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    Old 09-10-2019, 08:42 PM   #1
    froggie83
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    Dr not mentioning MRI results.

    Is it normal for a dr to not mention the results of an mri?
    My MRI report states there is a protruding disk, another that is protruding to the right with significant compromise. And a third that has an annular tear with mass effect on the nerve exiting there. All the dr said was that there was something on my MRI that indicates I should be having pain /numbness down my leg. But there was no mention of the protrusions, the tear; nothing. So is that normal? He is sending me to physical therapy for the back and a labral hip tear. (Which is something He did mention.) My gp referred me because X-Ray showed signs of degeneration and I am not even 40. Both Drs say it is age related degeneration.. But everything I find online about this degenerative arthritis says onset is 40, or 60..my issues started in my early 30's! I am not an athlete, not obese, and never sustained an injury.
    I am in pain. The Dr did prescribe pain meds. (Nsaid stronger than ibuprophen) and it is helping. But I wonder why he failed to mention the disk issues. and why they are not answering why age related issues in a 30 something female??

    (I must add that my post appointment paperwork states that he discussed the disk protrusion. But never actually said the word disk. Or protrusion. )

     
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    Old 09-11-2019, 01:47 PM   #2
    teteri66
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    Re: Dr not mentioning MRI results.

    Was he the doctor who ordered the MRI? Are you having pain and or tingling/numbness running down your leg?

     
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    Old 09-11-2019, 01:59 PM   #3
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    Re: Dr not mentioning MRI results.

    Yes I was in moderate pain and that is why I went to the dr. The specialist is the one who wanted MRI done because X-Ray was not enough. But he was not the one to order it, he had me ask my gp to order it. I have hip pain and stiffness in both hips more so on the side with a tear. I thought I had a shin splint but research tells me the back issue is probably to blame. (Research. Not the specialist)
    I was finally put in contact with the therapist and he wants the mri report, the X-Ray report and will formulate a plan from that since the Drs report does not mention this stuff. If the dr would of said anything or asked me questions not related to the hip issue I might not be questioning his competence now.

     
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    Old 09-11-2019, 02:18 PM   #4
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    Re: Dr not mentioning MRI results.

    Well, actually I think that is pretty normal. Since you were being sent to PT no matter what, the tiny details don't need to be offered to you. Since you had the report, did you ask any questions? I pretty well understood what I saw on the xrays and the MRI and the report so just needed my doc's overview as to options. If all I'm doing is PT right now, I didn't think I needed a lot of detail beyond what I read. If it doesn't work, then I'd want the neurosurgeon to give me the details-not the GP.

     
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    Old 09-11-2019, 02:31 PM   #5
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    Re: Dr not mentioning MRI results.

    The gp has not contacted me ever since she referred me to the neuro. The reports came after the appt.
    So much more detail in the reports. If I didn't have access to them I would be clueless since dr and Neuro have not really said much of anything. And since I researched I discovered I do many things that are making my condition worse! I feel the dr should of been more detailed during the appointment and therapy is a week away. Without researching I could of done more damage. This is frustrating.

     
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    Old 09-11-2019, 06:32 PM   #6
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    Re: Dr not mentioning MRI results.

    Oh so you didn't get the report and CD when you had the MRI! I did. Thought that was standard practice. Everyone here gets it at that time and they just email the report to the doc. And you don't go back to him/her till they have it. Your situation is very not what happens here. Sorry.

     
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    Old 09-11-2019, 08:32 PM   #7
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    Re: Dr not mentioning MRI results.

    When I got the xrays the report showed up in my chart (online) several days before my Dr called me to tell me she was referring me to a neurosurgeon. Then it took another 6 days to find out which Neuro she referred me to! When I made an appt they told me to call my dr and have them order the mri to eliminate an in person visit. So I got the mri, had it on disk but no report with it. Went to the neuro and had that appt. He had the report and the disk. Didn't mention anything about my disks, asked a few questions about my hip, did some reflex tests, some tests to see if I had numbness. And that was it for the back pain part. He checked range of motion for the hip and some other manipulations to test that. Told me about the labral hip tear and said pop ibuprofen more often. and go to therapy. When I got the after visit summary it said something about a disk protrusion. When I got home I logged into my chart and saw the full radiology report detailing all three disk issues and the hip. And mentioned the degeneration too.
    I question it all because nothing with the Drs here has been simple. it's been frustrating to say the least, I feel like either no one cares or no one is competent.. If I am not telling them to do their job then I feel like I am doing it for them.. and with the amount of money I am paying out of pocket for this I didn't think I was going to have to use the internet to figure out what was causing my pain, I expected the dr to do it and tell me.
    I really hope the therapy helps so I can be done after its over.. And not need to deal with more Drs and possibly surgery

     
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    Old 09-12-2019, 04:02 AM   #8
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    Re: Dr not mentioning MRI results.

