Dear Dr Corenman
Since I last posted, I have a number of imaging test to conclusively determine the source of my pain. The surgeon ordered a nuclear scan with SPEC-CT. This showed that the problem is in the L4 region. As described in previous post,spondolythesis.Some leg pain, tingling,forward movement, though not sure what grade it is, fairly regular pain with leg weakness and stiffness.Surgery was recommend. you had mentioned TLIF though the doctor only said that due to the position, a minimal procedure is not recommended. what procedure should be considered? He is a well respected Ortho surgeon who will work with a neurosurgeon at a very good hospital in NYC.I also have concerns regarding nausea post op. Dont tolerate morphine. (had unrelated surgery 20 years ago) thank you again.