...so knowledgable, nice, and funny!!!!! we have some pretty good running jokes...
glad to hear all good feedback on hasz...makes me feel like my decision was the right one!
good luck and my support to all who are still looking!!!!