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    Old 03-16-2004, 05:59 PM   #1
    injured betty
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    Question what to ask a neurologist

    woke up with a crink in the neck (December)
    herinated disks in c-c/c-7 not impeding on nerve
    MRI shows aggravation of old injury
    X-ray showed bone spur, MRI did not (?)
    Pain radiating from neck to shoulder
    no pain if shoulder no lifted or don't look over head

    check-up with GP/given muscle relaxers/Vioxx
    physical therapy/more pain
    DO/manipulation/Soma
    DO/X-Ray/MRI
    light duty at work
    week of vacation
    DO/Percocet/Neurontin (not taking Neuontin) only took Percocet once
    Appointment set up with Neurologist on the 23rd.

    Sharp pain in neck. No relief. Bought special neck pillow, still light duty at work

    What questions should I take with me to the Neurologist? (husband is the patient)

    What tests should he order?

    Without taking steroid injections, what relief can he offer?

    Can he do some kind of nerve block that does not include steroids? (I have read the horror stories)

    Any help would be much appreciated.

    I do not want to be referred to PM. He is looking to be taken off of the light duty at work.

     
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    Old 03-17-2004, 05:01 AM   #2
    Shoreline
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    Re: what to ask a neurologist

    Hey Betty, How come your husband didn't try the neurontin, It can help some folks greatly with the burning nerve pain. A neurologist unless he's been practicing PM and taken additonal courses it's not likely he would even do an ESI or Trigger point injections. Neuro's don't tend to do invasive procedures, If he thought an ESI would help he would likely send you to the hospital and have someone from the anesthesia dept do a block or an ESI. I would prefer not to be passed around and find a Group of PM docs that can do intervetional procedures like trigger point injections or ESI or sometype of block.
    Plain old Neuro's aren't going to do much more than prescribe a few meds, and if he's not a PM specialist the meds wouldn't likely be Pain meds., More lke Elevill and more Neurontin or Toppamax. Not even giving the neurontin a try doesn't make sense unless he couldn't handle the side effects if the dose was started too high.
    MY advice is to give the neurontin a shot, what if it would give him great relief and he's just being stubborn and doesn't want to give it a try. If neurontin works why keep looking for a doc that will prescribe potent opiates where dependence is inevatable.

    It's a heavy price to pay when other methods don't work. Good luck, Shore

    Last edited by Shoreline; 03-17-2004 at 05:04 AM.

     
    Old 03-17-2004, 08:48 AM   #3
    injured betty
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    Re: what to ask a neurologist

    Quote:
    Originally Posted by Shoreline
    Hey Betty, How come your husband didn't try the neurontin, It can help some folks greatly with the burning nerve pain. A neurologist unless he's been practicing PM and taken additonal courses it's not likely he would even do an ESI or Trigger point injections. Neuro's don't tend to do invasive procedures, If he thought an ESI would help he would likely send you to the hospital and have someone from the anesthesia dept do a block or an ESI. I would prefer not to be passed around and find a Group of PM docs that can do intervetional procedures like trigger point injections or ESI or sometype of block.
    Plain old Neuro's aren't going to do much more than prescribe a few meds, and if he's not a PM specialist the meds wouldn't likely be Pain meds., More lke Elevill and more Neurontin or Toppamax. Not even giving the neurontin a try doesn't make sense unless he couldn't handle the side effects if the dose was started too high.
    MY advice is to give the neurontin a shot, what if it would give him great relief and he's just being stubborn and doesn't want to give it a try. If neurontin works why keep looking for a doc that will prescribe potent opiates where dependence is inevatable.

    It's a heavy price to pay when other methods don't work. Good luck, Shore
    Since this is a pending OWCP (waiting for approval) claim we have to follow protocol. We had the appointment set up for about a month. He really wanted to try the Neurontin but since he has to drive as part of his job he didn't want to try it until the weekend. Last weekend was not good for us.

    His job entails boxing mail (which he can't do right now) we well as delivering mail. So, he has to do something. They have him on light office work but that also requires his full attention.

    If this were soley on our insurance we would have different options but we would like it to be OWCP as it did happen at work. It is a wait and see game. If you are not approved then, it is my understanding, that you have to pick up all of the bills on your own.

    I had to pick a Neurologist who was also covered by our insurance plan in case it was not approved by OWCP. I looked in the phone book today, the one that just came out this week, and it stated that he also did pain management. That is the only doctor in our area that advertizes it. I can't say we are looking for pain management, only an answer to what is causing it. We were hoping for tests.

    I am going to contact OWCP today and see if we can get permisson for tests. We just need to know which tests to ask for.

    Since this is a reaggravation of an old injury (also caused at work and approved back then) we are stumped. The DO stated that the disks were herniated back when a metal cage fell on his head but he had no neck pain then.

    We are not even sure if the two incidents are related. What we do know for sure is that his neck hurt when he washed his hair, when he looks above his head or raises his arm above his head. We are thinking, nerve.

    It has taken so long to get through this process, meantime I have been reading about nerve damage and how you need to seek immediate medical attention.

    Thanks so much for your suggestion. We talked to someone who is taking Neurontin this last weekend and she told us to expect lethargy the first and second day, maybe dizziness so we might start it on Friday. It worst comes to worst he will have to take more sick leave. He could not do this for the last month as he is the one who screens people as new hirees and since he has been there for twenty five years, no one else knows his job.

    We are hoping for an EMG and maybe a non-cortisone nerve block. Today I am searching for a massage technician and accupunturist for him. Since it did not heal right away there is old stuff hanging out that needs to be broken up and moved along.

    I am so proud of him that he is not taking the pain meds

     
    Old 04-01-2004, 12:25 PM   #4
    arkcheri
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    Re: what to ask a neurologist

    Hi Betty, Your replied to my message and I dont think I answered it correctly - I'm new to this board - I linked it to my original message. I am worried about every aspect of the surgery and praying all goes well I am worried desperately that it will affect my voice. I love to sing. Thanks for you kindness and help

    ArkCheri

     
    Old 04-01-2004, 01:14 PM   #5
    injured betty
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    Re: what to ask a neurologist

    Quote:
    Originally Posted by arkcheri
    Hi Betty, Your replied to my message and I dont think I answered it correctly - I'm new to this board - I linked it to my original message. I am worried about every aspect of the surgery and praying all goes well I am worried desperately that it will affect my voice. I love to sing. Thanks for you kindness and help

    ArkCheri
    you are most welcome but you have lost me here. there are so many post on this subject and threads.

    refresh my failing memory

     
    Old 04-01-2004, 01:21 PM   #6
    injured betty
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    Re: what to ask a neurologist

    okay, went to your name and all of your posts and saw that you are sceduled for surgery. I guess what I am trying to tell you is to ***exhaust*** all of your options before surgery. There are more that you can do and more tests that you can take. surgery should always be, and I know that i am repeating myself, THE LAST OPTION

    please read The Burton Report and get back to us. (written by a Neurologist)

    I was looking at back surgery and ended up fixed by Prolotherapy.

    There are a lot of options out there.

    Looking at your MRI report, can you see anywhere where surgery is indicated?

    pinched nerve?

     
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