Scheuermann's Disease

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Hibee
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Date Joined Oct 2008
Total Posts : 2150
   Posted 3/12/2012 10:39 AM (GMT -6)   
Hi

I have just been diagnosed with Scheuermann's Disease which has been causing chronic pain in my back. Has any one got or heard of this my rheumatologist said it was a rare condition initially he thought I had Ankylosing Spondylitis but my MRI came back with SD.

Nothing much they can do apart from manage my pain level any information would be helpful.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and ankylosing spondylitis
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg x2

cogito
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Date Joined Oct 2010
Total Posts : 785
   Posted 3/12/2012 12:59 PM (GMT -6)   
Hi Hibee,

I don't have Scheuermann's Disease, but there are a fair number of people on this forum who have spinal deformities, including myself.

You've probably googled the condition and read about treatment options, from braces to surgery.

You might want to find a physical therapist with solid training in spinal issues. There's not a lot I can do directly related to my spine, but I have a lot of muscle tightness and that my PT can help with -- and I can work on the muscles at home through techniques that help get them out of spasm.

Also, if you have specific areas of muscle tightness that are causing you pain, trigger point injections are something to consider. I've gone through a series of them and a few specific injection points were beneficial.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 2150
   Posted 3/12/2012 1:33 PM (GMT -6)   
Hi Cogito

Thanks for your reply yes I have googled the condition and found some good information. The problem I have is I am 36 so fully grown so a back brace would have no effect on improving or straightening my spine. The rheumatologist said there was a lot of ware and tare at various points down the spine due to the curvature of my spine and also some degenerative disk disease.

I don't really want to have surgery at this point in time but after looking at some SD forums it seems a lot of adults opt for the surgery. I am going to a PT lead exercise class which starts next week which I feel could help a lot and the consultant wants me to raise the Lyrica to 600mg per day but I have my reservations about that. I hope things get better for you, I will ask my doctor on Wed re injections.

Thanks again

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and ankylosing spondylitis
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg x2

tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2021
   Posted 3/12/2012 4:54 PM (GMT -6)   
Hi Hibee
No i have not heard about this disease. I will have to look it up.
I hope the physio you will be doing will help you. Let us know how you make out.
What kind of surgery would they do for this?

Take care
Suzane

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 2150
   Posted 3/14/2012 12:29 PM (GMT -6)   
Hi Suzane


Thanks for the reply not many people seem to have heard of SD so trying to find out as much as I can on the web. The pain I have been getting in my back has been unbearable I went to see my doctor this morning and he had never dealt with a patient with SD but is very understanding and we get on well. He has prescribed me some strong pain relief so hoping that will ease the pain and start PT next week.

If surgery is required the would put a metal rod on my spine with a view of trying to straighten the spine to reduce the curvature sounds painful to me so will be looking at other things first and that would be a last result.

Thanks again

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg

Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 3/14/2012 2:07 PM (GMT -6)   
Hello Hibee and everyone,

I have this on one of my MRI reports... it reads:

At T11-12 there is some irregularity of the interverterbral disc which my represent Scheuermann's disease.

None of my Dr's have ever really mentioned anything about it.... I know I have a collapsed disc there as well as T10... I do have lower back pain which was just corrected with a lumbar facet/epidural block... I had it back in Jan.. but, I can already feel it wearing off....

I'm sorry I can't be much more help... maybe I'll learn more from you....

Posterior cervicothoracic decompression and instrumented fusion (three levels) for spondylosis and stenosis with severe radiculopathy.. surgery performed 3/31/11

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 2150
   Posted 3/14/2012 5:34 PM (GMT -6)   
Hi Draka

Scheuermann's Disease is very rare from what I have read only 1% of the UK population and 8% of American population have this disease. Both my rheumatologist and family doctor had not heard or treated someone with the condition it basically causes a lot of ware and tare in the spine due to a curvature of the spine of over 45 degrees which puts extra pressure on the vertebrae of the spine.

