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



Spinal Cord Disorders Message Board

  • IDET vs Just Physiotherapy

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 10-29-2014, 01:09 PM   #1
    Nanuq
    Newbie
    (female)
     
    Join Date: Oct 2014
    Location: Luxembourg
    Posts: 2
    Nanuq HB User
    IDET vs Just Physiotherapy

    I have recently been diagnosed with degenerative disk disease and after an MRI, scintigraph scan and numerous Xrays, the orthopedic surgeon has offered me the option of an IDET. I have been experiencing intense pain in my lower back which extends down my leg into my foot and at times the pain is excruciating and is affecting my quality of life. Moving and walking ease the pain somewhat. Sitting and standing are impossible. Even sleeping has become a marathon as I cannot lie on one side for long. The poor sleep quality, pain and a lot of pain medication are combining to turn me into a monster and is affecting my relationships with my family. (Fortunately or unfortunately I am not working at the moment!)

    The most significant problem is between L4 and L5 and there is a lot of instability caused by the degeneration. I have started wearing a lumbar support brace and it has helped enormously and it, and a vast quantity of ibuprofen and codeine/paracetamol allow me continue functioning. I have also been prescribed 24 sessions at a specialist back clinic where they train you to strengthen your muscles to help stabilise the spine and avoid the vicious cycle of pain/drugs/destruction of normal life. The long term prognosis is most likely to be a spinal fusion but the physiotherapy is intended to stave that off for as long as possible.

    My IDET is scheduled for next week and I am genuinely terrified. I recently relocated to a French speaking European country and to compound the issue, while the medical facilities are unquestionably first rate and health care system is very supportive, I have big gaps in my comprehension given the language differences. I feel very isolated as pain and fear are very emotional issues and it is impossible to express my feelings adequately. The orthopedic surgeon is very specific about the treatment - IDET, brace and specialist spinal PT will be the least intrusive - fusion may be something that needs to happen but he (thankfully) does not want to go down that route now.

    Given that I am very nervous about the IDET procedure (I have read a bit on the web and it makes my stomach churn!), is there any evidence that Physiotherapy alone could avoid the IDET? Is it worth postponing the procedure (which I understand is essentially riskfree) and trying the Physio alone. Or should I just toughen up and go in there next week armed with my French dictionary and get it over with? I don't think that I (or my family!) can manage the pain for very much longer without some form of intervention and IDET does seem to be a non-invasive solution

    I would appreciate any thoughts, especially from anyone who has had the IDET.

     
    Sponsors Lightbulb
       
    Old 10-29-2014, 09:56 PM   #2
    teteri66
    Senior Veteran
    (female)
     
    Join Date: Nov 2010
    Location: USA
    Posts: 9,191
    teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
    Re: IDET vs Just Physiotherapy

    Welcome to the board. I would like additional information on what is causing the instability, and have you been told the idet will help this situation?

     
    Old 10-29-2014, 10:20 PM   #3
    Nanuq
    Newbie
    (female)
     
    Join Date: Oct 2014
    Location: Luxembourg
    Posts: 2
    Nanuq HB User
    Re: IDET vs Just Physiotherapy

    Thank you for responding. No, I understand that the IDET is to reduce the pain from the disk so it is not intended to reduce the instability - the PT and the brace are intended to do this, I believe.

    I am afraid that I do not know what the cause of the instability is - I was under the impression it is due to the degeneration and poor muscular support for my spine I have seen the images at the doctor's surgery and he pointed to the L4 L5 area, particularly in a flexing xray, and determined that was the most likely cause. I don't have any reason to mistrust him - he is taking a very conservative approach. I am just keen to know if the pain can be reduced by just improving muscle tone via PT and exercise without the IDET

     
    Old 10-30-2014, 07:55 AM   #4
    teteri66
    Senior Veteran
    (female)
     
    Join Date: Nov 2010
    Location: USA
    Posts: 9,191
    teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
    Re: IDET vs Just Physiotherapy

    Without knowing more about the instability, it is difficult to say where the majority of your pain is coming from. An instability does not necessarily cause pain.

    If it is a degenerative spondylolisthesis, which is a good possibility, it can come about as a result of degenerative disc disease, when the erosion of the disc sets off a series of events that affect the facet joints, which allow us to bend and twist, but also limit how far we can bend or twist.

    I had a degenerative spondylolisthesis at L4-L5 that was surgically stabilized with a fusion surgery. No amount of physical therapy would have resolved the symptoms. A spondylolisthesis can be active or it can remain the way it is, without further slippage, for years.

    Unfortunately it can be very difficult to pinpoint exactly where the pain is coming from.

     
    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 12:52 AM.





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