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Old 12-12-2012, 02:28 PM   #1
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Not sure what to do next

First of all, I had an MRI done several years ago that showed this:
FINDINGS: There is no vertebral compression or malalignment. The bone marrow signal intensity is normal. There is moderately severe disc degeneration and disc space narrowing at L5-S1 with mild degenerative bone marrow signal changes. There is a large central and left paracentral focal disc protrusion at L5-S1 measuring about 1.4 cm at its base and 5 mm in depth. It impinges on the thecal sac in the left. It also probably impinges on the left S1 nerve root. There is mild disc degeneration at the other levels with no disc space narrowing and no focal disc protrusion.
IMPRESSION: DISC DEGENERATION AND DISC SPACE NARROWING AT L5-S1.
LARGE CENTRAL/LEFT PARACENTRAL FOCAL DISC EXTRUSION AT L5-S1.

At that time I was just seeing an MD and no back specialist. Then a few years ago my dr. referred me to a pain management dr, who gave me epidural shots in my L5-S1 level, which didn't help. Then she tried a medial branch block at that level, which also didn't help. This was over two years time. At that point she said she couldn't do any more for me and referred me on to an orthopedic surgeon, who I am currently seeing.

The ortho asked me where it hurts the most and although my back report seems to indicate that my left side would cause problems, the right side of my back bothers me the most. It always hurts slightly to the right of my backbone, usually hurts down the middle of my back, and only sometimes on the left. He said he treats the symptoms by what the patient says more than go by what an x-ray shows. He said that, judging from where I pointed where the pain is the worst, that he thinks that the pain could be stemming from my SI joint, so he gave me a steroid shot in my right SI joint. I noticed a difference because for the next few days I could do things that I normally have a lot of pain doing. So it must have helped, which was leading me to believe that the SI joint is the cause of my pain, but then after a few months and getting another shot in that same joint, I didn't notice a difference.

I'm scheduled to go back to the orthopedic surgeon in a couple of weeks and at this point am not sure what to do. I don't know what he'll say/do when I tell him that this second shot didn't help. I really would rather avoid having a spinal fusion done at the L5-S1 level because after that I envision a lifetime of one surgery after another. I think I'd rather, if he's agreeable, start out by getting a right SI joint fusion done using the Ifuse system and hope that that fixes it. If not, then I guess I probably don't have much choice than to have a spinal fusion done. I wish I wouldn't have to have any type of surgery done at all, but it's my feeling (whether wrong or right) that the SI joint fusion has less potential to cause any problems in my body.

Over the past few years, especially from last year to this year, my pain has greatly increased. I can't do much anymore except wash the dishes and even that causes me a lot of pain. I always have pain no matter what but have less pain sitting than I do standing or walking. Standing in place for more than just a couple of minutes just kills my back. I've tried physical therapy, which didn't help. I've taken various types of anti-inflammatories, including Neurontin. I have vicodin, which doesn't even really seem to help. I feel like I'm about at the end of my rope. The pain in my back has taken over my life and it's practically the only thing that I ever think about. I suffered from depression before I even had any back trouble and now it's really bad. I would appreciate any insight.

 
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Old 12-12-2012, 02:50 PM   #2
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Re: Not sure what to do next

First of all I would think you need a new MRI. Any MRI older than about six months is not considered sufficiently up-to-date. Second, it is recommended that you get several opinions before agreeing to any surgery. I don't think you have sufficient information to know what specifically is wrong and what might be causing your pain.

Do not make the mistake of thinking that a SIJ fusion is a benign procedure. The success rate for SIJ fusions is even less than for lumbar fusions...which isn't all that great. Second, the IFuse system is sufficiently new that there is no long-term data on it. It appears to be more successful than the old way of fusing the SI joint and doesn't require a patient to stay off their feet for months while it heals, but there are still many things about the procedure that are not yet known.

You would not want to undertake it without being as sure as possible that this is what is your pain generator.

Your symptoms sound like you have spinal stenosis. Do you get any relief from the pain that you get when standing or walking, if you are leaning slightly forward as when pushing a grocery cart at the store?

I would encourage you to make an appointment with another fellowship-trained orthopedic spine surgeon or a neurosurgeon whose practice is limited to the neck and back for a thorough evaluation and consultation. I personally would choose one from each specialty, being certain the doctors are not in the same practice. I think it would be helpful to start out with a clean slate with a new spine specialist and see what kind of a diagnosis you get.

