Extreme PAIN.. Lot's of test NO Answers!!
I have posted on here before regarding issues I have. Short synopsis.. Extrem lbp since MVA in 2008. Had ESI, facet injection and ablation, PT and finally a neurosurgeon did a discogram in 2010 following my 3rd MRI and it was positive at l5-s1. The following month I had a TLIF fusion at that level. That was 1 yr ago. At every appointment I have brought up that though the sciatica and mid lbp had eased moderately the pain I had prior to surgery in my low back to the left of my spine has gotten unbearable and is in my buttocks and groin. He says well U made the correct decision in the TLIF, however I think that your problem secondary to the IDD at l5-s1 was SI joint pain and the fusion may be exacerbating the problem there. We may have underestimated that as a pain source. He sends me back to PM and he does a diagnostic injection in the SI Joint and immediate relief. Lasts about 6hrs then returns. 2 weeks later another injection with cortisone. Immediate relief that last about 2 weeks and here comes the pain. 3 weeks later a lateral branch block and got relief so he schedules an RFA. Well I had the RFA 4-5 weeks ago and yet ZERO relief. He says there's nothing else I can do except a pain pump, or keep u on Oxycodone and muscle relaxants which I HATE. So he sends me back to the same Neurosurgeons and 1 that specializes in SI Joint fusions. He says that he would suggest SI Joint fusion by SI Bone and would like me to consider it and get a 2nd opinion. I get the 2nd opinion and he determines I have SI Joint dysfunction and inflamation problems and would suggest a fusion and a HLA-B27 test for auto immune issues. I haven't done that yet but why wasn;t this done b4 now? If that is an issue would the fusion be a help yet the auto immune cause problems elsewhere? I am just really confused about what to do. If the diagnostic tests were positive why no relief with the RFA? I can go on and on with questions but won't. Does any one have similar issues, answers or suggestions? Have I done all I can and should I proceed with the fusion since 2 docs say yes? What idf the HLA_B27 isd positive what will that mean? Sorry for the novel just really worried.. I am a father of 3 and 1 being a toddler and want my life as normal as possible. I am only 38 and really annoyed as u can tell. Thanks in advanced to any who respond with any advise or suggestions.. Thanks XwinX