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My doctor's test results:
There are no changes compared to the May study. No indications for additional surgery. I have recommended treating his symptoms for now. Flexeril has not worked in the past and he can use skelaxin and darvocet and we will call him in a medrol dosepak as well. We will do a phone followup visit in four weeks. I told him that he may need to retire and go on social security disability. He is not able to return to work at a job which requires working on concrete for long periods of time.
My procedures: Lumbar Myelogram via lumbar puncture.
Anterior extradural filling defects L3-L4 and L4-L5. No abnormal nerve root sleeve filling noted.
Procedure: Lumbar Spine, 3 Views
Stable postsurgical changes at L5-S1. No evidence of complication.
Stable moderate degenerative space narrowing L3-L4.
Stable marked narrowing L5-S1 disc interspace.
Procedure: MRI Lumbar Spine without and with Contrast
At L3-L4, expected evolution of postoperative changes within the right lateral recess with resolution of right-sided fluid collection with improvement in lateral recess stenosis. Mild epidural scar noted.
Stable operative changes of decompression with bilateral pedicle screw fusion interbody fusion at L5-S1.
Disc and facet degeneration at L4-L5 leading to mild central canal and bilateral foraminal stenosis, stable.
Procedure: CT Lumbar Spine Post-Myelogram
Stable postsurgical changes at L5-S1 without significant central stenosis. Stable bilateral bony foraminal narrowing.
L3-L4 demonstates a right hemilaminectomy. Interval disappearance of the previously noted fluid collection within the right lateral recess of L3. There is no central stenosis. There is marked bilateral foraminal narrowing related to disc bulge and spondylosis.
I don't know what all of this means. I do know that my right leg continues to be heavy and my back burns at the incision site. If anyone has any insight on the results that I posted, please post.
I am going to take these copies from my tests to my orthopedic doctor here in my home town. Hopefully he will see me. I don't know. He told me last january that I needed a fusion. I'm torn right now on what to do. I don't think I'm ready for SSD. Any insight from anyone will be appreciated.
Thanks,
Keith
[QUOTE=bogeyfree 57;4321531]My doctor's test results:
There are no changes compared to the May study. No indications for additional surgery. I have recommended treating his symptoms for now. Flexeril has not worked in the past and he can use skelaxin and darvocet and we will call him in a medrol dosepak as well. We will do a phone followup visit in four weeks. I told him that he may need to retire and go on social security disability. He is not able to return to work at a job which requires working on concrete for long periods of time.
My procedures: Lumbar Myelogram via lumbar puncture.
Anterior extradural filling defects L3-L4 and L4-L5. No abnormal nerve root sleeve filling noted.
Procedure: Lumbar Spine, 3 Views
Stable postsurgical changes at L5-S1. No evidence of complication.
Stable moderate degenerative space narrowing L3-L4.
Stable marked narrowing L5-S1 disc interspace.
Procedure: MRI Lumbar Spine without and with Contrast
At L3-L4, expected evolution of postoperative changes within the right lateral recess with resolution of right-sided fluid collection with improvement in lateral recess stenosis. Mild epidural scar noted.
Stable operative changes of decompression with bilateral pedicle screw fusion interbody fusion at L5-S1.
Disc and facet degeneration at L4-L5 leading to mild central canal and bilateral foraminal stenosis, stable.
Procedure: CT Lumbar Spine Post-Myelogram
Stable postsurgical changes at L5-S1 without significant central stenosis. Stable bilateral bony foraminal narrowing.
L3-L4 demonstates a right hemilaminectomy. Interval disappearance of the previously noted fluid collection within the right lateral recess of L3. There is no central stenosis. There is marked bilateral foraminal narrowing related to disc bulge and spondylosis.
I don't know what all of this means. I do know that my right leg continues to be heavy and my back burns at the incision site. If anyone has any insight on the results that I posted, please post.
I am going to take these copies from my tests to my orthopedic doctor here in my home town. Hopefully he will see me. I don't know. He told me last january that I needed a fusion. I'm torn right now on what to do. I don't think I'm ready for SSD. Any insight from anyone will be appreciated.
Thanks,
Keith[/QUOTE]


>>>>> Hi bogey....sorry I haven't gotten back here sooner. I want to answer your question about my surgery....I've had 6 procedures on my lumbar, including 3 fused discs, a fused vertabrae, bone spur removal and 2 laminectomies,,,,,,,,,,,the lami's led to the first fusion at L5-S1.

I don't know why your dr. is blowing you off, but if I were you I would be looking for another doctor. I've always preferred orthopedic spine specialists over neuro spine specialist because I've found them to be more down to earth and willing to talk.

Your last MRI shows bilateral (both sides) foraminal stenosis. The foramen is an opening thru which a nerve passes; therefore, those openings are narrowed and could be causing your symptoms. I think your surgeon doesn't like to admit "failure" and is not showing enough concern for your condition. It's important to find another doctor before the nerve damage gets worse. Already your leg is showing signs of nerve stress and truly needs to be evaluated thoroughly.

I, too, am having some weakness in my left leg which is progressively getting worse. I have a myelogram ct scan ordered for the 17th after which I will meet with my ortho and go over the results. I fully expect that he will be recommending surgery because along with the leg weakness I am having burning in my leg as well as lots of lower back pain. Having been in a similar situation before, I can almost predict that there is a large bone spur compressing a nerve. The waiting for the myelogram is really hard. I swore after my last surgery (4 years ago) that I would never have another, but I've learned not to use the word "never" when talking about spine problems. For sure, I do not want that nerve to become permanently damaged. I want to be able to walk again without my cane and pray that will come to pass.

Please continue to stay in touch and let us know what is happening with you. I wish you the very best of luck in finding a specialist who is thorough.

Carol





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