Viewing 6 posts - 79 through 84 (of 108 total)
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  • sperryguy
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    Post count: 68

    the time period was 8:30AM for the injection, and the one incident was at 8:30PM.

    sperryguy
    Participant
    Post count: 68

    Hi Dr Corenman

    Yet another update. As of 3/22/17 @ 10:00PM EST, and at 3/23/17 @ 1AM, the groin pain returned (7 pain level). The back and leg pain preceded the pain, 3/22/17 @ 9PM EST. My surgical/planning appointment is tomorrow at 10:30AM. I’m hoping to include my PT, who is a PHD specializing in spines.

    Thank You Again!

    Steve

    sperryguy
    Participant
    Post count: 68

    Hi Dr Corenman

    I just returned from my surgeon consult. His clinical diagnosis along with the latest Mri, he concluded that the groin issues vs the l3 level impingement shouldn’t cause so much pain. There is only a slight possibility that it is the cause of the pain. Still, he said he would consider looking at the level during surgery and look for impingement or other issues. If warranted, he would decompress. He will perform what he called an “open tlif”. His feeling was he needs to get a clear field of the issues. The l5 as per the dr, is severely degenerated with nerve compression. So, as of this posting, he felt fusing the l3 is not recommended. He also pointed out that the latest pain block epidural was not conclusive.
    My surgery is scheduled for May 18th at st francis hospital in long island. He would like me in the Sicu?
    Said to keep better watch on me. Thank you again for your kindness

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    “Looking” at a level is the same thing as a decompression of the level as you need to remove the same structures to “look” as to decompress. I am happy that he does not want to address a fusion at L3-4 but if he does not want to fuse and does not think the pain is originating from L3-4, it would be good to leave this level alone.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    sperryguy
    Participant
    Post count: 68

    Hi Dr. Corenman

    I am relieved as well. Though, still concerned about the groin pain. It has relented somewhat since the injections. The surgeon said we can discuss my options on the day of surgery if L3/L4 should be decompressed. He did point out that the additional decompression would add to the case (maybe 30 minutes), and add to my recovery time. We discussed nausea, how to address the pain, time in the hospital, and at home recovery. He pointed out that if needed, I could be placed in the “SICU” for 24 hours? Is that needed? Is the quality of care superior? My previous surgery, the nausea on the day of release hit me very hard. He said he would discuss with the pain management team and his anesthesiologist on the case. It is hard enough dealing with all the pain, becoming so nauseous is the cherry on the cake. Have you ever used a spinal block and sedation for such a surgery?

    Thank you again..Steve

    sperryguy
    Participant
    Post count: 68

    Hi Dr. Corenman

    So sorry with all the questions. One concern regarding the upcoming surgery. The surgeon indicated he will be redoing the L4/5 failed site. He mentioned he wouldn’t attempt to remove the Globus Expandable cage? He said its to dangerous and would work around the cage. Any suggestions? I would love to have all the questionable hardware removed.

    Thank you again for all your patience.

    Steve

Viewing 6 posts - 79 through 84 (of 108 total)
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