 
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Old 12-13-2012, 03:25 PM   #3
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Re: Not sure what to do next

Thanks for your reply. I kind of wondered if my MRI was recent enough, but this dr. never mentioned getting a new one, so I assumed that he knew best (maybe wrong assumption). My pain management dr. had referred me onto this orthopedic surgeon, so I've been seeing him for the past year.

I suppose that you're right and that I should get a second opinion. What I'm wondering, though, is if a person does that, I'm not sure how he/she determines whose opinion to go with.. I wouldn't know which dr. would have the best suggestion for me. One thing I like about this one is that he's only half an hour away from here, as are other orthopedic surgeons, but I'm not sure if there's any in the area who aren't in the same practice as this one. I like this doctor as far as personality. One thing that upset me a little bit when I first met him was that he didn't give a very hopeful prognosis for me if he'd do an L5-S1 spinal fusion because of my weight. What he said was that I'd be one of the heaviest people that he's operated on and that he was afraid that I might have complications. I forget his exact wording but because of having to move all of that stuff aside inside to get to my back that I might not heal up the way I should. I don't know how surgeons usually do spinal fusions, but this one said that he goes from front to back. I assumed that it would be easier going in from the back rather than from your front.

After I had looked on the si-bone site and watched videos of the people's testimonials who had the surgery done with great success, that really had my hopes up. They made it sound like it was the greatest thing that they had ever done. Of course, I guess a company trying to sell their product wouldn't present anything that would make their product sound bad, like saying that the SIJ fusions are even less successful than spinal fusions. I didn't know that and am not sure where you got your information. I'm not doubting you; it's just that I haven't read anything to that effect. Now that you said that, I don't think that I'm going to jump into anything hastily. I don't know how long the IFuse system has been around, but if it's that new like you say, I guess there wouldn't be a whole lot of documentation on it as far as consequences down the road. One thing that I keep thinking about (with this IFuse method of any other type of surgery where there are screws, rod, whatnot inside of you) is whether that metal leeches into your system and could cause complications at some point.

I liked that the dr. said that I'd only have to be off of my feet, using either crutches or a walker, for 3 weeks. Now I'm wondering if that's long enough. I wonder what the length of time usually is for other doctors doing the si-joint surgery, and I also wonder what the length of time is off your feet for the L5-S1 surgery.

I know of someone (he works with my husband) who had an L5-S1 spinal fusion with great success. He saw a surgeon who's about an hour away from here in PA, and I suppose that's who I'd see for a second opinion. This guy who works with my husband actually came here to the house to talk to me about his surgery, which I thought was nice. He said that the dr. went in from the back, which is the opposite of what my current orthopedic surgeon would do. He said it took him about 14 or 15 months to pretty much get back to normal. I guess I hadn't realized that recovery from that takes so long. I'm really into gardening (I garden for the butterflies) and was so wishing that I'd be fixed up in time for this gardening season, which my current ortho gave me hopes of that. When I mentioned to him about my gardening, he said I could be out there gardening in a few months. What I see as a longer length of recovery for a spinal fusion, that has been discouraging me from wanting to get that done and rather opting for the si joint fusion. Now though since this last shot and not having any improvement, that makes me wonder if it is that joint or not causing the pain.

I'll have to look up "spinal stenosis" now since you mentioned it. I actually haven't been to stores in ages. My husband has also taken up the job of grocery shopping for us because of my pain. I hardly ever get out of the house and hardly ever anywhere except sitting here on the computer chair or laying in bed. I'm sure that's not doing my back any favors, but I just feel so bad and can't do much. Anyway, I'm not sure about the pain getting less by leaning on a shopping cart. I do know that when I'm doing dishes it hurts the whole width across my lower back.

I'm not sure what you mean by "fellowship-trained" orthopedic surgeon. I'm not sure if this dr. that I'm seeing is limited to the back and neck or not.

I don't know if I mentioned or not that I was also told that I have arthritis in my back, unless that usually goes along with this kind of thing.

 
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Old 12-15-2012, 06:53 PM   #4
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Re: Not sure what to do next

There are a couple things that I think I forgot to mention. My orthopedic surgeon told me from looking at my last MRI results that the disc and L5-S1 is totally gone, "flat as a pancake" and that it's bone riding on bone now. Also, I was told at some point (I think they told me at physical therapy this past summer) that I have arthritis in my back. Maybe that's pretty common for someone with back problems.

