i have seen 2 neurosergons and 2 ortho surgeons.
both neros say not to operate and 1 of the othos says no, one says yes though he feels he wants to do 1 more test and maybe try some shots first.
when your in pain its hard to make decisions and its been 6 months since my accident. it looks like thoracic surgery is a ***** but this ortho(whos only 42) tells me its simple. i have thoracic and cervical. Should i hold off or could my problems get worse.
i just dont know and cant think about anything but this stuff.
I hear you LOUD & Clear! I am facing the same situation... sometimes you feel like maybe the pain isn't real right? Cause' no one seems to really want to help you... well, that's how I feel at times. Anyhow, what test do they want to do? Have you tried all non-surgical means first?
Do any of them have a spine fellowship? A neurosurgeon told me that I wasn't in enough pain for surgery and he couldn't do anything about the problem with my legs, that was caused by stenosis. He also told me that he was sure that I could find someone to operate but I would end up worse off. I took all my films to an orthopedic spine specialist and he did a laminectomy and fused me from L3-S1, and he fixed me.
Anyhow, what test do they want to do? Have you tried all non-surgical means first?
They want me to do a ssep. see test below. and further comments below that
Somatosensory Evoked Potentials (SSEP)
SSEPís are sometimes ordered to assess the speed of electrical conduction across the spinal cord. If the spinal cord is significantly pinched, the electrical signals will travel slower than usual.
SSEPís may also be used to monitor spinal cord function during surgical procedures, although since the spinal cord ends before the lumbar spine, this is usually of limited value during lumbar spinal surgery and it is used more often in cervical (neck) or thoracic (chest) spine surgery.
i have taken 2 emg's -1 negative ,the second show there might be something in lumbar but my lumbar mri is fine.
i took 1 month after accident and again 5 months after accident with both results the same. shows alot of herniations and bulges in cervical and thoracic but the last to doctors zeroed in on 1 in cervical and 2 main ones in thoracic.
The issue is that the 3 prior opinions were as follows
respected neurosurg with no bedside manner told me 1 month after accident i'll be fine in 3 months.
well known NY otho surg3 months after accident when i was starting to feel better tells me(actual nurse tells me since they dont talk much) too much going on not sure if surgery woul do
2 weeks ago - well known ny neurosurg - who sayd he doesntt think surgery necessary
and this 41 year old ortho who has offices in brooklyn and ny who sees it as
an option and tells me thoracic surgery is pretty simple procedure. makes me a little scared if i'm doing the right thing but i am thinking of doing the next test ssep with a nero
have not yet done shots but will get to that first before surgery. he says if shots stop pain then its the discs and they should come out does this make sense?
are you totally fixed. i found this person based on your earlier recommendation but very nervous as he is 41 and says thoracic surgery real easy which contradicts all i have read.
[QUOTE=flyonthewall]Do any of them have a spine fellowship? A neurosurgeon told me that I wasn't in enough pain for surgery and he couldn't do anything about the problem with my legs, that was caused by stenosis. He also told me that he was sure that I could find someone to operate but I would end up worse off. I took all my films to an orthopedic spine specialist and he did a laminectomy and fused me from L3-S1, and he fixed me.
Yes Larry, I seem to be totally fixed. My OSS is only 39 and he did an off-label procedure on me. He operated on me, laminectomy, because I couldn't walk, not because of pain. The 3-level fusion was secondary.
i went back and read some of your posts including the doctors that would listen and the neuros that didnt want to operate.
i am glad your better.
[QUOTE=flyonthewall]Yes Larry, I seem to be totally fixed. My OSS is only 39 and he did an off-label procedure on me. He operated on me, laminectomy, because I couldn't walk, not because of pain. The 3-level fusion was secondary.
Larry read my note on Dr Jho on here-he is the best and you can't go wrong with him-the surgery is minimally invasive and you recover in half the time. He is great-I didn't even need pains pills after four hours of surgery. He can operate on mulitple levels at one time, Your in the hospital overnight and can head home after a day of recoup. His website is under [ [b]do not post doctor's websites - post doctors by name, city and state only[/b] ]-everyone I have sent there thinks he is great.
Last edited by moderator2; 02-04-2005 at 06:56 AM.
Reason: o not post doctor's websites - post doctors by name, city and state only
Larry, I've had thorasic back surgery and I can tell first hand [B]IT IS[/B] a big deal. Anytime they have to remove a rib and push your lung and possibly other organs out of the way, it is very dangerous. I don't think I would let a cowboy surgeon who thinks it isn;t near me. Also for the amount of pain you'll be in after the surgery and the risks involved, I would seriously look into alternatives. A major nerve feedig my chest along the ribcage was cut and causes a lot of pain that can't be sugically repaired. I'll have to learn to live with it. Good luck, Monty.
If steroid shots are what they're talking about doing, I would definitely try those first. I am of the opposite opinion of Betty on this one, although she does offer a lot of good advice. Steroid shots have helped the pain in my back, and now I'm going to have them done directly onto the problem disc, now that we know which one it is.
Steroid shots cured another injury of mine. Fifteen years ago, my knee (after two knee operations that didn't help) was the source of significant pain every single day and the doctors (this was one of the top orthopedic surgeons in the country) couldn't figure out where it was coming from.
Finally after trying more conservative things, they did a series of three steroid shots (spaced over 1-1//2 years), and after the third shot my pain disappeared forever. I've never needed a doctor visit for the knee since then.
So they can cure problems that would otherwise require surgery, but it might require more than one round. But you have to be careful not to over-do them, or yes they can cause severe damage.
Larry, I was having problems with pain and balancing problems. It was becoming difficult to walk without tripping and I felt like I was off balance all the time. So, yes I would do it again. I'm having a second cervical surgery next week to repair a failing fusion there. I'm just saying I would be careful of any doctor who diminishes the risk involved of any surgery, especially thoracic surgery. Again I wish you good luck, Monty.