    For better or worse we have to be our own advocates and ask the questions with many doctors. Remember the old saying - what do you call the guy who graduates last in medical school? Doctor!

    Researching your doctors and their schooling is important. I was blessed to have been married to a professor at UAB medical school. I NEVER see a doc I haven't checked out first. My insurance allows me to choose my doctors. I don't let my PCP do that unless I just want her opinion. Even when I did have to let her, I made my preference known.

     
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    Old 09-12-2019, 05:25 AM   #9
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    Re: Dr not mentioning MRI results.

    Insurance give a me 2 choices. The one my Dr chose was the better of the two. And after talking to someone who works in the med field I have learned that this Neuro has a poor bedside manner.
    Therapy starts today and I have positive vibes that it will work.

     
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    Old 09-12-2019, 02:36 PM   #10
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    Re: Dr not mentioning MRI results.

    Good luck with PT! It has helped me tremendously. And if I have an option for the better doc with a poor bedside manner or one who isn't as good but has a great bedside manner...I'm taking the former. I want the best....I'll deal with the personality.

     
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    Old 09-12-2019, 02:55 PM   #11
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    Re: Dr not mentioning MRI results.

    If you feel tHe PT you are going to is addressing your issues and has good knowledge of the information found on the MRI suggest you ask him about the disc issues, whether you have degenerative disc disease and whether there is spinal nerve compression.

    You didn’t indicate whether you have pain that radiates down a leg, or tingling or numbness in the leg.

     
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    Old 09-12-2019, 03:07 PM   #12
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    Re: Dr not mentioning MRI results.

    What is difficult to ascertain from the information provided is the extent to which discs are bulging! It is not unusual for people to have some disc bulging...it is the extent of it and whether it is causing any nerve compression or narrowing a foramen or central canal that is significant. It may be that yours is sufficiently small that the specialist didn’t feel it necessary to mention. It may be that the neurosurgeon felt you didn’t need to know any details...it was enough to be sent to PT, to see how you respond. PT is ALWAYS the first step in a plan of treatment....Also, they tend to treat one issue at a time, so he probably felt addressing the labra tear was the first step in investigating what may be causing your pain.

    If it doesn’t help, you might want to think about getting a second opinion from an orthopedic spine surgeon. As a general observation they “tend” to be a bit more willing to share information and are more willing to discuss details of your condition....

     
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    Old 09-12-2019, 06:59 PM   #13
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    Re: Dr not mentioning MRI results.

    I brought the radiology reports to therapy and the therapist read them all, he took the time to go over things and address concerns. He copied them for my file there. and found it odd that the Dr didn't tell me any of it. He has a plan for therapy that will combine the hip and spine so I will be working out both together. He did question the cause of the hip and said if it was a bone deformity then I will end up with surgery on that following therapy. He also stated that I was to young to have so much degeneration and wondered why that was and said I would get some stretches and exercises to do to help with those pains

    My butt goes numb when I sit too long. And my thigh has areas of decreased sensation. The main issue is pain. I struggle to bend, stand after bending, get stiff when i sit for more than 15 minutes. walking is ok for short distances but a task like grocery shopping became to much. And sitting is painful.. Super painful. I also have scoliosis which I thought was the cause but gp Dr said it's probably not.

     
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    Old 09-12-2019, 07:06 PM   #14
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    Re: Dr not mentioning MRI results.

    And the hip is just pain all the time. Worse with activity. To the point I will limp and need to take breaks. It also gives out and I need to stop bearing weight for a moment or two to avoid a fall.
    I cannot lay on the hip without pain.
    I do not recall falling, nor injuring myself at all. Both the hip and back were gradual onset.

     
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    Old 09-12-2019, 08:08 PM   #15
    teteri66
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    Re: Dr not mentioning MRI results.

    Do you have a family history of hip issues or degenerative issues in general?

    A lot of lower lumbar issues present as what we perceive to be “hip pain.” I know several people who thought they needed hip surgery...but when accurately diagnosed, it turned out to be lower lumbar issues.

    How are your feet? Do you pronate or have other issues?

    Did I mention in my first post the human spine begins to degenerate in our 20s...gravity and all that...?

     
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