It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Spinal Cord Disorders Message Board

  • Pain management specialist disagrees with MRI report of cervical & lumbar disc issues

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 02-02-2012, 07:08 PM   #1
    kadedoll
    Junior Member
    (female)
     
    Join Date: Feb 2012
    Location: westerly, ri usa
    Posts: 25
    kadedoll HB User
    Pain management specialist disagrees with MRI report of cervical & lumbar disc issues

    Sorry to repost this in another thread, but I wasn't sure which forum would be better for this post!

    Hello! I tried posting something similar in the MS board, due to the new doctor's suggestion of possible MRI. But I truly think the issues are with the disc injuries.

    I"m having a MRI done Wednesday to "rule out" MS. I'm a 25 year old female. Here is my back story;

    About a month and a half ago, I stood up out of my car and experienced an intense upper right back pain and pressure on my right chest.. The pain lasted a few days and then the pain shifted until just my right upper back/shoulder/neck/in between my shoulder blades. I was having major spasms in my back that never seemed to stop. Primary treated me for muscle spasms, gave me Flexeril & Tramadol and prescribed PT. Symptoms continue to worsen & new symptoms arrived. Numbness/tingling/burning in my right arm/hand; Major pressure at the back of my head; bad neck pain; extreme nausea; dizziness; lightheaded; fogginess; some "buzzing" in my ears/head. As of the past few weeks, my legs feel like they're going ot give out all the time. The numbness/pain/tingling is also in my right leg. Balance has always been an issue for me as well as general clumsiness/ ie/ falling up stairs, tripping over my own feet..etc. I've also noticed a stuttering issue that started in my teens and seems to gradual get worse over time. I seem to .. not be able to get the words out even though they're in my head.

    I got an Ortho to order the MRI as requested by PT. MRI report started 8 broad-based disc bulges in lumbar and cervical, 1 protrusion at c2-c3. degenerative discs as well. So I was referred to the "best" pain management / spine specialist in town. Saw him today. He told me the MRI didn't show any issues.. He brought it up in front of me. He said they usually "overwrite" the MRI reports. He says he wants to do a brain MRI to test for MS and also a MRI on the braciular artery.

    I guess i"M a little confused. Aren't the people writing the MRI reports professionals? Has anyone else ever had a doctor disagree with the MRI reports? Any suggestions or opinions?

     
    Sponsors Lightbulb
       
    Old 02-02-2012, 07:50 PM   #2
    Nanacan
    Member
    (female)
     
    Nanacan's Avatar
     
    Join Date: Dec 2011
    Location: Lake charles,la
    Posts: 96
    Nanacan HB UserNanacan HB UserNanacan HB User
    Re: Pain management specialist disagrees with MRI report of cervical & lumbar disc is

    Not exactly same situation but I was seeing a pm for previous lumbar fusion & also increased neck pain last few years. Brought my reports to my ns & he said he wanted to redo all my studies, said if he's the one operating he should be the one to look at the studies & gain his on insight. Also said he wasn't sure of the quality of the other studies because they kept mentioning fluid in spinal cord that could be related or not. Well he did his workup come to find out that fluid was a syrinx cyst embedded into my spinal cord. I had cspinal canal stenosis, which was why my hands & arms were continuing to tingle & fall asleep.with the canal stenosis I could have ended up paralyzed. Still have a chari malformation were having to watch for. But I'm thankful I found someone that was willing to do the leg work himself & follow thru!

     
    Old 02-02-2012, 07:53 PM   #3
    kadedoll
    Junior Member
    (female)
     
    Join Date: Feb 2012
    Location: westerly, ri usa
    Posts: 25
    kadedoll HB User
    Re: Pain management specialist disagrees with MRI report of cervical & lumbar disc is

    Did you have to have a referral? I'm not sure I really understand why the pain management specialist is more or less saying the MRI isn't right. Or what I can do about it. I truly feel like my symptoms are related to the disc injuries.. I guess I can just go along with things and see what happens. But it's really frustrating to be in pain and have no relief at all.

     
    Old 02-03-2012, 08:19 AM   #4
    WebDozer
    Inactive
    (female)
     
    Join Date: May 2011
    Location: So Cal
    Posts: 1,379
    WebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB User
    Re: Pain management specialist disagrees with MRI report of cervical & lumbar disc is

    I've had two surgeons say they don't even bother with the radiologist reports. I think that makes sense. If you are a surgeon specializing in, say, cervical spinal issues, you SHOULD be better at reading those images that some radiologist who probably spends most of his time looking for cancer or other things.

    If you want to transcribe the level-by-level report from the radiologist, we will do our best with it. I'm sorry to say, though, that the scope and variety of your symptoms doesn't sound to me like a spinal issue....

     
    Old 02-03-2012, 01:35 PM   #5
    kadedoll
    Junior Member
    (female)
     
    Join Date: Feb 2012
    Location: westerly, ri usa
    Posts: 25
    kadedoll HB User
    Re: Pain management specialist disagrees with MRI report of cervical & lumbar disc is

    Yeah, this doctor is a pain management specialist. He said he spends all day reading mris. And since I've heard he is the "best," I have no choice but to listen to what he says. It's just a bummer to finally have had an "answer" to what was going on, and then have that taken away.

    I dono't have the report with me, but I do know that the main issue was the c2-c3 disc protrusion with disc deccication at c2-c3, c3-c4. Disc bulges from c3-c7, then 4 disc bulges in lumbar. all were "broad-based disc bulges" .. my chiro read the mri with me and confirmed that the c2-c3 is pressed against the "sac," but wasn't pressing the cord or anything else.

    I guess I'm just bummed and unsure of what else could be going on that would explain the pain & symptoms. I do know that I've started having some .. "restless leg" symptoms as of lately. A week ago is was just muscle spasms and pain in my right calf. Now i'm noticing that both of my legs are in pain from knee down.. There seems to be a constant tingling in the back of the legs. Nothing in my feet. I woke up in extreme uncomfortable feeling in my legs mostly in my left leg. I've noticed that sitting worsens MOST of my symptoms with pain, legs, numbness. I've noticed lifting my hands/arms to my face or higher makes the numbness in my arms 10 times worse. The dizziness and "lightheadness" seems to be worse with standing/driving.

    None of the symptoms are constant.. They come for part of the day, then other symptoms replace them.. Kind of like it's a major trade-off. The pain in my neck/upper back is pretty constant. Numbness comes and go. Leg symptoms are for most of the day. Head pressure is most of the day.

    Any suggestions on WHAT I should have the pain management specialist test me for or ask about?

     
    Old 02-03-2012, 02:57 PM   #6
    jennybyc
    Inactive
     
    Join Date: Feb 2009
    Posts: 3,892
    jennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB User
    Re: Pain management specialist disagrees with MRI report of cervical & lumbar disc is

    If I were you, I'd start with that brain MRI the PM doc suggested. Sounds far more like brain than spine.

    You can have all sorts of bulging disks and even disks hitting the "thecal sac"(the membrane that holds the spinal fluid in around the spinal cord)and not have much pain. Certainly, problems speaking and stuttering and some of your other symptoms are not ones I've ever associated with spine issues. The C2-3 disk affects the nerves to the back of the head and not anything internal like voice or tongue movements or vocal cords.

    So I'd go with Pain doc and get the brain MRI and start there and see where it leads you.

    good luck and hugs...........Jenny(fused C3 to T1)

     
    Closed Thread




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 08:51 PM.





    2019 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!