thoracic changes

I have had a fairly long history of back and neck problems. I had a c5-7 fusion due to a myelopathy in 2001 and then in 2003 developed severe thoracic pain and weakness and found that I had cord atrophy with a myelopathy requiring a thoracotamy with a discectomy. I had this surgery in November of 2005. Recently I noted an increase in symptoms. I am having severe pain in my thoracic area again with R sided weakness fairly mild but I notice it does not always do what I want it to do . My feet are very cold all the time and I am having spasms again along with some bladder urgency. I do have autonomic nervous system issues with tachycardia, profuse sweating , gastroparesis and ? blood pressure issues. I recently had a MRI of my neck and thoracic area and the radiologist erroneously stated that I had a fusion at t-8-9 rather than a disectomy. I attempted to give them the appropriate information but I guess they did not get it. here is the report verbatim for the thoracic region." At T8-T9 there has been previous interbody bony fusion of the posterior aspect of the disk space. Disk  osteophyte complex produces moderate ventral effacement of the thecal sac to the right of midline with slight cord deformity and narrowing of the right lateral recess and nerural foramen at this level" So based on the fact that I have had a disectomy at this level, what does this mean. I had my surgery at the Mayo Clinic and am now living in Tulsa OK.  Based on my increased pain and symptoms what would you suggest? I have seen a pain specialist who is considering a spinal pump or stimulator for pain. Do I need to see my Neurosurgeon at the Mayo Clinic or  would these changes be what would be expected 2 years after my surgery. I was doing incredibly well. I was walking daily and becoming more active until this increased pain hit me. I am not sure if this is something I need to be concerned about or that I just need to give it some time to resolve if it is going to. I am a very tenacious person and work very  hard to reach my potential in all areas of my life. Thank you for reviewing my issue .

[Teck]

It sounds to me that you may have some changes that need more attention that your pain clinic.  I know the Spinal Pump or e Stimulator sounds like a great way to get out of pain, but I would definitely see a neurosurgeon before you did anything like that.  I have problems with my lower back.  I was advised to have a stimulator implant by the pain management Dr. but my family physician advised no. My back got worse, new symptoms appeared.  I got another opinion by a back surgeon and he said the same thing, no stimulator.  I am headed for a fusion of my L4-L5, L5-S1 to fix the impingements on the nerves.  The simulator may give you relief but wont fix the problem (if there is one).  See your neurosurgeon before you do anything.  I would hate to see you worse off down the road.  Good Luck.