My NS put in a consult for PT. whenever anyone moves my arm or neck it hurts so bad. I can't imagine a full 30 mins of this. My NS will not operate until some non-surgical efforts are made (hey no problem, I hope it never comes to surgery). But just wanted to see how people responded to PT after having neck and back pain.
Personally, PT did not help me and I ended up with surgery. But, usually due to insurance protocols, physical therapy is required before surgery will be paid for. It does work for some people and I hope it does for you.
Take care,
Marianne
Rheumatoid and osteoarthritis
C5/6 fusion 1/08
L4/5 fusion 7/08
I personally think trying all conservative measures before surgery should always be done, unless you are risking paralysis. Surgery should be used as a last resort. Unfortunately you don't read the good stories of people coming here and end up doing therapy and are fine. They have moved on and back out to daily busy life. If the therapy bothers you, be sure to tell the therapist the issues you are having. They should be able to adjust it to give you the most from it. Keep a open mind about doing the therapy and I do hope it helps you. Remember once you do surgery on the spine, the structure and mechanics are forever changed. Good luck and keep us posted.
My first stop in any acute event or pain flare-up is physio, so I can get evaluated and come up with a plan for me to keep up at home. I get 30 minute to an hour with them, but I get the best exercises for me at that time. Then I go see my dr as needed too.
But I am seeing him every 30 days anyway.
Cheers
25 years, sciatica, severe Central and Lateral Stenosis, L3-L4, DDD, Cervical C6-C7, and finally diagnosis confirmed Oct07 Chronic Pain, too cause no one treated the acute pain.
No surgery yet - but I am going for a consult.
I am not a Dr, only experience, living with this since the early 1980's. I thought for years that I would find a pill or exercise or some magic bullet to fix myself.
"Only when the last tree has died and the last river has been poisoned and the last fish has been caught we will realize that we can't eat money."
Chief White Cloud
I hurt myself in May and didn't see the PCP until late July/August (I was in denial and kept getting worse). I was referred directly to my NS. After my MRI and EMG the NS said since this happened so long ago he was very doubtful (as was
that PT would help.
It is not a strained muscle but complete loss of disc heighth (into formin & spinal cord space). There was no treatment that would actually fix this. Sure the injections may help alleviate some pain and buy me a month or so- but my discs were not going to magically refill.
I am not rich, nor do I want to continue to be in pain. I was in complete agreement with my NS about surgery- I don't want it but I really can't live like this.
MRI 12/07 L4-5 Herniated w/Nerve Impingment. L5/S1 Posterior Central Protrusions- indents @Thecal Sac. L4/S1 Moderate Facet Anthropy. 6/08 MRI and Flexion Extension Xrays- revealed grade 3 Retrolisthesis L5/S1, Spondy L4
Constant LBP and Bilateral Radiculopathy going on 17 months. PT, MT, Chiro, Traction, Selective Nerve Root Injections........ You name it I probably did it.
*****L4-S1 PLIF 7/28/08******* Considered a perfect success!
Newest problem: Shocking sharp pain in neck, shoulders and elbows, burning painful hands, and constant numbness/tingling in both hands.
MRI C6-7 disc protrusion with right lateral recess narrowing, C5-6 disc protrusion & spondylosis with bilateral neuralformen bony stenosis.
I am currently waiting for my neck surgery to be schedule ACDF C5/C6/C7- Insurance has required conservative treatment (PT and elecromagnetic therapy).
with my lumbar area PT worked great and prolong the surgery for 6 years but I finally had to have. but with my neck I went from zero to 60 in 5 seconds flat! i didn't have a chance at PT for my neck so I can't tell you about that. I know it worked well on other areas of my body. just let them know when it hurts. there will be discomfort but severe pain shouldn't happen.
I am now waiting on my post surgerical PT for my neck and I have the perfect place here in SW VA.
Good Luck to you and just remember to communicate to them with what works and doesn't work for you.
Traci Mac 39
Ovarian Cancer Survivor 1996 (age 26).
Jan 2002 ALDF L4-5 & L5-S1(complete success & no regrets).
Multitude of other surgeries.
Sept 3, 2009 ACDF C5-6.
OA & CFS.
Fell over my avatar in a dark hallway 2 days before my bicycle accident. She could not lift her arm over her shoulder or reach behind her back at all.
All they did was a series of Xrays and sent her to PT. They said that if the PT did not work an mri was the next step. When my wife said she would not have surgery on it. They said then you better hope the PT works.
