Jun 16, 2009 - comments
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I am STILL waiting just to get an appointment with the one and only NeuroSurgeon in town... they are so backed-up they wont even give me ANY idea of WHEN they might call me to tell me when I can get an appointment.
I need someone who is REALLY knowledgeable to look at my MRI and tell me just how urgent it is that I get to see a NeuroSurgeon. I have somewhat-knowledgeable (about spinal problems) friends who have looked at my images and have told me that it just might be a real emergency, they are stunned that I dont get seen immediately or sent to the ER. I had a bike accident with a pothole that projected me and shattered my pelvis over 7 months ago, so I'm guessing that this herniation started back then... and I worry about going "untreated" for so much longer (other than [not-enough] pain-killers) and I keep feeling like it is getting worse but I want to think that it's all in my head, but that MRI scares me and all my friends who see my pictures are REALLY worried that if I wait more unknown number of months to get to see a NeuroSurgeon then it might get irreversably bad in the meantime.
I just want a NeuroSurgeon to tell me if it's really OK for me to just keep on going on and pushing despite the pain, should I stop doing the things that hurt me or should I just keep going and keep moving? I have four kids at home and a disabled husband, so there is a LOT of things to do around the house, and after being off my feet for months starting 7 months ago, I have so much backlog in my household that I just HAVE to do stuff that hurts me.
If I knew whether or not it will be OK to wait, then I'll just wait, but if my condition is really as bad as my medical-savvy friends seems to think, then I feel like I have to look out of town for quicker help... BUT it hurts to go anywhere in a car, so I'm trying to decide whether I should look around Springfield and Boston (since I have to stay in Massachusetts since I am on MassHealth, i think) which are 1.5 and 3 hours drive each way, so it is a tough decision for me.
I selected some of the most important MRI pictures of my "large" herniation (at L5-S1) and saved them to disc and uploaded them to PhotoBucket here:
http://s163.photobucket.com/albums/t295/peg7larson/BackAche_Spinal_MRI/
The two most obvious examples of the worst of my herniation (from what I can tell) are here:
http://s163.photobucket.com/albums/t295/peg7larson/BackAche_Spinal_MRI/?action=view¤t=T1_T2_Sag_Pic5.jpg
http://s163.photobucket.com/albums/t295/peg7larson/BackAche_Spinal_MRI/?action=view¤t=LumbarT2AX_28.jpg
The CAT Scan report said this:
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Findings:
Alignment is normal and height of the vertebral bodies is maintained.
There is narrowing of the disc space at L5-S1.
L1-L2, L2-L3 and L3-L4 are normal.
At L4-L5, there is mild circumferential broad-based disc bulging with
slight flattening of the ventral aspect of the thecal sac but no
significant focal deviation or spinal stenosis.
At the L5-S1 level, there is a moderately large left paramedian disc
herniation. This results in significant deformity of the thecal sac
and the left S1 nerve root.
Mild facet degenerative changes are present and there is a minimal
scoliosis with convexity to the right at the thoracolumbar junction.
Impression:
Moderately large left paramedian disc herniation at L5-S1.
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and my MRI report said this:
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Findings:
Alignment is normal. Vertebral body height is maintained. Decrease
disc space height is seen at L5-S1.
There is a moderate central herniation of the L5-S1 disc lateralizing
slight to the left probably deforming the thecal sac. The foramina
are adequate.
L4-L5, L3-L4 and L2-L3 levels are normal.
Impression:
A significant moderate central herniation of the L5-S1 disc
lateralizing slightly to the left deforming the thecal sac.
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So... if anyone who knows a lot about this can look and tell me how long it will be OK to wait to get advice from a NeuroSurgeon (or other advice) PLEASE tell me what you think! THANKS forever!
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