Re: advice... new to PM and white coat syndrome
I have not seen an ortho or nuero surgeon. Board certified or that sleazy guy from the Simpsons! Kidding by the way...I take medical care very seriously since this has been bothering me a couple years I want to be diligent. I tried switching to a sales desk job thinking labor jobs had eaten up my back n sometimes hands and feet. After thinking more and looking back since I was only in contracting work 2 years it is more likely some nerve issues lead to tingling numbness in hands and feet at times pain in back all day very stiff in mornings along with feet. Hands act more with weight on my arms propped up or when holding/squeezing something with pressure, otherwise hands don't have the pain like in feet.
My MRI is up on back pain boards I will duplicate here eventually to show details of what I mentioned in the mri there are a bunch of words all indicating stenosis in each lumbar area...maybe they are different conditions but all seem to indicate similar problem with DDD, arthritis, central canal narrowing, 4 bulging disc one moderately bad. I am summarizing so probably leaving many MRI issues out due to lack knowledge really.
I am getting back into contracting and knowing my limitations will make me more aware than when I thought I just needed to push through and get better. Every injury I've has healed with rest.
I need to write journal in brief visit it was impossible to give PM enough detail. The MRI and notes I'm taking about how I feel with symptoms should help PM Dr do their job. I do not know PM Dr background I know there is a rheumatologist a counselor and several speciists to look at pain, depression, symptoms and reccomend alternative treatments.
Sorry if this has bad grammar or is unclear I am writing on my phone. I need to write notes I think showing I even tried career change along with PT,acupuncture, physiotherapy.
Since no one here for the most part is Dr please advise on keeping journal of symptoms and telling Dr I tried career change. I get nervous at docs so I want to document issues, concerns, symptoms and what I have tried so they know. I will share results in 12 days of next appointment. The Dr should be able to help more with the MRI done now w report from dr look over mri but second opinion on MRI sounds smart by ortho or nuero like you said. and see back pain is legit not just me complaining. I also have muscle spasm in back...just another off topic note I apologize for lack of organization this is posted via phone internet. I am not presenting issues well but advice appreciated on journal etc. With issues above and let me know if you want more info. MRI avail on my other threads or I can post more here.