Viewing 6 posts - 1 through 6 (of 8 total)
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  • DIAMONDCOBRA
    Member
    Post count: 5

    I got hurt at work in 05-05-2008 had test done and mri’s ended up had to have sergery on my back on 10-29-2008 a lumbar arthroplasy i have a pro disc installed at the S1-L5 the doctor told me the disc he took out crumbled in his hand he said he had never seen one do that, since then i’ve had proplems with a popping in my lower back around were the disc is at, i have weakness in my leg and have had 4 times fallen because my leg felt like it just quit on me i have numbness in my left leg all the way down to my foot doctor checked my reflexies on my left leg i had no reflexies on my knees and the doctor tried using alcohoil swab on my foot and leg i didnt feel the cool sinsation it gives i could only feel a light touch i cant sleep on my bed i have to sleep in a rycliner i cant lift anything heavy i get sharp pains in my back i have no range of motion leaning backwards and only 50% ging left to right and have to rotate sitting and standing every 30 minutes or so im worried about what could be wrong i cant get my doctor to help me figure out what is wrong i tell her all the time about what is going on she just seems to play it down but i cant live like this for ever so any advise would help

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    I am not a fan of lumbar disc replacements for this reason. The artificial disc allows motion that is not natural and can place stress on the facets. The nerve root can get “caught” in the foramen by aberrant motion and cause leg pain.

    How long has this disc been present? Did the symptoms start immediately after the disc placement? Was the placement of the disc replacement between the vertebra acceptable or off center? Has this disc replacement recessed into the vertebral body? Was a CT scan performed to determine the placement after surgery when symptoms first started? Were flexion/extension and lateral bending X-rays taken to determine the function of the disc? Has the rest of the spine been imaged to determine if another level of the lumbar spine could be involved?

    Dr. Corenman

    DIAMONDCOBRA
    Member
    Post count: 5

    it was put in 10-29-2008 i had alot of pain from surgery but being aworker comp case the surgeon droped me in december of 2008 and the doctor on my case realeased me on may of 2009 before my recovery was complete but my impairment rating was i couldnt lift,pull or carry more then 25 pounds and had to alter sitting and standing every 30 minutes but my range of motion was never right i could touch the floor going forward but not side to side or backwards but it still clicks sometimes but pain is always there and numbness they never go away no cat scan was down but i had mri down of my lower back just 2 weeks ago and my left hip too but they were unable to look at the disc witch they didnt do much looking at the rest of the back they did a poor job because the 3 mri i had done in 2009 showed alot more wrong and was very detailed in their findings i keep copies of all my mri’s on disc for protection and the reports i always thought it didnt look staight and they put the disc in through the bottom of my stomch area that didnt go through the back i was told by one doctor before surgery that i had the back of a 70 year old man that alot of my vertabre were dehydrated no flexon/extention and lateral bending xrays have been taken at the emergency room they said they thought a nerv could be pinched or damaged and sometimes when im at the store and pushing a cart it almost seems like i walk crooked like imslightly turned to the right on the bottom have of my body sorry if that sounds wierd any more help would be appretiated i live in FORT COLLINS CO.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    You just had an MRI of your back and left hip two weeks ago. I imagine that the disc could not be visualized as the metal (chrome-cobalt) made the spinal imaging obscured. I assume that you are having left thigh or buttocks pain for your physician to recommend a hip MRI. By the way, these discs implanted for the lower back always have to be implanted through the lower stomach.

    The doctor you saw before the surgery stated; “i had the back of a 70 year old man that alot of my vertabre were dehydrated”. If that was accurate, how did the surgeon select the disc to replace? Was a discogram performed?

    You have glanced at your own X-rays. Do you note the artificial disc placement is symmetric or does it appear off center or angled?

    Do you feel any better after this disc placement or do you feel worse? Obviously, you had to have substantial symptoms to contemplate this disc replacement in the first place. How did those symptoms change?

    Dr. Corenman

    DIAMONDCOBRA
    Member
    Post count: 5

    yes a discogram was done were they shot die i think and presured up the disc to find what disc was bad i had 2 injections and had several test sone with electric needles on diffrent parts of the back and legs but was funny was on my left leg i didnt have the reaction or jumping feeling i got evrywhere else and the doctor didnt seem seem to think it was a problem with it i mean i felt it but it just like a touch not a shock the disc to me on the pickure i got looked like there was soom space on each side of the disc and the xray of it after the surgury it looked crooked like not centered I dont feel like i got better after surgury i cant do anything normal i cant ride in a car for long trip i begine to hurt in my lower back i cant even wash dishes for only a short time because if i lean forward i begine to hurt so bad that i have to put a hand down to hold my self up but i have doctors that dont want to find the problem they just ignore it like the mri i had said they couldnt see the S1-L5 disc because of the artifical disc but my doctor called and said the disc showed the disc looked fine no problems with it but i have a copy of the mri they wrote and a dvd of the mri and it doesn’t say that at all i caught them in a lie but didnt say anything im confused on how to handle that i always trusted my doctors but twice now i was lied to just so i would go away but how can i make them understand what is going on if they have never expericene it them selfs i think the disc was bad it was made to belive i would be better then before but it wasn’t sorry for the book

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    There are a number of issues to address. First, how bad was the disc degeneration? I know you can’t determine this yourself so go to the MRI report prior to surgery and note what the radiologist stated to describe the disc.

    Pain in the back can occasionally be generated by the facets. Did you have facet blocks (see website) prior to your discogram? If not, facet blocks might be appropriate now to determine if these can be contributing to your pain.

    The “electrical shocks” were from an EMG test. This test in my opinion was unneeded as it would not help to discern what is causing your pain. Your complaint is back pain, not leg pain.

    Eventually without improvement, you might need a fusion of this level. Taking out this artificial disc is somewhat risky as a repeat anterior approach to the lumbar spine involves scar tissue but at least the L5-S1 level has the least risk involved. A simple posterior fusion can be performed with low risk and the artificial disc can be left in.

    Dr. Corenman

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