cherylztMemberFebruary 18, 2013 at 1:49 amPost count: 7
I have had a career in the field of Ophthalmology doing everything possible over the years. I worked usually 50hr work weeks and had a marriage and 2 boys which I was also devoted to. I have never been addicted to anything and my body does not like alot of medications. I have suffered from Depression/anxiety since my first marriage which I overcame on my own. When I am not able to contribute to family or community, I tend to get depressed and anxious about money matters. I am female, 5’3″ and used to weigh 140-now up to 230. I have however found the right husband who accepts all of me.There was no specific injury to set things in motion but I went from fulltime work fulltime school-FT work/PT school-FT work-had to quit school–to part time work and then disability in 4 years time(2005-2009)fighting it all the way.Most pain is on the right side down the right leg to the ankle bone. My daily activity is very limited now.I was told most recently I have 6 herniated discs-most pain is from L2,3,4,5,S1–mild spondylosis L3,4,–Hypertrophy L4,5 and S1–Neuroforaminal narrowing (NFN) L3,4,5 and S1–Disc Degen L2,3,4,5–Stenosis L4,5,S1 and –Arthropathy mild L3,4 and mod. to severe L5 and S1 according to the MRI and recently changes Pain Doctors. After 6 yrs. and 6 epidurals with no pain management and quick refill visits every month I felt it was time to see someone else.I put on about 40-50lbs after starting epidurals and the Dr said it was not related and insisted he was not injecting steroids. According to billing, he was. My new Dr.spent over an hour explaining things to me which no one ever had.She wants to do a facet injection as a diagnostic tool to see if the most pain is from the S1 area closest to the sciatic bundle. I have read alot the past few weeks and have many questions.Ultram is the only pain med I am on right now, I was at 6 per day which I tapered back to 3 a day as I was grinding my teeth at night.I stopped the morphine 15mg ER BID in September 2012 myself. The morphine only made me tired and was decreasing my activity with really no difference in pain. What did work best was the Oxycodone 15mg er 2x daily with 5mg Immediate release for busy days-ultram at night–I hate not being able to stand long enough for dishes, sit in the car more than 30 minutes and I really cant go grocery shopping anymore. I would like your opinion on this situation and whether you think something other than ultram is warranted. I live on $1000 income and having all these injections are costly if they are just for diagnosing. Am I really asking too much to just maintain an adequate pain level with meds and PT until I can afford all these other ideas? I live in Florida and I understand the Dr’s positions are now suspect with pain medications but I am asking for minimal MG. compared to what I was up to back in 2011- oxy was up to 120mg per day but I was taking care of my ill father and spent most evening soaking in a hot bath. I thank you for your time in reading this and any input you may have. I have copies of all my records-I am somewhat a organized, efficient person who does not let anything or anybody control me anymore.Donald Corenman, MD, DCModeratorMarch 10, 2013 at 7:35 pmPost count: 8459
You have significant degenerative changes in your lumbar spine at multiple levels with no one level “standing out” per your report. You need to see a spine surgeon who will take the time to take a complete history, perform a thorough physical examination and review all your films.
Most likely, you will need diagnostic blocks to determine your pain generators. I would have these ordered by the spine surgeon as he or she will depend upon them for surgical guidance if it comes to that. It might be OK to have this current pain doctor order and perform the blocks but I have found that some blocks will need to be repeated if not ordered by the spine surgeon.
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