This is one of the questions I am stewing over with my diagnosis of fusion. He said mri and ct xrays are clear and no nerve impingement...other surgeon said no impingment to. This doc said nerve irrritation from degeneration and vertebrae moving.
Yvette - I don't know about the EMG but I wanted to share that my surgeon is telling me that he believes that my nerves are getting hung up and crunched so to speak because of the movement of my disc as well. I had a laminectomy last Spring freeing the nerve. My MRI shows that my vertebrae has shifted as well. I did not have an EMG.
May the LORD be with you and may you feel at peace with whatever decision you make.
I did not have an emp before my fusion either. I did just have one to see if I did have something going on with the
l4/l5 nerve. I have to tell you it was awfull. I will never have another one again. I was in tears and had bruses all over me. It turns out that I do have something going on with that nerve.
I have had 2 so far , I believe I had mine before my surgery's. The neuroligist knew what side was effected from my nerve damage but said it was mild..That was 2 years ago. I don't think you need one if your Dr said everything was ok. All it might show is nerve damage because nothing is pinched .
But if it would make you feel better I would demand a EMG. It's your back.
My neurosurgeon said the same thing to me about injectons. He just shrugged his shoulder and had said " we could do the injectons, but we went down this road and they are not working" Of course he also said it was totally my decsion to make. Sounds like you have alot of info on this stuff. It truly got over whelming for me, then I found these boards! everyone here is just wonderful! When I was told I need a fusion, I took a little while and thought long and hard about it. In the last day and half I am starting to feell a big difference in my lower back! My neuro is very happy with progress so far. What you have written about this doc you are seeing, he sound a bit like my neuro. My heart goes out to you making this choice of what to do. I and I am sure many others here will be happy to hold your hand and cheer you on. Take care.
I'm getting another selective nerve root injection tomorrow at
11:00am . I didn't get ANY relief from a epidural or Facet injections but the selective nerve root injection has worked wonders for my back. If your Dr. can pin point the nerve thats causing your pain he/she can wash it down with anestesia and help with the pain . OH I was a huge doubter on injections until they actually worked for me. My Orthopedic spine specialist with a spine fellowship told me to continue them if there working until he can look at my films ( CT & MRI) I hope there is nothing other than scar tissue problems.
I canceled the appointment, so I guess thats one decision made. As far as the injections go, he said that in my case of severe deg disc...that the injections only help in five percent of the people. He said there isn't a herniated disc. Although I know its bulging.
A friend of mine had the selective nerve root block after surgery, and it has done a 360 in is life, he said it was the key to getting back to his life.
Hi Yvette, Not problem on holding your hand! I was diagonsed at age 12 with scoliosis, mild then later to moderate curve ( moderate when I was older ) but they said it wasn't to bad to need a brace, I was happy at the age of 14 not to get one ( looking back I should have worn one ). by back started hurnting when I was about 20. I had a baby when I was 23 my back hurt on and off more on than off. Doc's I saw just said it was from carrying a baby and now being a new Mom, it was normal they said. My back gave out one morning when I was 25 to the point where I could not get out of bed and put any weight on my feet. My husband called the ambulance and off I went. I stayed in the hospital for 3 days, they said I had strained my back by over doing it and all I need was rest. Had another baby at age 27, more back pain. Age 29 I finally went to a spine specialist. Went for MRI, went back to see him. He said that I have scoliosis ( i already knew ). Bone spurs, and some degeneration. Then he said this happens to people when they start getting older. Sent me to three weeks of physical therapy and to take advil for it. So four the next four years I have just been dealing with the back pain (lower aching back pain, just throbs sometimes ) but when the pain wasn't that bad I could function pretty good ( who wants to hear that your back hurts all the time ). I took advil until I gave myself an ulcer, so Then my doctor told me to take tramadol which really help for a while. I am now 33 and 3 months ago my back was hurting and it kept getting worse until one morning I could barely get out of bed in the morning. I had togo to the ER. Once there I had an MRI and was admitted for 4 days. During my stay I spoke to two doctors first one told me my MRI test saying that I had alot of disease in my back. Severe disk degeneration, 3 disks poking my spinal colum, lumbar spinal senosis, and herinated disks. This doctor asked me what it took for back pain I told him tramadol, he said that's it? yes then he said I must have a high tolerence for pain ( whatever that ment ). Then my now neurosurgeon came to see me. He said the same thing in the results. He said that I was good canditate for a lumbar fusion, telling what it is and what it entails. I have to tell you I was very shocked, after he left I cried for a long time. Talked to friends and family talked to the neurosurgeon's surgical nurse, made an appt. for two weeks later. Left hospital 5 days later. Went and saw my GP who said she thought I should get this done ( she had seen my MRI and flims ) I really like my GP so her thought count. I went to see a the doctor I had seen before he acted liked this had just happend over night. Then I went and saw a diffrent neurosurgeon who said the same thing and I would be in a wheelchair in 8 years. So I liked the first neurosurgeon better called office told them surgery was a go. Three weeks later 12/12/06 had 2 level fusion and 3 disks replaced. Now it is 4 weeks later and I am starting to feel more like myself, had only started to notice my lower back is feeling better. This surgery has been a very emotional one for me, the frustration of limitations and pain after the sugery not fun. But I find myself thinking how much better I am feeling!! My neurosurgeon saw me a few days ago and said everything looks great. So far so good. I am walking about 2 miles a day, doing a few small things, eating better and I have not smoked a cigarette in 5 weeks now, It was a hard thing to do still is sometimes, but I want fusion more than the cigarette. I hope that helped you yvette.