In most cases it is piked up in childhood and a back brace is worn which stretches the spine back to straight and has good results in reducing the curvature and pain. Unfortunately if it is not caught before early it causes problems in adulthood with patients presenting with severe back pain.

My MRI showed that I had a lot of ware and tare in the joints of my spine and a curvature over 45 degrees it also showed 3 bulges which need to be monitored incase the herniate it also showed the there was degenerative disk disease. The main options seem to be pain management with various pain medications and physiotherapy and light exercise. In severe cases and if the above do not help with pain surgery to straighten the spine is an option.

I am still doing research myself to find out as much as I can as it seems doctors not really upto date with how to treat this condition.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 11063
   Posted 3/15/2012 2:40 PM (GMT -6)   
Hello Hibee and welcome to the chronic pain forum. Wow, I had not ever heard of this condition either so I did a search and read up on it too. Are you under the care of a neurosurgeon or an orthopedic? The surgery you described sort of sounds like what the they do on scoliosis patients to help straighten the spine. They put in Harrington rods for that.

I don't blame you for wanting to avoid surgery but if it will improve your quality of life then that may be the better choice. I do hope the physio gives you some relief and that the meds the dr gave help you out.

Please keep us posted on how you are doing. Take care...Susie
Moderator, Chronic Pain Forum & Psoriasis Forum

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 2150
   Posted 3/15/2012 3:25 PM (GMT -6)   
Hi Susie

No not in the care of a neurosurgeon or an orthopedic. My doctor is reading up ready for my next visit and hopefully we can come up with a plan. I think the PT is going to help so fingers crossed on that one my doctor has put me onto codeine 30/500 which I started last night.

I have been feeling really ill today in fact I was violently sick not sure if I have a sickness bug or the codeine is not mixing well with the other medication I am on?? I was on Naproxen 500mg x 2 but I was getting bad stomach ache so stopped.

I spend most of my time in the anxiety forum and this SD is something I could do with out. Thanks for the warm welcome here I appreciate your reply's.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg

Gplayer
New Member


Date Joined Mar 2012
Total Posts : 2
   Posted 3/18/2012 4:50 PM (GMT -6)   
Hi, I am quite similar in situation. Just about the same age and with the same diagnosis. I live in NY so I have seen a lot of specialists and have found a surgery to correct. You have to be a perfect candidate in order to have the surgery performed. Find doctors and physical therapists you trust for help, you have to be very aware of your pain to make sure you don't cause more damage. I still went to the gym and ended up speeding up the condition so be-careful. Also watch the drugs prescribed, serious side effects plus the risk of addiction. Good Luck.

It is against the forum rules to discuss the use of illegal drugs. Thank you.

Post Edited By Moderator (straydog) : 3/22/2012 4:01:34 PM (GMT-6)


Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 2150
   Posted 3/18/2012 5:02 PM (GMT -6)   
Hi

Welcome to HW and thanks for the reply. I start PT next week and I have a good doctor and I think he is looking into getting me into see a chronic pain specialist. I until last year was a outdoor pursuits instructor so like you have speeded up the process so I have a lot of ware and tare on my spine. Marijuana is not an option for me as I have various mental health diagnosis and suffer with severe paranoia.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg

Gplayer
New Member


Date Joined Mar 2012
Total Posts : 2
   Posted 3/18/2012 11:27 PM (GMT -6)   
Sounds like you are on the right track. Keep on top of the problem, x-rays and MRI's are crucial in keeping an eye on the progression. I didn't pay much attention, a doctor said it was no big deal, and I went from a fitness nut who was always doing outdoor activities to be stuck in bed about 80 percent of the time.

Dr Boachie at The Hospital for Special Surgery in New York is the one who does the surgery to correct. I can't see him because I don't have insurance he accepts but hang on to the name, in case you ever need a consult.