I go back to the ortho on the 27th and at this point I'm not sure what to tell him and ask him. I had been planning on telling him to go ahead with the SI-joint fusion, but now I'm not sure that's a good idea. I'll probably get a second opinion. It's just discouraging that this has been dragging out for years now with still no answer. I wish that more research would be done on back problems. Most days I feel like bawling and giving up.

 
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Old 12-15-2012, 10:22 PM   #5
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Re: Not sure what to do next

Of course after reading your post, it brought up more questions. Did the doctor recommend the IFuse SI joint fusion to you rather than working on the L5-S1 where the disc has dessicated and where you are bone on bone?

You should be able to go online and look up your doctor, either on the clinic's website or on one of those sites that provides information about various doctors to find out if he is fellowship-trained. Fellowship training is additional training that is done after the orthopedic residency that gives the doctor the advanced training in the neck and spine, and distinguishes the surgery for a general orthopedist who treats a variety of issues relating to the muscular-skeletal system.

Often when there is degenerative disc disease, arthritis goes along with it. It also goes along with many other spinal problems. Because the back has so many articulating joints and because the spine carries much of the body's weight, wear and tear leads to arthritic changes....so yes, most people with spinal problems have at least a bit of arthritis.

Regarding the IFuse, it is so new that they are just beginning clinical trials...and the patent is still being reviewed....so there really is no long-term information about it. Someone on the board had this surgery recently. I can't remember who it was but will look and see if I can find the old posts.

I just am confused as to whether the doctor told you this is what you need or why he is disregarding the issues you have at L5-S1. I will tell you that there are some spine surgeons that will not operate on a person if he/she is overweight. The first spine surgeon I ever went to was one of those doctors.

 
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Old 12-16-2012, 02:09 PM   #6
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Re: Not sure what to do next

As previously suggested, PLEASE, get at least one more, if not pref 2 more opinions. Go a little further away from home if you must. Also try to have one of them be a neurosurgeon as well.
Weight can cause alot of back problems to be far worse. I mean, weight can cause an otherwise "healthy" spine to take it's tole and hurt. It's always good advice to lose weight anyway, but esp if you are facing surgery like this. Here is me for example: I am not overweight, but after my double lumbar fusion I had to remain in the hospital for TEN DAYS because I was unable to support my own body with my arms. I couldn't push my body at all on my own as I had no strength. I am 5'10 (post fusion I grew an inch!) and weigh apx 165 lbs. Even once home after ten days of begin upper body PT to get stronger I still was unable to get up without my husband or son holding my hands to help me get up ever. I was also unable to lift my legs up into bed on my own for several more weeks, I was not strong even though pretty thin, so I cannot even imagine how difficult it would of been more so if I had more weight. I'm just being honest with you as to how it's been for me. Also, the Dr. is right: if there is more tissue to cut through, you will be so much more sore. I also had a hysterectomy last year and with five incisions on my belly cannot imagine if I was my previous years weight.

When you had PT before, how long did you go? How many attempts at it have you made? Where you a "good" patient, meaning, did you keep every appointment and do your home exercises faithfully? This is SO important with PT. Also, you can try another PT facility, maybe one that specializes in spinal issues. I know for my previous problems, esp cervical problems that traction helped alot. We did also try it for my lower back before, it's called pelvic traction. Oh, and massage helps, ultrasound therapy also. It takes alot of dedication and patients to see if PT will help you, but man, if that would of worked for me and prevented surgery I'd of been SO HAPPY. I understand depression, I too have had it previous years and alot from constant pain for almost 17 years. Then post op, WOW! I used a walker for almost two months. I thought I'd be disabled forever, recovery can be the hardest and depressing time you face.
Good luck whatever you decide and I hope whatever you get some relief. Tell the Dr.'s that the meds you have tried and are currently on are not working. There are so many more out there. The first and only one to help me just a little preop and now post op is called Tramadol. I take it 100mg as ER, it works for 24 hours. I also take neurontin but only at night as it makes me really, really dumb.
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Old 12-16-2012, 02:37 PM   #7
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Re: Not sure what to do next

