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  • Denied MRI

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    Old 01-16-2019, 02:19 PM   #1
    jrwest100
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    Denied MRI

    I need help asap. Pcp and pain mgmt feel i "probably "herniated L3-L4 due to the severe pain i had in that dermatome, and the continued pain and paresthesia in medial knee and inner thigh area.they are making me wait to re evaluate. I take it they dont do mri for acute issues any more(short of paralysis or cauda equina).also paingmt "doesnt write work excuses" but luckily pcp did.what do i do ?and not to mention i was made to suffer in severe pain with no relief when i first injured it.

     
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    Old 01-17-2019, 03:50 AM   #2
    MSNik
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    Re: Denied MRI

    JrWest100,
    Can you go see a spinal doctor? An orthopedic ? They might be able to get you an MRI and you can go from there...orthopedic doctors can diagnose issues and refer you appropriately.
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    Old 01-17-2019, 03:59 AM   #3
    Titchou
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    Re: Denied MRI

    Did they do a xray? That's a start and would show some issues. A PCP should be able to do that. Mine did and based off that result sent me for the MRI.

     
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    Old 01-17-2019, 08:21 AM   #4
    teteri66
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    Re: Denied MRI

    Welcome to the board. I gather your pain began with an injury? How long ago was this? What type of treatment did these doctors offer to you?

     
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    Old 01-17-2019, 08:34 AM   #5
    jrwest100
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    Re: Denied MRI

    [QUOTE=teteri66;5491557]Welcome to the board. I gather your pain began with an injury? How long ago was this? What type of treatment did these doctors offer to you?[/QUOTE]
    I have had chronic back stuff for over 10years dx as DDD and DJD.but it was doable with gabapentin,tramadol at night, and baclofen.had a herniation L3L4 in 2013 in which that pain doc did esi and it helped. He ordered mri back then.he subsequently left the practice years ago.i have a new guy now.they wanted to order mri, but insurance denied it.
    Esi for this is not helping(this is on the rt sidethis time)

     
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    Old 01-17-2019, 08:56 AM   #6
    teteri66
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    Re: Denied MRI

    You have had a recent ESI?

     
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    Old 01-17-2019, 09:01 AM   #7
    teteri66
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    Re: Denied MRI

    Do you have a “spine specialist” that you see? This could be either an orthopedic spine surgeon or a neurosurgeon whose practice is devoted to issues of the back and neck. Another possibility would be to go to a physiologist. They can be quite good at diagnosing back problems.

     
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    Old 01-17-2019, 10:48 AM   #8
    jrwest100
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    Re: Denied MRI

    [QUOTE=teteri66;5491561]You have had a recent ESI?[/QUOTE]
    Yes exactly one week ago.

     
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    Old 01-17-2019, 10:54 AM   #9
    jrwest100
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    Re: Denied MRI

    The pain mgmt people wanted me to wait until follow up in 5 weeks to refer me to ortho/neuro.(mid feb) I have until the 28th Jan. to get this figured out ,as that's the rtw date my pcp gave.pain MGMT people said they dont do documentation/work excuses,so i have to go by what PCP says.Hence that urgency too, and the fact that I still have nerve pain severely. My leg /inner knee feels like a 3rd degree burn,yet there is nothing there.

    Last edited by jrwest100; 01-17-2019 at 11:43 AM. Reason: Cant spell or type

     
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    Old 01-17-2019, 11:21 AM   #10
    jrwest100
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    Re: Denied MRI

    I guess i didnt specify,i injured the right side when i was stacking firewood on december 24 2018.it started with severe butt/hip spasms-couldnt sit or walk.then the leg numbness/on fire feeling started soon after.
    I just can't believe they let people suffer like this conservatively.but then, i should know better.
    This is why i am asking what i should do next since my current providers are not providing...
    Thanks

    Last edited by jrwest100; 01-17-2019 at 11:22 AM. Reason: Forgot something

     
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    Old 01-17-2019, 04:41 PM   #11
    Titchou
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    Re: Denied MRI

    I'm not sure how you got to pain mgt people without an MRI. My doc insisted on one to just send me to PT

     
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    Old 01-17-2019, 05:02 PM   #12
    teteri66
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    Re: Denied MRI

    How did you get hooked up with pain management so quickly?

    As you probably have already been told, ESIs are given in a set of three. Very often the first one has little effect.

    It does sound, given your previous history, like a disc issue...one that herniated at time of injury that is now pressing on the spinal nerve root.

    Has the numbness changed since the injury...like lessening or getting worse?

    Do you have to get a referral to see a spine specialist? I’ve almost always been able to call up and make an appointment with getting a referral...but I do know that isn’t always the case.

    When it comes to spinal issues, the amount of pain one feels is often NOT a determining factor for treatment!

     
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    Old 01-18-2019, 07:54 AM   #13
    jrwest100
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    Re: Denied MRI

    [QUOTE=Titchou;5491579]I'm not sure how you got to pain mgt people without an MRI. My doc insisted on one to just send me me to PT[/QUOTE]
    Ive been with pain management for over 10 years,so when i do something new, the pcps usually send me back there.i had an mri done in 2013 for herniated disc on left.doc tjat was there then has been gone for a while

     
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    Old 01-18-2019, 09:40 AM   #14
    teteri66
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    Re: Denied MRI

    Do you feel the symptoms are improving? Less numbness or in a smaller area?

     
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    Old 01-18-2019, 12:11 PM   #15
    jrwest100
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    Re: Denied MRI

    [QUOTE=teteri66;5491603]Do you feel the symptoms are improving? Less numbness or in a smaller area?[/QUOTE]
    The paresthesia is thr same.no change after the shot.the spasming does seem to have slowed down a lot.im only taking 5mg baclofen maybe once a day. Gabapentin 600 mg bid (i know its supposed to be Tid,but im not so good at that) reduces the paresthesia maybe 25 percent.Standing/walking aggravates it. Sitting /laying relieves it somewhat.the burnt /numb feeling starts increasing as gabapentin wears off.thanks

     
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