Ok...so I had an MRI a few weeks ago...I went the other day and picked up the disc and the report... The report was Blah Blah Blah....nothing major at T12-L3...then we get to L3/L4: The intervertebral disc desiccation and disc space narrowing. Bilateral facet joint arthropathy and concentric disc bulging. There is flattening of the thecal sac anteriorly. It measures 14 mm. Short Pedicles. Moderate Bilateral L3 Neural foraminal stenosis.
Findings: mild straightening of the normal lumbar lordosis and intervertabral disc desiccation and disc space narrowing at L3/L4, L4/L5, and L5/S1. The conus Medullaris terminates at the T1/L1 level.
L4/L5: Intervertebral disc desiccation and disc space narrowing. Bilateral facet joint DJD, degenerative temp. limit the flavum, short pedicles, and minimal disc bulging. Combo. of these factors cause moderate to severe bilateral L4 neural foraminal stenosis.
L5/S1: Intervertebral disc desiccation and disc space narrowing. Mild bilateral facet joint DJD. There is severe bilateral L5 neural foraminal stenosis. Disc material approximates both L5 nerves. Minimal S1 lateral recess stenosis.
That is the Normal stuff....Here is the strange stuff....
It also states that there is a Cortical Cyst in the inferior aspect of the right kidney.....What?
Okay fellow HWer's.....what is that? Anyone that can tell me what this report is saying please feel free....
I guess the cyst would explain some of the pain I'm feeling....but not all of it...right?
I have been a spectator for so long..Now it's time to participate.......
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/ 30 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1700 mg. at night..Glipizide 10mg. 2X in the morning and bedtime
Lantus 50 units at bedtime with Solostar Pen
Byetta 5 mcg. 2X daily
Post Edited (uniquelyme) : 3/25/2010 1:47:28 PM (GMT-6)
Two roads diverged in a yellow wood,And sorry I could not travel bothAnd be one traveler, long I stood
Ok...first things first...Thank YOu all for being so kind...and making me feel better. The odd thing about the MRI is that I have had 1 Lamenectomy at L3 in 1999...and 5 or 6 years ago I had Spinal Fusion at L4-S1 due to Spinal Stenosis. I guess it's gotten worse since then, Huh? When I had the fusion they only used what material they "Chiseled" out during surgery (bone and blood). so no hardware....that's a good thing....right?
Before , during , and since the fusion I have had no relief...as a matter of fact it's gotten much worse and in different places.
When I looked at the MRI pics I noticed that there was "stuff" that looked like it was oozing out from between the discs in both directions at L4,L5, and S1....and the discs themselves looked flat as Kansas....I don't know what most of the terms mean but I am assuming that DJD is Degenerative Joint Disease....is that the same as DDD? and it seems that I have other discs that are bulging..
What can be done? if the fusion didn't work then what do I have left to try? My next appt. isn't until April 7...and I don't know what to expect... I am terrified that he'll want me to have more surgeries....I don't think I can go through that again...that was awful..
But other then being on Pain Pills forever...what else is there? PT doesn't help, can't do ESI anymore....
Unfortunately my PM Docs don't move appts. unless it is an emergency...I don't think they consider this as such... He is the one that ordered the MRI...only 1 year since the last one...I have a feeling that I might be in for more surgery. If they tell me that I won't do it. I'm sick of surgeries that don't help... As I said before the last one I had was Spinal Fusion at L4/S1 without hardwear....but on the MRI report it stated that he saw where I had 2 midline lamenectomies...and a left lamenectomy... Wait a minute!! I have only had 2 back surgeries....one a lamenectomy in 1999 and the other a fusion 5 years ago.... Do you think he just assumed what it was? Or do you think the last one really wasn't fusion? I'm beginning to wonder now.....
I go back on April 7th for my regular follow-up visit. This is when I have to make a decision about meds. Should I try to change to Opana ER from the Methadone? I have been on Methadone for so long that it scares me. I tried to change to Morphine once but that only lasted a few days due to withdrawls.... I have heard many different things about the Opana ER....I don't know what to do.
He thinks it will work better for me....another Dr. there tells me it's 50/50.
Anyway, I guess I'll have to decide soon....I'd rather stay the way I am but increase the doseage of my Oxy IR 30's to 5 a day instead of 4....and maybe increase the Methadone to 140 mg. a day.. This was another option given to me by the NP....
I'm not doing to well lately....I have bronchitis, my Diabetes is out of control, and my stress is through the roof!!!
Yippee....what a life.