I also wanted to comment on this site. This is the only place I have found TRUE, honest, brutal answers from real people who have been through things. All other sites were B.S. in my opinion. When I tried to research procedures, surgeries, drugs, etc. all you see are Happy people as it's advertising. Dig on here, and keep asking as you have. This is the only site you will get the honest, first hand experienced truth from others. We don't sugar coat replies on here, you get the honest truth. For example, I read everywhere else that I'd be laid up a few weeks, and back to "normal" after a few months-HA! I'm 5 months post op, def have improved so very much, but unable to work yet, and my PT, Dr. and I all feel I have another good 6 months of work to do at healing yet before we know if I can even return to working at all. Everyone is completely different of course too, but boy I just do not know how I'd of gotten to this point without this site and it's members.
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Old 12-21-2012, 03:36 PM   #8
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Re: Not sure what to do next

[QUOTE=teteri66;5104754]Of course after reading your post, it brought up more questions. Did the doctor recommend the IFuse SI joint fusion to you rather than working on the L5-S1 where the disc has dessicated and where you are bone on bone?
[/QUOTE]
At one of my last appointments my dr. asked me to show him where my back hurts and then he said he thinks my pain might be coming from my si joint, which is when he gave me a booklet put out by the company that makes the IFuse materials for the surgery. That actually relieved me, thinking that it could be that joint instead of the L5-S1 because of what he had said to me when I first met him. He had told me that because of my weight there could be complications from the L5-S1 fusion if he'd do one on me. He said that with having to push more aside to get to my back (he'd be going back from the front instead of the back...in other words, I guess he meant I'd be lying on my back for the surgery and not on my stomach), I might not heal up right from the surgery (the L5-S1 fusion), but he didn't mention that to me when he was talking about the si-joint fusion. Now in my mind at least the si-joint fusion seems like the lesser of the two evils. I'll admit that the idea of having the L5-S1 fusion doesn't appeal to me at all. I'm afraid because of what he said, and I'm also afraid that I'd be laid up for a lot longer time with the spinal fusion. I told him that I butterfly garden and that I really would like to be able to garden this spring and summer and he said with this si-joint fusion I'd have to use crutches for 3 weeks and he said I'd be able to garden in the spring if I'd have the si-joint fusion done in January or February. He wasn't pushing me to have it done in that time. It was me who brought that up.

I will go online and look up my doctor again. I had at one time before I first went to see him, but I really don't know if it said anything about being fellowship-trained.

My thinking is what can be so bad about having this IFuse surgery? You don't have to answer that, I'm just saying my thoughts. It looks relatively easy and I guess probably some other types of surgeries leave behind titanium rods (like this surgery does), like when people are injured in car accidents and need their bones held together. This seems to me less invasive than having a big cut in my skin to go in and fuse the si-joint. I'm not as uneasy about the idea of having this surgery done compared to a spinal fusion. With the spinal fusion I'd be left with at least screws in my backbone. It's just something about being up there in my spinal area that really frightens me. The dr. even said or implied that the si-joint area is safer.

I just wish that I could quit my overeating! In the back of my mind I wonder if most of this pain would go away if only I'd lose weight. It's really hard for me. I come from a long line of overeaters.

Part of me wants to get this the heck over with so that I can hopefully get on with my life, and part of me says to get a second opinion. My life has gone from being fairly active to being extremely sedentary because of the pain. I go from bed to the computer chair, so I walk from the upstairs to the downstairs and back up at the end of the day. The only comfortable place that I can sit is in the computer chair so I'm here most of the day and manage to get up to do the dishes and that's pretty much it. It's gotten to the point that I wish a bus would hit me and get me out of my misery. This is no life, seriously.

 
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Old 12-21-2012, 04:05 PM   #9
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Re: Not sure what to do next

