Sorry it’s been so long since my last post. One reason is that I still didn’t really consider myself a spine patient and I was trying or forget that I was one. I’m not really a computer person. Luckily, with Mark here, I didn’t have to research all my information on the internet. I had been making good progress since my discectomy at the end of July. I was walking the dog at the beach almost everyday. My left leg pain had almost disappeared and I was starting to think about going back to work. I was in physical therapy and my doctor had ordered a routine post-op MRI. By the time I went to my follow up appointment in November to discuss my MRI, my symptoms had changed. I had been getting steadily better through mid-October, but in late October, I started to get right hip and leg pain; the opposite side of my pre-op pain. The MRI did not look good and was distorted at L5-S1. The doctor‘s interpretation was that there was nerve impingement and that I need a decompression surgery. The MRI was pretty convincing and my new symptoms were explained. I was happy to find a reason and cure for my new symptoms. I scheduled my surgery for the following week. I felt kind of numb walking out of the office. Mark and I discussed the MRI on the way home. Why hadn’t the radiologist seen the nerve impingement and what was the artifact that was seen? Mark being his usual self had to understand everything and took it as a challenge. He sent e-mail to Dr. Hoogland and Zeegers and then decided to call the radiologist. I have to admit that I didn’t think he would be able to contact the radiologist or that he would even speak to him. I was amazed as I listened to half hour long conversation with the radiologist explaining what he saw. The artifact was a microscopic bit of metal, not uncommon in endoscopic surgery. The only way to prove the nerve impingement is with a CT myelogram. He definitely recommended a myelogram before surgery. Well Mark worked his magic again; he sent an e-mail to the doctor and explained his conversation with the radiologist. The doctor agreed to order a myelogram but wanted to keep me on the surgery schedule.
Our doctor was adamant that the myelogram had to be of the highest quality and he was not happy with the only imaging center that was available through my insurance. Mark called one of the preferred centers and negotiated a great ‘payment day of service’ price. A few days later, I had a CT myelogram and it proved that there was no recurrent disc herniation. There was no leftover fragment from the old herniation. There was no nerve impingement as had been explained. What had been seen was metal artifact distorting the MRI. Surgery was cancelled. What was clear was what we knew before the surgery. My L5-S1 was pretty thoroughly collapsed. Presumably, further collapse had occurred since the surgery, pushing the right side to the limit and starting my symptoms there.
I’ve been treading water since then. The doctor recommended further epidural injections, but I’m not too excited about more needles into my spine, especially knowing that the disc is pretty much gone. More injections may provide temporary relief, but will not improve the situation. My symptoms ebb and flow, sometimes making me believe that I’ll be able to get away without further surgery. Then, I’ll have a busy day with my grandchild or just do too many ‘normal’ activities and will have to pay for it with pain, numbness and inactivity. You know the story.
I’m glad that I was able to avoid having an unnecessary surgery, but I’m sorry to still be here.
Diane
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