Viewing 6 posts - 1 through 6 (of 11 total)
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  • probert
    Member
    Post count: 3

    Hi,

    I’d like to thank you in advance for taking the time to read my message.

    I have a herniated disk and have been living with it for the past 14yrs. Managing it with Fentanyl 100mcg/hr and other medication, now this is no longer helping, my middle body feels numb, constant sharp pain in right legs, unable to sit, drive or do anything.

    My MRI from 2009 shows the herniation but for some reason doctors here don’t seem to think I need surgery. I’m sure that a newer MRI would show that it has gone worst.

    I tried all kinds of methods from cortisone, epidural, acupuncture, disk decompression, chiropractor, message with no relief.

    I’ve been unable to enjoy doing things with my family, being there for my kids and having my wife to do everything that I should be part of. I can no longer stand living with this.

    Any feed back would be appreciated.

    Regards,
    Pierre

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    First- please let me know the level of the herniation. Is it mid back (thoracic spine) or lower back (lumbar spine)?

    Any time you have a known preexisting hernation with worsening symptoms, one of the first questions should be if the symptoms are the same but with greater intensity or are the symptoms different. The reason is due to either recurrent herniation or a hernation at a new level.

    A recurrent hernation at a previously herniated level will typically intensify preexisting symptoms and a hernation at a new level will typically yield different symptoms.

    In either case in my opinion, a new MRI should be considered.

    Dr. Corenman

    probert
    Member
    Post count: 3

    Dear Dr. Corenman,

    Thank you for your reply, to answer your questions, the symptoms are the same with intensification, I was able to manage the pain for all those years with being on Fentanul 100mcg/hr and Gabapentin 600mg (3+ daily) but in the last 2-3 months, they have worsen to the point that driving for 30 min is so painful that without cruse control I would not be able to drive to work and back.

    My work consist of siting down at a computer (Security Analyst job) which I have had to leave or not be able to do full days work lately.

    The pain is in the lower back, buttocks and right leg, numbness, burning and sharp pain like something would be between the disk pressing with a feeling like pressure. Lately I’ve also been feeling tingling in my private area like if I’m close to ejaculation without be erected and that really worries me, does this mean that a nerve could affected?

    I am seeing my Dr. tomorrow so that he can put me on short term disability in order to not put my job in jeopardy due to not being able to keep my concentration and performing as I should. I will also request a new MRI to be done for comparison to the 2009 one which I have a copy of.

    You have no idea how good it feel to get a reply from someone who understands this medical issue and nice to get some feed back. I’d like to thank you for your time and feedback knowing how busy you must be.

    Kind regards,
    Pierre

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    You need to separate your symptoms by percentage into lower back and buttocks/thigh/leg pain. The difference in percentage may indicate the need for different surgeries. If most of your pain is from the buttocks/thigh/leg region, you might be able to undergo a simple microdisectomy. If the symptoms are more heavily weighted to the lower back, a fusion might need to be included in any surgery.

    I would think your treating physician would want a new MRI as your symptoms have changed.

    Dr. Corenman

    probert
    Member
    Post count: 3

    Thank you very much,

    I will follow your advise and request a MRI to evaluate the difference from 2009 and have him determine what has changes since the last one because obviously the pain has increased and my mobility and life style has been impacted.

    I greatly appreciate having had the chances to communicate with you. I wish you the best.

    Best Regards,
    Pierre

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    Good luck to you. I hope you find the answer.

    Dr. Corenman

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