GPlayer... Per the forum rules (link is above; right corner) - I edited the information re: medical marijuana... --Tina

Post Edited By Moderator (straydog) : 3/22/2012 4:02:34 PM (GMT-6)


Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 3/19/2012 12:00 AM (GMT -6)   
GPlayer,

Just a quick note to welcome you to the board.... and thank you for providing helpful information on this thread. I'm sorry, though, that you've struggled w/ chronic pain.

Hope to see you posting more... --Tina
Moderator - Chronic Pain Forum

My faith and family sustain me even on my worst days... as well as my wonderful friends here at HW.

Health/Pain Issues - too many to list; feel free to ask

styxjustrocks
New Member


Date Joined Mar 2012
Total Posts : 17
   Posted 3/21/2012 3:39 PM (GMT -6)   
I was diagnosed with this after I had xray when I was in car accident in 85. I had PT and massage, but it never helped. My parents wouldn't get me a back brace. I remember coming home from school in agony and taking motrin and laying on a heating pad cause my back hurt so bad. My Dr at the time said surgery would make me worse. I suffered for a longtime before anyone bothered to fins out what was wrong. I spend most of the day reclining in bed due to constant pain.
Complex regional pain syndrome, fms, cfs, migraines, hypothyroid, cervical/lumbar radiculopathy carpal tunnel both hands

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 2150
   Posted 3/21/2012 3:56 PM (GMT -6)   
Hi

I agree the pain in unbearable at times and constant pain. I was told by my PT today that I need to accept I will have chronic pain and will have to manage it the best I can which is a depressing thought. There really is not much information out there for adults who have this disease. It has been good to meet others here so thanks for the replays.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg

SchurmannsNTucson
New Member


Date Joined May 2012
Total Posts : 1
   Posted 5/29/2012 3:09 AM (GMT -6)   
I'm so glad to find others with SD. I'm a 43yo male and was diagnosed with SD just over two yrs ago after several yrs of increasing lower back pain led to an MRI. My primary care physician read the MRI report mentioning wedge-shaped vertebrae, schmorls, and Scheuermann's Disease. He had to leave the room and came back after he did a web search on it. He explained the rarity and referred me to a neurologist. Long story short, he wasn't the best doctor to go see and referred me to chronic pain management and to limit my activities; especially because of ruptured disks related to the SD. He also remarked on the heavy wear and tear on my vertebrae and said I must have been very active in sports. That couldn't be further from the truth as I'm more of a tech nerd than a jock.
The frustrating thing is that despite strong pain medication and the recent addition of Cymbalta, I still have such bad pain that I end up spending my evenings, and many weekends lying down recouping from simple daily routines that leave me hurting.
As I mentioned, it's been over two yrs since my MRI and I saw a very bitter neurologist who showed little concern for the pain I was in. Since I feel that my pain hasn't gotten any better and I can't imagine that herniated disks past for years, I really need to find a specialist that can help me. I'm just sure what kind of specialist this should be? I'm thinking a neurologist; just a different one w/better compassion for his/her patients. Or should it be another type of dr?

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 2150
   Posted 5/29/2012 8:07 AM (GMT -6)   
Hi

Good to meet you welcome to the forum. You are right SD is very rare and I have found that a lot of doctors don't really understand the pain that this can cause and feel that it is an adolescence disease which you grow out of, This is just not true I have had years of chronic back pain which has been really bad this last year.

My MRI also showed a lot of ware and tare of the vertebrae in my spine as well as other problems. I am doing some physiotherapy at the moment which has helped loosen my lower back and decreased the pain but my upper back and neck are still very painful and don't seem to be improving with physiotherapy.

To answer your question I would say that light exercise if you can will help improve things. The chronic pain team can also help with pain relief and things such as acupuncture may also help with the pain. I use a tens machine which you can buy from a chemist or on the web which has helped reduce pain levels. I am also due to start a mindfulness course which is about living in the moment which I have heard can be really helpful for people who have chronic pain.

I think you have to do all you can to manage the pain the best you can which can be a hard thing to accept and I am still coming to terms with that myself. Surgery can be done but you would need to get advise from your doctor on that, This is something I am going to be looking into myself. I take a number of medication to help with the pain and have found pregabalin to work well for me.