[QUOTE=workinmom572;5105005]As previously suggested, PLEASE, get at least one more, if not pref 2 more opinions. Go a little further away from home if you must. Also try to have one of them be a neurosurgeon as well.
Weight can cause alot of back problems to be far worse. I mean, weight can cause an otherwise "healthy" spine to take it's tole and hurt. It's always good advice to lose weight anyway, but esp if you are facing surgery like this. Here is me for example: I am not overweight, but after my double lumbar fusion I had to remain in the hospital for TEN DAYS because I was unable to support my own body with my arms. I couldn't push my body at all on my own as I had no strength. I am 5'10 (post fusion I grew an inch!) and weigh apx 165 lbs. Even once home after ten days of begin upper body PT to get stronger I still was unable to get up without my husband or son holding my hands to help me get up ever. I was also unable to lift my legs up into bed on my own for several more weeks, I was not strong even though pretty thin, so I cannot even imagine how difficult it would of been more so if I had more weight. I'm just being honest with you as to how it's been for me. Also, the Dr. is right: if there is more tissue to cut through, you will be so much more sore. I also had a hysterectomy last year and with five incisions on my belly cannot imagine if I was my previous years weight.
[/QUOTE]
You're lucky that you only weigh as much as you do. I was just to the PA-C for my regular checkup and I was 249. I was even heavier before because at my last appointment they had told me that I lost 14 pounds. I could stand to lose that much more many times over. It's very difficult for me, especially this time of the year. I really tend to overeat around the holidays because I get even more stressed out than other times of the year. I just normally am an overeater and mostly always have been. I've tried many times to lose weight and was successful several times at taking off a lot of weight only to put it back on again. It's so discouraging. If you had that much trouble supporting your body after surgery, I can imagine that I'd have lots more trouble than that yet. If I can't get up on my own if I have any type of surgery, I don't know what I'd do. I'm here alone during the day and am wondering how I'd even get up to go to the bathroom (which I do quite frequently).
[QUOTE=workinmom572;5105005]
When you had PT before, how long did you go? How many attempts at it have you made? Where you a "good" patient, meaning, did you keep every appointment and do your home exercises faithfully? This is SO important with PT. Also, you can try another PT facility, maybe one that specializes in spinal issues. I know for my previous problems, esp cervical problems that traction helped alot. We did also try it for my lower back before, it's called pelvic traction. Oh, and massage helps, ultrasound therapy also. It takes alot of dedication and patients to see if PT will help you, but man, if that would of worked for me and prevented surgery I'd of been SO HAPPY. I understand depression, I too have had it previous years and alot from constant pain for almost 17 years. Then post op, WOW! I used a walker for almost two months. I thought I'd be disabled forever, recovery can be the hardest and depressing time you face. [/QUOTE]
The orthopedic surgeon that I'm seeing referred me to physical therapy and I went for 2 months. It was within his "group", so he was able to tell them what exercises to have me do. They might have helped slightly, but I couldn't honestly notice a difference. Yes, I did them faithfully every day here at the house. When I was at PT besides the exercises they would put heat on my back for 10 minutes, and they also did ultrasound on me, which felt so good while it was being done that I could have laid there all day. After my two months of PT, as far as I could tell, my back hurt as much as it did when I started there.

Like you, I can picture me thinking that I'd be disabled forever. It doesn't take much to get me thinking negative thoughts, and especially in that case when a person feels so out of control, that would really do a number on me.

[QUOTE=workinmom572;5105005]
Good luck whatever you decide and I hope whatever you get some relief. Tell the Dr.'s that the meds you have tried and are currently on are not working. There are so many more out there. The first and only one to help me just a little preop and now post op is called Tramadol. I take it 100mg as ER, it works for 24 hours. I also take neurontin but only at night as it makes me really, really dumb.[/QUOTE]
I've been telling both the PA-C and the orthopedic surgeon that the meds do nothing for me, but they said they don't know what else to try. Neither of them will prescribe more vicodin for me, although I haven't abused it. Actually, I'm afraid to take it often because I know that what I have left is all that I'm going to get. So if I can't take it very often (like one every few weeks), of course it's not going to do much. I think they're both afraid that I might get addicted because I suppose some people do. I don't know what they would consider being addicted, but my thought is that if a person needs something to stay relatively free of pain, what's the problem! It makes me mad at them for seeming to think no big deal that I have to deal with pain. It makes me want to spit nails!

Your mentioning Tramadol reminded me that that was one of the things that I've tried, also Naproxen, Neurontin, and one other thing that I can't think of right now. The doctors don't know what else to have me try. This whole back business is so darn frustrating. I told me dad that if I had a gun I'd be tempted to shoot myself. He knows what I mean because he feels the same way. He has trouble with his back and his knees (he's also overweight).

At least the PA-C prescribed me some sleeping pills, and last night was the first time in a long time that I got a decent night's sleep. Of course, I have to use them sparingly though because it's only a 30-day supply with NO refills.

Thanks for your help. I like to read what other people have gone through to see if there are any similarities between what they experience and what I do. I just hope that there is a way out of this pain.

 
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Old 12-22-2012, 09:27 PM   #10
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Re: Not sure what to do next

Who is this doctor? is if from China or India? They have to prescribe you pain killers no matter what.

