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  • Dr not mentioning MRI results.

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    Old 09-12-2019, 09:03 PM   #16
    froggie83
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    Re: Dr not mentioning MRI results.

    I had random neurological issues. At one point my husband thought I had something like multiple sclerosis. (Facial numbness, twitching, feeling like a body part is vibrating, sensations of hot or cold water running on a leg or arm.) But nothing lasts for more than a few seconds. And usually happen for a day or two then gone and not return)
    No family history, my mom's hip had necrosis which was caused by chemo for cancer. She was old enough for replacement.
    I didn't know what was causing the hip or back pain which is why I talked to my gp. Which led me to xrays and MRI and a neuro, now therapy and possibly an orthopedic dr in the future.
    I do not have any foot issues that I know of
    the hip xray did show the pelvic ring was asymmetrical and the radiology report said possibly developmental.
    Any way I look at it I think I will be dealing with back and hip problems for the rest of my life..

     
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    Old 09-14-2019, 07:07 PM   #17
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    Re: Dr not mentioning MRI results.

    Well, that could be! Unfortunately I don’t think I know a single person who had back surgery that did not continue on with spinal issues! But, it can be managed and all the general stuff you read is valid. I think the biggest thing you can do is to maintain a normal weight and be active...but, you also have to be VERY smart! You have to learn what activities cause or may cause your particular spinal symptoms and then either avoid them or learn appropriate behavior modifications! For example, running a vacuum cleaner is a guarantee for me to develop sciatic pain. I learned I can no longer clean my house in one period. I have to break it up into manageable segments of time. I cannot rake leaves. Everything else I do that requires repetitive bending, I do in small doses. I can do some gardening but, I take a lot of breaks. Etc!

    I have had four lumbar surgeries, including two fusions since 2008...most recently in 2017. Since June, I have been going to private sessions of Pilates, working one on one, and have found it the most beneficial thing I have tried. It is in great part to the teacher who is highly qualified and teaching others, knows a lot of related protocols, knows a lot about kinesiology and body movement, understands my limitations and works with me to modify what I can and should not be doing, while encouraging me all the time that a lot of pain and fear is perceived conception that I can overcome. It had made me stronger and I am enjoying it.

     
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    Old 09-14-2019, 07:12 PM   #18
    teteri66
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    Re: Dr not mentioning MRI results.

    Again, I think it likely you have degenerative disc disease and should a) find out if that is so, and b) take appropriate steps to modify your lifestyle to accommodate it. It will never improve! You can only attempt to manage it and modify your “lifestyle.”

     
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    Old 09-14-2019, 07:38 PM   #19
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    Re: Dr not mentioning MRI results.

    T12 down to l3 has facet arthropathy but no stenosis and nothing else noted on radiology report.
    The l3 -l4 is protruding
    The l4-l5 is protruding with an extension into the exiting nerve space on the right
    The l5-s1 is protruding with annular tear with mass effect to the exiting nerve to the left.
    There is much more on the report about ligamentum thickening.. and formal all narrowing and nerve this and that..
    The pubis symphysis showed degeneration on both the x Ray and mri. But degeneration is only listed on the x rays.. But not the mri. Would that be degenerative disk disease? Or should I speak with my gp about a referral to a different type of specialist.
    The specialist I have now is a neuro surgeon. and if therapy does not fix the pain he will refer to an orthopedic surgeon..

    In reality I have had such an uneventful life that I don't know how to navigate the healthcare system to get answers and the right care for my pain.. I feel lost.

     
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    Old 09-15-2019, 05:04 AM   #20
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    Re: Dr not mentioning MRI results.

    PT could very well help. Ask your therapist to tell which types of activities you CANNOT do-jog,ride a bike,dance????? Do the therapy, know your limitations and see where you are after that. Maybe an epidural will help. Ask about that. But ONLY after you do the therapy.

     
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    Old 09-16-2019, 10:51 PM   #21
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    Re: Dr not mentioning MRI results.

    Well...I just kind of skimmed your report...but my immediate I pression is that the part of it you dismissed or lightly skimmed over is the significant finding that is causing your pain. Foraminal stenosis causes nerve pain. The foraminal openings are small openings located at each vertebral segment that allow the spinal nerve to exit the central canal and go out to the area of the body it innervates.

    It is an opening. When it becomes “narrowed” (Think here of an old iron pipe that becomes clogged by minerals, etc. until little water can drip through), the spinal nerve that is passing through gets “squeezed.” Depending on how much, this results in pain, tingling, numbness, etc.

    This can be one of the major sources of pain and other symptoms!

    You need to learn much more about exactly how much nerve compression you have, how much stenosis (narrowing) you have, etc. The neurosurgeon could tell you this by examine your MRI! Basically a neurosurgeon who does spine work and an orthopedic spine surgeon have similar training and should be able to diagnose and treat you! I personally prefer the ortho spine doc...but, that is a personal preference!!

    I would ask for a referral if the neurosurgeon won’t do a better job of treating you! In the meantime, I encourage you to begin to read up on lumbar spine conditions, anatomy, etc! We need to be our own health advocates!

     
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    Old 09-17-2019, 05:46 AM   #22
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    Re: Dr not mentioning MRI results.

    This is why I am reaching out on here. The Dr did not mention any of these things. and I am a curious person when it comes to health related things so you can bet that I have researched and read up on as much of these findings as possible.
    Now my big question is will therapy work? I keep finding mixed answers on this. From what I am finding is that it will ease pain or create it. It will help when doing it but once it's over I will be back to pain. I
    I really wish the Dr would of taken the time to go over the results and give me info. Another thing that he or the other could of done to help was tell me what to avoid. For all I know I could be making things worse with my daily life and not know it because they didn't inform me

     
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    Old 09-17-2019, 03:19 PM   #23
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    Re: Dr not mentioning MRI results.

    Well, you have to keep doing your exercises after you finish PT. In fact, you'll be instructed to do some WHILE you are going thru PT. It seems you've never done PT before so you really need to give it a chance. I've done it for my shoulder and my back. Excellent results with both. As for my back, I have many of your same issues. Give it a try! And the therapist can tell you a lot about your situation. You normally have a chat at the first session...

     
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    Old 09-17-2019, 05:51 PM   #24
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    Re: Dr not mentioning MRI results.

    I did go to the first therapy session. and they were willing to listen, but still didn't go into details. The therapist heard my hip pop and said he didn't know how much therapy would help, especially if it was a bone deformity but the xrays and mri don't say anything about it being a bone issue. He read the radiology reports. And made copies so at least he is looking at the whole picture not just the displaced disk and labral tear that the Neuro talked about.
    They did send me home with some stretches, and a couple exercises. But I dunno if they are helping or hurting. Since starting them I have had increased hip pain. But a decrease in lumbar pain. ( I work with kindergarten. I could only sit in the little chairs for about 10 minutes before I wanted to cry but now I can handle about 30 before I have to pace the room. But flip side, pacing hurts my hip so I need to sit.. . )

     
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    Old 09-18-2019, 03:38 AM   #25
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    Re: Dr not mentioning MRI results.

    You will have a stage where you hurt more as things get moved where they are not used to being...and then things will get better.That's very normal. This condition came about slowly over years. Now in an hour session you are trying to get back to normal. Of course it's going to hurt! Hang in!!

     
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