I hope you can find a understanding doctor who can give you some proper advise about how best to move things forward. There is hardly any information on Adult Scheuermann's disease on the web and a lack of understanding by the medical community can be a real hinderance.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg, Co codamol 30/500 x 6.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 11063
   Posted 5/29/2012 8:26 AM (GMT -6)   
Hi SchurmannsNTuscon and welcome to the chronic pain forum. i wanted to let you know that it appears there has not been any activity on this thread in a couple of months. Hibee is a mod in the anxiety forum here at HW.

From what I read above this is something that should be monitored for any progression of the disease. My first thought would be to get under the care of a very good orthopedic, I do not see much happening for your with a neurologist. I would think you would need repeat MRI's to check for any progression.

If you don't mind would you do an intro post so that all of our members will see it and be able to pop on and tell you hello and welcome aboard. If you would like you can cut, copy and post what you have written above and give it a heading. You will need to click on New post.

Anyway, I wanted to pop on and tell you hello and welcome aboard....Susie
Moderator, Chronic Pain Forum & Psoriasis Forum

EJD
Regular Member


Date Joined Jul 2012
Total Posts : 21
   Posted 7/31/2012 1:13 AM (GMT -6)   
I am so sorry about your recent diagnosis of Scheuermann's Kyphosis. I too have the genetic disorder. Because of the pain and the meds I have to take, I had no choice but to take disability retirement from a job I LOVED! I was a high school Biology teacher. From T3 to T11, my intervertebral discs degenerated completely. Only ligament hold my mid back together! Because the thoracic discs are gone, this creates a smaller exit for spinal nerves eminating from the spinal cord. I am left with eleven pairs (yes, 22 in all!) of severely pinched spinal nerves. This is ultimately the source of my excruciating pain. I have been seen repeatedly at Johns Hopkins Hospital. The last two doctors I went to see (one orthopedic, the other a neurosurgeon) BOTH were infatic that NO surgery be done, but rather PAIN MANAGEMENT be the only source of treatment. I wear a Fentynal Patch, and take Oxycodone for break through pain. This unfortunate disorder has dramatically upset my life. I pray your case is not as bad, nor involves as many intervertebral discs as mine. If I can help, please ask whatever you want. I have been living with Scheuermann's for YEARS! My sincere prayers are with you. Trust God! He has been my source of HOPE in this seemingly hopeless time. cry or cool

Post Edited (EJD) : 7/31/2012 12:25:44 AM (GMT-6)


Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 2150
   Posted 7/31/2012 8:02 AM (GMT -6)   
Hi EJD

Welcome to the forum you will find good support here. Sorry to here you have Scheuermann's to it is apparently a rare disorder and I have found that my doctors don't seem to believe me when I tell them how painful it is which is frustrating.

I have now been referred to the pain clinic at the local hospital so I am hoping they will be able to help me manage the pain I have been taking co codamol 30/500 and that has not been helping with the pain.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg, Co codamol 30/500 x 6.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 11063
   Posted 7/31/2012 9:34 AM (GMT -6)   
Hi EJD and welcome to the chronic pain forum. I am glad that you found us but sorry you have to be here.

Yes, it just stinks when our bodies give out on us and then the domino effect sets in and you start seeing pieces of your life being stripped away, layer by layer. For some of us its our employment, loss of financial freedom, loss of friends, hobbies & ect. Been there & done that. Now I am on my second life that I have been building. I am not as active as I once was but I give it my best shot, lol.

I have always heard that drs will not operate on the thoracic spine because it is too dangerous. I hope you can at least keep you pain at a level that still gives you quality life.

I see that Hibee popped on and said hello to you, please feel free to pop over and visit Hibee at the anxiety forum too.

