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Hi all! :wave:

Well, went to doc appt 9/25.... told him my caudal injections worked well, my tailbone is not giving me the trouble it did before. It still aches if I sit alot....but, nothing compared to my back/butt/hip pain! He pressed and pushed and lifted my legs and tested my feet/legs pushing and pulling and .....well, you all know the routine - tested facet joints and other pieces parts ;)! He then offered to give me an epidural to calm things down until discogram. I said "let's just move to the discogram, please".

So.... it's scheduled for 10/6 @ 9:40 am. We talked about the first disco I had on 5/9....and I told him that I believed I was oversedated. He listened carefully...asked if I had it there (@ Cleveland Clinic) and I said [email protected] Hillcrest (I think he was trying to figure out who did it). He said that he felt it was very important that he do this as we are interacting and that's important w/ a discogram bcuz it's very subjective. He said he can't just look @ the old films and deduce anything. I have NO problem w/ this.... I basically went to see him to have a new discogram as my regular PM Doc disagreed w/ the reading of first one, too. So....I'm on my way!!! :)

The fellow who was working w/ him yesterday thinks that I have a few things going on. Not just my torn disc... but, compression (which I DO have @ L5 per the MRI).

After this is done and Dr. Mekhail makes a recommendation on further action, I'll be going to my Neurosurgeon and get a 2nd opinion.

Will keep you posted!

Karen

------------------
9/22/00 24 hour labor, baby posterior, left tailbone killing me
12/00 MRI -normal-but pain still-began taking vicodin
2/8/02 - 2nd baby born - Csection-healthy girl
2000-11/02 various PT + pain meds
11/02 Referred to Neuro
3/03 NEW MRI - slight bulge L3-L4, DDD, neural foramen,Superior aspect S1 and L5 Nerve root involvement-Neuro Refers to PM for ESI's
(2 Rt Transforaminal,1 lumbosacral,3rd one numbed tailbone little
5/9 - Discogram - shows Tear L4 w/ significant leak onto nerves, DDD
Performing doc oversedated, False Negative
7/8- Dept Head ClCl consult
7/28 - ClevelClinic for Facet Injection, changed to Caudal Epidural after seeing xray of displaced coccyx;also,coccygeal manipulation
8/12 - 2nd caudal inj/no coccyx manip
8/14 -coccyx manip AGAIN
9/25 sched appt to begin tx on Disc Tear @ ClevelClinic
Hi all! :wave:

Thanks for replies. I just realized that I scheduled the Discogram for the day I have to take my Midterm @ 6:00pm! :eek: Need to make a call this morning to see if I can resched discogram - maybe to Wed or Fri. Fat chance cuz he's so busy. I was shocked I got in this quick w/ him. Cross your fingers for me. The sooner the better.

Daubie....how true that I've waited a long time! I went to see this doc on 7/8 and thought I'd be sched'ing for discogram THEN! [img]http://www.healthboards.com/ubb/rolleyes.gif[/img] But, as the caudal injections did help me, I can't complain. Well, yes I can...but, it's not really right! ;)

Janb...when is your discogram sched'd for? Just keep in mind that, even if you are more uncomfortable during and after, it is a very good diagnostic tool, if performed correctly. Is your treating doc the one who will be performing it? My first disco - I had a colleague of my PM doc do it, as my doc doesn't do those. This time, this doc @ Clevel Clinic has been seeing me for awhile and is familiar w/ my symptoms. He even said that this is an important part of the test as it's Subjective and we need to interact w/ each other.

Take care! [img]http://www.healthboards.com/ubb/love1.gif[/img]

Karen

------------------
9/22/00 24 hour labor, baby posterior, left tailbone killing me
12/00 MRI -normal-but pain still-began taking vicodin
2/8/02 - 2nd baby born - Csection-healthy girl
2000-11/02 various PT + pain meds
11/02 Referred to Neuro
3/03 NEW MRI - slight bulge L3-L4, DDD, neural foramen,Superior aspect S1 and L5 Nerve root involvement-Neuro Refers to PM for ESI's
(2 Rt Transforaminal,1 lumbosacral,3rd one numbed tailbone little
5/9 - Discogram - shows Tear L4 w/ significant leak onto nerves, DDD
Performing doc oversedated, False Negative
7/8- Dept Head ClCl consult
7/28 - ClevelClinic for Facet Injection, changed to Caudal Epidural after seeing xray of displaced coccyx;also,coccygeal manipulation
8/12 - 2nd caudal inj/no coccyx manip
8/14 -coccyx manip AGAIN
9/25 sched appt to begin tx on Disc Tear @ ClevelClinic
Hi Tomorrow! :wave:

Well....I survived! And....test was positive for discogenic pain @L4-L5. Fissure is what he said. It was pretty hairy in there.....but, once they found it and got the films done (in same room) they shot lidocaine into disc to calm it down. I am hurting this am....should've taken my oxycontin when I woke up @ 4 to go to potty. Instead.....woke again @ 5 in pain...and it Just calmed down now and it's almost 7 am. :(

They are scheduling Nucleoplasty and Decompression. I don't think I'm getting a 2nd opinion for this as it's not the IDET....and recovery is supposed to be less. Forgot to ask about that! [img]http://www.healthboards.com/ubb/rolleyes.gif[/img] Am going to post here and see what people have to say about it.

Am so happy we finally have a plan to take care of the back pain and, hopefully....some of the nerve stuff. Am a bit confused since the fissure is leaking more towards the left! And the Pain was more to left while testing....but, typically my pain has been on Right side!hmmmm.... don't quite understand that part. I'm a bit worried that this is only Part of the problem. BUT....hoping that once this is remedied...and I can get back in shape - that everything else will 'fall into place'. :)

ttfn

kk

------------------
9/22/00 24 hour labor, baby posterior, left tailbone killing me
12/00 MRI -normal-but pain still-began taking vicodin
2/8/02 - 2nd baby born - Csection-healthy girl
2000-11/02 various PT + pain meds
11/02 Referred to Neuro
3/03 NEW MRI - slight bulge L3-L4, DDD, neural foramen,Superior aspect S1 and L5 Nerve root involvement-Neuro Refers to PM for ESI's
(2 Rt Transforaminal,1 lumbosacral,3rd one numbed tailbone little
5/9 - Discogram - shows Tear L4 w/ significant leak onto nerves, DDD
Performing doc oversedated, False Negative
7/8- Dept Head ClCl consult
7/28 - ClevelClinic for Facet Injection, changed to Caudal Epidural after seeing xray of displaced coccyx;also,coccygeal manipulation
8/12 - 2nd caudal inj/no coccyx manip
8/14 -coccyx manip AGAIN
9/25 appt ClevelClinic for ReEval - think I Still have multiple pain generators
10/6 Discogram - Positive L4-L5 fissure
Scheduling Nucleoplasty and Decompression next





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