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Back Problems Message Board


Back Problems Board Index


I got hurt 10 yrs ago I was assisting a very obese pt. from the Bedside commode she fell on me.
A few months later I was diagnosed with a neurogenic bladder, I was taught to self-cath
I went to neurosurgeon had T8-9 disc rupture with spinal cord compression. It also showed 2 lumbar disc bulges.
my neurogenic bladder is permanent.

In 2001, I was admitted for an acute L4-5 disc rupture.

At the end of 2002 I went back to work. I got local trigger point injections every few weeks from the pain clinic and had epidural steroid injections. I worked, missing a lot of time due to pain and times I couldn't’t walk or stand up straight. I often get UTIs and kidney infections.
I had to stop working a few months ago.
It’s hard to walk. When I walk the pain and weakness gets worse in both lower extremities the more I walk the worse the pain gets and I have to stop. When I sit or stand for extended periods of time I have pain in my back with numbness and tingling and decrease sensation to my lower extremities. Because of the decrease sensations, I sometimes trip over my own feet. stabbing pain in my thoracic area radiating to my ribs. My pain and spasms are so bad I get nausea and headaches and have trouble sleeping at night. I h

Although there are multiple areas of pain, My pain is real and has become very debilitating to me. It takes everything out of me each day just to do the best to take care of regular activities of daily living.

my symptoms are worsening really starting to scare me, because they are changing a bit. The spasicity in my legs is different. When I first stopped work, the acute spasms were really bad in my legs. I was having constant vibration type feelings in my legs. That is not as bad now but I have, which feels to me as severe sciatica down both legs it is so severe that when I drive the shooting burning pains and pins and needles get to the point where I just can not drive. Then after sitting a while my legs feel like rubber bands that won't stretch enough for me to walk they are tight, heavy, and tingling. My entire back and all my muscles are sore and burning with sporadic spasms. I mention driving cause that is when I feel the worse I do not know if it is because my position is so restricted to the seat.
My chest and rib pain is still really bad and I am starting to get the shooting pains and pins and needles in both arms. My left arm it shoots down radiating to my middle and ring finger. My right arm shoots to my thumb and index finger.
I am having very bad joint pain including my shoulders, elbows, wrists, hips, knees, and ankles, worse on the right side.
I have been having headaches trouble concentrating and fatigue also.

I feel like maybe I have some undiagnosed muscular disease or something. As far as my headaches, I find the more everything else hurts, the worse my headache is so it is probably tension headaches. I don't want a miracle just some type of treatment to improve my quality of life.

I have been in chronic pain for 10yrs have had many acute flare ups and medrol dose pak has been the treatment most effective, but this flare up has been for many months and not able to have any relief.

I can really use advice on what Dr. to go to next I can see any dr. in mississippi, but just need to know of one that will care enough to help.
Thank you again for your time.
Sincerely,
Melissa
the following are my latest reports
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Date:13-Nov-2006 CT LUMBAR SPINE WITH CONTRAST: Following lumbar myelography, CT imaging of the lumbar
spine was performed in contiguous thin slices. Axial and sagittal reconstructions were performed. The vertebral bodies are unremarkable. The surrounding paravertebral soft tissues are unremarkable as well. The conus is unremarkable. The nerve roots are well distributed throughout the thecal sac. The T12-L1 level is unremarkable as is L1-2 and L2-3 and L3-4. At L4-5, there is mild broad-based disc bulge. There is minimal if any narrowing of the lateral recesses secondary to this. The L5-S1 level shows mild left paracentral disc bulge, but minimal if any narrowing of the lateral recess on the left. There is no significant facet hypertrophy although there is early facet hypertrophy present at L4-5 and L5-S1. IMPRESSION: Early spondylytic changes in L4-5 and L5-S1. No evidence of high-grade narrowing or compression at this time.----------------------------------------------

EXAM DATE: 11/13/2006 CT THORACIC SPINE POST-MYELOGRAM: TECHNIQUE: A post-myelogram thoracic CT was performed. Axial CT slices across the thoracic spine were obtained and produced along with sagittal and coronal reconstruction images. I have no older similar studies for comparison. The results are as follows: 1. There is a 1.4 cm rounded area of sclerosis posteriorly and laterally to the left of midline within the disc space at
T8-T9. This would be consistent with the history of previous surgery here. There are some adjacent arthritic changes at the articulation of the adjacent left rib with the vertebral body with some spur formation. There is a mild bony anterior impression upon the thecal sac to the left of midline at T8-T9. There is no cord deformity. 2. There is a 3 x 2 x 4 mm filling defect seen to the left of the lower thoracic cord at the T9 level. This would correspond with the small focal defect seen on the earlier myelogram images of the same date. I suspect that this lies along the course of a nerve root. 3. The conus lies at T12-L1. There are minimal degenerative changes along the lower thoracic spine with small marginal osteophyte formation, but this study is otherwise unremarkable. IMPRESSION: 1. Minimal degenerative changes lower thoracic spine. Postoperative changes are seen posteriorly and laterally
to the left within T8-T9 disc space with ossification across the disc here. Ossification here leads to a minimal anterior impression upon the thecal sac to the left of midline and there are some adjacent arthritic changes at the articulation of the left 9th rib with the adjacent vertebral body. 2. A small filling defect is seen within the thecal sac to the left of the lower thoracic cord at the T9 level. I would suspect a nerve root mass such as a neurofibroma. I would recommend a MRI of the thoracic spine with and without contrast material with special attention to this level.
===================================
EXAM DATE: 11/22/2006 MRI THORACIC SPINE: The thoracic spine shows good alignment. No abnormal marrow signal intensities are identified in the thoracic spine except to note a small hemangioma in the superior aspect of the T4 vertebral body. The thoracic cord is of normal caliber. The conus lies at the T12-L1 level and appears unremarkable. There are some minimal disc degenerative changes of the lower thoracic spine. However, I do not see any evidence of disc herniation or stenosis of the canal. At the T8-T9 level, there is a minimal bulge paracentral to the left and this minimally effaces the ventral thecal sac but does not impinge the cord. No abnormal cord signal is identified.
IMPRESSION: 1. Minimal disc degenerative changes at the lower thoracic spine. 2. There is a minimal left paracentral disc bulge at T8-T9 of doubtful clinical significance. 3. No vertebral compression deformities or marrow signal abnormalities are demonstrated.
===================================
EXAM DATE: 11/13/2006 Thoracic
Myelogram: After the intrathecal administration of contrast material at the L2-L3 level, and the images over the lumbar spine region, I obtained several images over the thoracic region. These images were limited because the patient was complaining of leg pain, greater on the left. The images revealed a small focal extradural defect to the left of midline on the thecal sac at the T9 level. These images were otherwise unremarkable, but a CT will follow for a more detailed evaluation. CONTINUED ON PAGE 2 Thoracic Myelogram, Continued: IMPRESSION: 1. Small focal extradural defect on the thecal sac to the left of midline at about the T9 level. 2. By the end of the imaging portion of the procedure, the patient as complaining of a good deal of pain in her legs, greater on the left.
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I have been in chronic pain for 10yrs have had many acute flare ups and medrol dose pak has been the treatment most effective, but this flare up has been for many months and not able to have any relief.

I can really use advice on what Dr. to go to next I can see any dr. in mississippi, but just need to know of one that will care enough to help.
Thank you again for your time.
Sincerely,
Melissa





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