I phoned the MD who gave me epidurals last year (which didn't help), inquiring about trigger point injections.
I just got a call from his nurse who said that the MD would rather do a discogram. I'm inclined to say no and would like some feedback.
My MRIs clearly show disk damage, neuroforamen narrowing, etc. from C4-T4. Most likely, a few levels are responsible for my pain and if I am absolutely against surgery, for what reason would a discogram be relevant? It might be able to identify some details at some levels that are missed by the MRI.
But if I'm not going to have surgery unless the pain gets far far worse, it seems to me that the further information, though I'm curious, is not risk the time, burden, pain, expense.
From what I've read, discograms can be very painful. I'm very busy and I just don't think I can at this time burden my wife. Also, though I have good insurance and can't be dropped (as I'm on a group plan through a large employer), I want to be fair to them. I've had an ER visit this year that cost $7000 -- about which I am terribly embarrassed (I just couldn't tolerate my vertigo one evening -- before it was diagnosed -- and was desperate for help and answers). I assume the discogram will cost $3000-$5000. If it isn't going to be used for a surgical decision, then it is not fair to the insurer.
I can't talk this over with my GP for he's the sort to tell me to just go with what the specialists suggests.
Am I missing something about the discogram? Am I right that it is very painful?
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