Anyway welcome aboard. Susie
Moderator, Chronic Pain Forum & Psoriasis Forum

EJD
Regular Member


Date Joined Jul 2012
Total Posts : 21
   Posted 7/31/2012 11:59 AM (GMT -6)   
Thank you both for the very kind words! Susie, you are so right...but why do "friends" distance themselves just when you need them most? A simple invitation to dinner would be great. Maybe a movie. Heck, I'm not contagious! Do you have any insight into this matter? Where did your new friends come from?

Dear Hibee,
I hope your appointment with the pain center goes very well. I always took things from the Internet, to prove that Scheuermann's caused great pain. It seemed if the Doctors did ANY reading on the condition, it was the Child's type of SD. There is no pain in that condition, as we who lived through it know! I had zero pain until I was lifting weights (which I used to do 3x a week religiously, and ran 3+miles a day!) then all of this started to progress. From 35 to 45 now, my life is so very different. Can't you print out this blog as partial evidence, as well as articles about Adult Scheuermann's for those at the clinic to read. My pain doctor really didn't believe me until I came back from Hopkins, with a report that explained my pain. That next visit, my Pain doctor, changed and redid my meds to give me more pain relief. It's sad, the lack of empathy others display to our VERY REAL, AND DIBILITATING PAIN!

I don't believe in luck, I believe in God, the Creator of Heaven and Earth (ESP. because of my Biology major) therefore I will bid you "God speed" for your appointment. Tell them how bad it is... Don't hold back!!
EJD

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 7/31/2012 12:32 PM (GMT -6)   
I would definitely find a Board Certified Neurosurgeon/Orthopedic surgeon as they should definitely know about Kyphosis (Scheuermann's disease...curving of the spine) and know how to treat it. It is listed as one of the diseases on my spine institutes website. So if a Dr. is saying they don't know of this I would seek out other care.

What degree is yours? Surgery is really only recommended as an adult if it's over 60 degrees or if causing difficulty in breathing. (Unless it was caused by an infection or tumor) and needs immediate intervention.

I have a smaller version of it at 19 degrees as many of us spineys with DDD and Spondylolisthesis have to be deligent of watching out for this.

So once a BC Neurosurgeon or Orthopedic surgeon diagnoses this, they should be able to refer to a pain management Dr. who also understands that this is a painful condition that needs treatment just like many other spine issues.

Hibbee and HJD...have you all been prescribed a brace to wear and physical therapy along with the medication?

I guess I am blessed to live in a very populated area to find Drs. who know about these type of spine conditions...So I am hoping that you both can find good Drs. who treat this.
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

EJD
Regular Member


Date Joined Jul 2012
Total Posts : 21
   Posted 7/31/2012 1:59 PM (GMT -6)   
Snowbunny, you may have missed my saying my diagnosis came from an Orthopedic, then a Neurosurgeon both from Johns Hopkins. The Neuro. also teaches surgery at the medical school. Research shows a brace works for GROWING spines of children and teens - not adults. Adult's spine formation is primarily done. Due to the shape of my vertebrae, my discs did not grow, that's what led to their disintegration. And discs, once gone as 11 of mine are, don't grow back, with bracing or exercise. In my case of 57 degree curve, I was told curtly to not dare let a scalpel or laser cut open my spine. Also, that if I continued to seek 4th and 5th and 6th opinions, there would be an incompetent surgeon who says surgery is the answer! This would leave me closer to paralysis and in more pain!

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 7/31/2012 2:13 PM (GMT -6)   
Ahh...I missed the part for your Dr. as I was focusing on the sentence where your pain Dr. doesn't believe you...sorry about that I misunderstood.

My particular Neurosurgeon still believes in a brace and PT along with medication for adults as the kyphosis usually comes on slowly over the years with the curving and not all at once. It's all just meant to help with the symptoms not as a cure.

I've known two people who had the surgery to help them with this but they were over 60%.

So yes, most people stay away from it and good Drs. will not recommend doing the surgery unless completely necessary.

I hope you can find a good PM Dr. that accepts the diagnosis and will help you manage your pain.

Post Edited (Snowbunny21) : 7/31/2012 1:24:15 PM (GMT-6)

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