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Old 11-06-2006, 07:40 PM   #1
michellev1970
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Idet

Questions on IDET, I had a discogram last month, my doctor now wants to do an IDET for some tears a large one on L5 small ones on L3 and L4. My L5 has moderate to severe degeneration. I don't know what to expect or if this works or should I get a second opinion? I have read as much as I can on it but would like some advice from someone who has had the procedure I'd like to know the good the bad and the ugly of it!
Michelle

 
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Old 11-06-2006, 09:06 PM   #2
Justoneofus
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Re: Idet

Get a second opinion. I saw 4 ortho surgeons over the last 3 years, and NONE of them recommended IDET as a course of treatment (regardless of my situation) at the time. They stated they had little success rate with it.

I would indeed get another opinion, maybe even 2 before deciding what to do.

Take care. Tammy
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"believe in the beauty of your dreams"- E. Roosevelt

L5/S1 bulging @ 18, now 46; still there (but no pain)
Fusion at L4/L5 Apr -2006
Solidly Fused Nov-2006
A Success, but still improving!

 
Old 11-06-2006, 11:10 PM   #3
kera4
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Re: Idet

Hi! I was told that IDET works best if you only have one bad disc, not multiple levels. And your disc should not be more than 50% degenerated. Even if someone fits that criteria, some studies show only a 50% chance of improvement. Some studies show a 70% chance of improvement. My doctor's partners developed IDET, and I have read the literature. I have not had IDET, so I cannot say from personal experience. Good luck, I hope you can get lots of information to help you decide. Kera

 
Old 11-07-2006, 02:29 AM   #4
kittencaboodle
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Re: Idet

Hi Michelle......

I had the I.D.E.T. done in 2001 and regret it to this day. IMO, it did not significantly offer any degree of relief for me and I even developed radicular leg pain on the left side following it. I can't honestly say that this was the cause of the leg pain I developed, but it started shortly after having it done. The doctor that was performing it was doing 2 different levels and on the last level he had to stop at about 3/4 of the way thru it since I was starting to feel pain in my thigh. That is what makes me think it caused my constant leg pain afterwards.

I have read of others who have had great success with this. That just goes to show you that everyone is different and what works for one person may or may not work for someone else. I would definitely get at least 2 opinions on this though. I only got one.....my bad. I was very naive back then I guess. Compared to the Discogram, it was a piece of cake in terms of pain during and after the procedure. My Physiatrist has told me that he does not know of many doctors who are currently doing the I.D.E.T. after having such a high failure rate according to the studies that were done early on. In theory, the idea of it working tremendously sounded plausible, but unfortunately it didn't work out as expected. I had to wear a soft back brace for a few months with basically the same precautions as one would have after a fusion in terms of no bending, sitting too long, driving, etc. I had PT after 3 months and returned to work after 6 months starting part-time and gradually working up to full-time over a 90 day period.

Fortunately, I have recently had a Discectomy & Foraminotomy (July '06) on those same 2 levels and it reduced my leg pain by 75% along with enabling me to reduce my meds by more than 66%. Of course, I knew beforehand it wouldn't do much, if anything, for my back pain. At least I can now hold off on the multi-level fusion for the time being. Thankfully, I can live (for now) with the back pain & residual leg pain with the help of my pain meds.

I hope you get more info on the I.D.E.T. and more opinions from doctors before having it done. But please remember, everyone is different and just because some have had bad experiences with this (including myself) doesn't mean everyone will. We are all different.....thankfully

Take care.....
~~~Kitt

 
Old 11-07-2006, 07:17 PM   #5
michellev1970
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Re: Idet

Thank you so much for the advice. Does anyone know what other options are out there for what's going on with my back? I also have a bulging disc in my neck and a pinched nerve going into my right leg that causes constant pain in my hip and down my leg. I certainly appreciate any advice you all have to offer!
Thank you so much!!!

 
Old 11-07-2006, 07:44 PM   #6
247wcpain
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Re: Idet

RE lower lumbar disc problems...L4-L5 and into sacral -- I have seen countless specialists due to a herniated disc with annular tears. I was strongly advised against having disc replacement and steered toward interbody cage with fusion at that low level of spine. That portion of the spine is not designed for as much range of motion as needed for mid-back to neck regions so to have a disc replacement may actually provided too much ROM. Problem with tears in a herniated disc -- the tears leak disc matter onto the nerves thus damaging the nerves. Once a nerve is damaged it may be able to rejuvenate if not too far gone, it may not. My surgery was a salvage procedure only (I was informed that if I waited too much longer, I could suffer some paralysis versus nerve damage) -- and while the surgical area of the back feels much, much better, the radiating leg pain and nerve damage is permanent. Don't wait too long. The CT discogram is not only designed to see if it will reproduce pain, I think it is supposed to show how the disc is leaking if there are tears. See a neurosurgeon with an orthopaedic specialist as a colleague. Good luck.. 247wcpain

 
Old 11-07-2006, 08:04 PM   #7
michellev1970
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Re: Idet

I have had the pinched nerve for almost 3 years I have had nerve root blocks, epidural spinal injections and other non invasive treatments for it, I already have "electrical shocks" I don't know what they are called medically but they feel like a lightning bolt hitting my spine, I take Lyrica for that, my doctor is a spine specialist he specializes in non invasive treatment. I am taking oxy cotin, percocets, lyrica, and amitriptaline for this, I feel like I take too much medicine but if I don't take it then I am in constant pain. Honestly I feel like I am at the end of my rope, I realize there are a lot far worse off than I am but I just don't know what to do or what kind of doctor would I look for now?

 
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