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  • Opinions please (back surgery, diagnoses) etc. (m)..

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    Old 09-08-2005, 01:00 PM   #1
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    Opinions please (back surgery, diagnoses) etc. (m)..

    I just e-mailed our local "Spine Clinic" asking for an appointment. I am fed up with these other "two docs" that have been trying to help me. I am in terrible pain. I am attaching my test results for the last 10 months, tell me what you think. I've included my own notes as well from research I've done on the internet. I've been diagnosed with OA/DDD/and bilateral sacroilitis. But all conservative mesaures have been taken. Therapy, TENS, massage, ESI' (shots). I'm done! Can you all offer your opinion on my next route? They haven't called back yet to make an appointment for me. THANK YOU.

    SUMMARY of findings:

    Here are my test results and/or my own notes that I've been keeping track of.

    September, 2005 (TODAY!)
    Started feeling more and more pain on R side. Pain is in middle of lower back, R hip area, R buttock down whole front/back side of leg. I also feel pain very low end of my tailbone a lot. I also had an annual eye appt. yesterday and informed him of my continuous dry eyes. He examined me and said I do indeed have very dry eyes. He said to take some OTC like Refresh eyes and if that doesn't help, he'll write me a Rx. I went to my Chiro on 9/7 and said he didn't know what else he could do for that condition. He said I could go back to MC. I made myself an appointment with the spine clinic in Marshfield. I have also been experiencing more and more uring leakage and reduced sexual drive and lack of lubrication.
    August 11, 2005
    R - SI Joint shot (about one week of relief).
    July 21, 2005
    SI Joint shot in R. (about one week of relief)

    June - 2005
    Broke out in a horrible rash on the backs of my legs, backs of my arms and inner thighs. Went to doctor and he could not explain the itchy rash, but put me on tapering dose of Prednisone. The rash subsided and I felt so good "overall".

    May - 2005
    Right Sacroilitis (diagnosed by Osteopathic Surgeon)
    Had one cortizone shot in the right SI Joint. Only helped for about a couple of weeks. Started feeling pain early on during vacation 2nd week of June. Regretted not having the 2nd one just before I left because I did feel good for a while.


    Slight loss of disk signals at C3-4, C4-5, C5-6 interspaces.

    Very mild intradural impressions are seen at C4-5 and C5-6. - "A disk fragment may rupture through the thecal sac into the intradural compartment" My question: Doesn't this mean that I have disk fragments indenting the intradural compartments of these two vertebrae's?

    Mild concentric disk bulging is evident at C4-5 and C5-6.

    Mild/moderate bony foraminal stenosis on the left at C4-5 and C5-6. Direct neural impingement cannot be clearly confirmed.
    Impression: Minimal discogenic degenerative changes are seen at C4-5 and C5-6 with no significant central stenosis. Mild or moderate bony left foraminal stenosis is seen at these levels. - My question: I've read several times that if there is bony stenosis you should not be getting chiropractic adjustments that it is extremely dangerous?

    I did not get the report, but Dr. stated they were good with only minimal signs of arthritis.

    LUMBAR SPINE MRI (Jan 2005)
    Loss of disk signal and minimal loss of disk height at the L4-L5 level with ventral extradural impression.
    On L3-L4, Facets are mildly hypertrophic here.
    On L4-L5, axials show mild/moderate concentric disk bulging with superimposed midline posterior disk protrusion associated with some focal subannular signal; compatable with partial annular tear. This disk bulge does indent the central thecal sac slightly. Facets are mildly hypertrophic at this level.
    On L5-S1, moderate hypertrophic facet arthropathy is present here.
    My question: It appears by reading this and the research I've done that I have what is called "facet disease"? From L3 down to S1, all of my facets are hypertrophic. Then throw into the mix, bulging and a disk protrusion with a tear, that is indenting my thecal sac. This condition is not going to go away by itself.

    SI Joints - show no clear erosive or cystic changes and no significant hyperostosis of the SI Joints. There is a small lipoma on the right sacral ala.

    Evaluation from Chiropractor (October 2004)
    High Occ on R
    High Shoulder on R
    High Pelvis on R
    Left Convexity of Lumbar spine
    Ankle pronation bilaterally
    Fallen arch bilaterally
    Hypokyphosis (Mild) thoracic spine
    Hypolordosis (mild) lumbar spine
    Reflexes - Patellar normal on Right and grade 1.5 sluggish on L
    Lumbar orthopedic tests - Kemps test negative on L, Kemps test + on RIght with pain on left SI
    Abnormal muscle contraction was noted on the hip in extension bilaterally.
    Trapezius muscles revealed a myofascial trigger point tightness bilaterally
    Lumbar erector muscles revealed hyperonicity on upper and lower and soreness in lower muscles
    Hamstring muscles revealed tightness bilaterally
    Medial joint line tender on the left
    Plantar Fascia revealed soreness bilaterally
    Joint fixation on T6, T7, the right SI and the left SI.
    Tenderness to palpation at T6, T7, L5 and the right and left SI.

    Xrays: Xrays taken of Sandra dated 9/29/04 are a two view lumbar series. AP Lumbar film demonstrates a levorotatory curvature of the lumbar spine of 7 degress between T12 and L4. There is also facet tropism on the right at L4 and L5. My note: Facet Tropism is also noted here - Facet Disease, this has to be what is causing most of my pain.
    There is a mild internal rotation of the left pelvis. There appears to be some mild degenerative changes noted at the inferior sacroiliac joints bilaterally. Lateral lumbar film demonstrates a slight hyperlordosis. There is no evidence of disc degeneration or spondylosis. There is a slight retrolithsesis of L4 on L5
    Bloodwork taken in September of 2004 ordered by my chiropractor revealed that I did not have Ankylosing Spondylitis or Rheumatoid Arthritis. My Hemoglobin showed HIGH red blood cells which indicates dehydration.

    I have been seeing this Chiro office ever since 1984 for various occasions of pain in back and neck and on 2-3 occasions actually throwing my back out (or pulling something, who knows!) which one time landed me in the ER in 1993 (I could not sit, stand, I needed help on the toilet, walking, etc, was prescribed pain meds until it healed itself). The 2nd time when I was simply walking down two small steps from our house to our garage in 1997. The 3rd time being when I was pregnant, sciatica pain and had several adjustments to take care of it and the 3rd time being xmas eve of 04 and I have not healed from this one yet.

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    Old 09-08-2005, 06:41 PM   #2
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    Wink Re: Opinions please (back surgery, diagnoses) etc. (m)..

    Hello, I was wondering if any of your Drs. have thought about any of the numerous Auto-Immune diseases? I have a number of them as does my daughter. The symptoms that you have mentioned all appear in several A/I diseases. Psoriasis can go along with arthritis. Hashimoto's disease is a slow Thyroid and muscle/joint pain, low sex drive, w/ many other possible symptoms. Fibromyalgia has symptoms of: pain in joints/muscles, pain in hips, buttocks, frequent urination and dry mouth.

    Any way, it's just a thought. Since there are so many Auto-immune disorders and their symptoms often overlap eachother. it is very hard to Dx. Many Drs. know just the basics on these disorders and they will just treat the symptoms as they appear. If you have any specific ?s about A/I disorders, feel free to ask. There is also a board on this subject, I believe.

    Lots of hugs and prayers,


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