Tramadol is nothing, it's too mild. Also gabapentin is too mild. It's not for severe pain.
What about Oxycontin or Lyrica? What I remember about Lyrica is that it helped me sleep.
I know exactly how you feel, though I can do everything (but sleep) I am suffering day and night from neck pain. It's unbearable.

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Old 12-23-2012, 08:03 PM   #11
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Re: Not sure what to do next

I would suggest you gather together whatever test results you have, MRIs, etc. and make an appointment with a different spine surgeon from a different practice. It may help to have a new pair of eyes looking at your issues.

It is a simple enough procedure to have a diagnostic nerve block that should help determine if your pain is coming from the bad disc at L5-S1. I had a number of them prior to my last fusion as there was some debate over whether L3-L4 should be included in my fusion surgery. I had one block which was positive, and then we repeated it two weeks later...and the results were the same. As it turned out, when the doctor opened me up, the damage at L3 was MUCH more severe than what had been indicated on the MRI. The facets were almost completely worn away and it was allowing that segment to slide around with nothing to stop it...and the nerves were being badly squished.

 
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Old 12-23-2012, 08:17 PM   #12
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Re: Not sure what to do next

I think that besides visiting doctors, you should do some slight activites and maybe, go to a sauna and massage your back

 
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Old 12-29-2012, 04:40 PM   #13
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Re: Not sure what to do next

[QUOTE=nochange;5107960]Who is this doctor? is if from China or India? They have to prescribe you pain killers no matter what.

Tramadol is nothing, it's too mild. Also gabapentin is too mild. It's not for severe pain.
What about Oxycontin or Lyrica? What I remember about Lyrica is that it helped me sleep.
I know exactly how you feel, though I can do everything (but sleep) I am suffering day and night from neck pain. It's unbearable.[/QUOTE]

Yeah, really, you'd think that any of my doctors are from China or India because they both seem to have problems with prescribing pain killers. Well, I actually see a PA-C at the regular doctor's office. She won't prescribe anything at all for my back, and the orthopedic surgeon isn't much better. I don't know if they don't think my pain is much or why I get these mild pain killers. So I'm really not taking anything for my back pain anymore. I use a TENS unit, which they said at physical therapy (where I found out about these machines) that they'd block the pain, that you can't feel both the shocks and pain. So I guess I was expecting miracles from this thing. Well, if you ask me, it doesn't do much at all.

I'm sorry to hear that you also have sleeping problems. It's the pits when you can't get a good night's sleep. I seriously feel as though I'm awake about every 15 minutes. I hate it. I hope that you can sometime can relief from your neck pain.

 
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Old 12-29-2012, 04:55 PM   #14
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Re: Not sure what to do next

[QUOTE=teteri66;5108236]I would suggest you gather together whatever test results you have, MRIs, etc. and make an appointment with a different spine surgeon from a different practice. It may help to have a new pair of eyes looking at your issues.

It is a simple enough procedure to have a diagnostic nerve block that should help determine if your pain is coming from the bad disc at L5-S1. I had a number of them prior to my last fusion as there was some debate over whether L3-L4 should be included in my fusion surgery. I had one block which was positive, and then we repeated it two weeks later...and the results were the same. As it turned out, when the doctor opened me up, the damage at L3 was MUCH more severe than what had been indicated on the MRI. The facets were almost completely worn away and it was allowing that segment to slide around with nothing to stop it...and the nerves were being badly squished.[/QUOTE]

I guess that would be a good idea to also see a different spine surgeon. I forget if I mentioned it but I had had some injections at L5-S1 with no positive results. That was when I was seeing a pain management specialist, who was an anesthesiologist and did my injections. For being a "pain management" specialist, like the drs. who I presently see, she also didn't give me more than a mild pain killer.

I would assume then that the dr. also took care of your L3 level too while he had you opened up. At least I hope so. I guess that MRIs aren't always totally accurate.

 
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Old 12-29-2012, 04:58 PM   #15
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Unhappy Re: Not sure what to do next

[QUOTE=janesi87;5108239]I think that besides visiting doctors, you should do some slight activites and maybe, go to a sauna and massage your back[/QUOTE]
I don't do much because I really hurt too much. I totally avoid bending over at all and my back kills me just standing a few minutes doing the dishes. A sauna and massage sound inviting, but unfortunately I'm poor and can't afford that.

 
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