just wanted to give you all an update. Well, more than an update this is a request for some encouragement or proverbial kick in the butt. I am going to see the neurosurgeon tomorrow, I am nervous. Neurosurgeons are interested in opening you up, for the most part! One thing I know: I don't want to have ESI.
I also heard from my employer that they want me to see their IME. What a joke to call them "Independent" when they really work for them, not us
I've never been to an IME; what should I expect?
One other thing. If I type here some of the more pertinent MRI results, could some of you tell me if you have/had the same problem and what was done about it? Thank you.... Here it goes:
"MRI of the lumbar spine: The lumbar vertebrae are intact. They have normal height and normal alignment. No significant marrow signal abnormality. Conus has a normal appearance and it is normally located.
T12-L1: There is a large posterior right paracentral subligamentous disk protrusion that completely effaces the ventral CSF (cerebral spinal fluid) and abuts the ventral aspect of the distal cord, slightly deforming the ventral cord margin and producing moderate canal stenosis.
L1-L2: Relatively broad-based posterior subligamentous disk protrusion. Mild facet arthropathy. Complete effacement of ventral CSF with only minimal posterior CSF maintained. Moderate to severe canal stenosis.
L2-L3: Small to moderate-sized posterior central subligamentous disk protrusion and mild facet arthropathy and enlargement of the posterior elements. There is moderate canal stenosis with compromise of both lateral recesses."
This is a summary of the MRI report. It also mentions a minimal posterior disk bulging and severe arthropathy at the L4-L5, and mild canal stenosis at L3-L4.
Yesterday I had what I call "a good day", and felt hopeful, so to speak. Then a shifted my weight on the right leg to put something in the kitchen cabinet and suddenly a felt a shooting pain, like lightening, go from my hip, butt, down my leg; also felt it on the outside of my lower leg. I just leaned over the sink for several minutes, tried to take a few steps but was limping because of this stupid pain; eventually it went away. Now - and pardon my nurse "humor" - can you imagine if this happened at work while there's a code blue pending? The poor patient would have all the time to die 'cause I wouldn't be able to get there fast!
I have so many questions, I hope I will not exasperate the neurosurgeon tomorrow.
Some of my questions are: they say laying flat is the best position, but if I do, it hurts. I lean over the carts (that really makes me feel like a misfit!). Some of the most mundate chores cause pain, things like standing at the sink, leaning a bit over while brushing my teeth, sweeping floors is hell. I can sweep a small room and I start feeling the pain, so I tell myself to keep sweeping (I try to convince my head that I need to "toughen up"). The more I sweep and the deeper, more insistant the gnawing gets and I just have to quit.
Also, why is it easier for me to bend down a little but not straighten up? Which disk problem would be causing it? The T12 or the L4-5?
And which disc problem would cause pain that starts at the top of my right hip and moves to the front, in the groin area? It's a sharp, burning pain, and when it hits the groin it is next to impossible to walk.
Sorry for the long post. Will let you know what the neurosurgeon tells me tomorrow. Thanks for listening!