6 weeks later she was fine. So sometimes PT is all it takes.
"Make a life plan, if you don't, you'll end up following someone elses"
NOTICE: This guy ain't no doctor. Please consult a real DOCTOR before doing anything that may hurt yourself or others! All advice is intended to relate this guys thoughts on the matter only. These thoughts may be under the influence of meds of various natures! Please be careful!
Medtronic SCS Placed May 4, 2009. Cervical, for chronic right shoulder, upper arm pain.
I agree with TAMTAMws each & every word.
I had PT before and after my surgery.
I have had PT series since, every once in a while.
If the PTherapist is good - no harm wlll be done.
Improvement is usually gained.
Hope you feel better.
Yona
RA - since early 2005
C5-C7 fusion followed successful C6 Corpectomy, done by a NS July 2007.
New pains & findings, summer 2008:
L1-L2 bulging disk
L4-L5 herniated disk pressing the dural sac & nerve root at the interlaminar foramen (this is probably the reason for my sciatic pain)
L5-S1 bulging disk
Preneural foraminal cystic-like structures at both sides of S2.
Also, degenerated D7-D11 vertebraes with osteophytes and changes in the facet joints.
Decided not to accept Ortho surgeon recommendation to do L4-L5 disk Coblation.
Bone density - more than OK for my age, inspite of prednisone taken for the RA.
Have quitted other RA meds but not pain killers.
Pains I suffer from are related ALSO to fibromyalgia & sciatica.
Can't do Yoga or Pilates (pains...) walking is fine but I want to ride bicycles.
I have had wonderful experience with my regular PT. They are incredible. They often know more than the docs and take the time to explain what is going on unlike the docs.
PT is useful in several ways. It can be the fix to your problem by itself. It can get you ready for surgery by conditioning the other muscles that will be over worked as you recover. It can help to get you back to normal after surgery. Or it can be a maintenance that you will do forever to make the pain more bearable.
My whole family has used this PT for broken bones, knee surgery, shoulder surgery and in my case whiplash and disc problems.
Often PT will hurt because you are using and pushing parts of your body that do not want to work. It should be uncomfortable but not painful. The only real pain I have ever seen is the people who have major rotator cuff surgery and have to have the joints unfrozen.
A good PT will take the time to talk to you and listen to you. If your PT isn't doing this find another.
You are righ on about the rotator cuff surgery and the frozen joint. I had the rotator cuff surgery a year and half ago. My shoulder froze and had to have it done. Oh My Word! Worst or as bad the first surgery. But, nesasarry. Lived through it. Havnt had PT for fusion yet. Had it prior to surgery and it can help. Just need to have a good relationship with therapist and tell them if it hurts to much. If it does, you are not gonna do them at home and not make progress.
My ins required I do it for 6 months. But had already done some of it prior to surgery, so they gace me credit for time spent.
2 level PLIF Dec 2008
Hardware Removed Sept 2009
Bone tumor in Eye Socket removed 10-26-09, They confirmed I do have a brain LOL
Fentanyl Patch 100 Mico, Oxycodone 30 MG every 4 hours breakthrough
You are righ on about the rotator cuff surgery and the frozen joint. I had the rotator cuff surgery a year and half ago. My shoulder froze and had to have it done. Oh My Word! Worst or as bad the first surgery. But, nesasarry. Lived through it. Havnt had PT for fusion yet. Had it prior to surgery and it can help. Just need to have a good relationship with therapist and tell them if it hurts to much. If it does, you are not gonna do them at home and not make progress.
My ins required I do it for 6 months. But had already done some of it prior to surgery, so they gace me credit for time spent.
2 level PLIF Dec 2008
Hardware Removed Sept 2009
Bone tumor in Eye Socket removed 10-26-09, They confirmed I do have a brain LOL
Fentanyl Patch 100 Mico, Oxycodone 30 MG every 4 hours breakthrough
I have managed to get a lot of relief by using PT for my lumbar pain and sciatica. Don't know about neck problems. I hope that you can get some relief.
Grade 2 spondylolisthesis at L4/L5 with pseudo-disc bulge and facet joint hypertrophy resulting in moderate canal stenosis and bilateral L5 nerve root involvement.
L5/S1 Disc space narrowing, DDD, spondylosis, chronic endplate changes and prominent facet joint degeneration.
L3/L4 mild disc bulging and facet joint hypertrophy without nerve root compromise.
T8/T9 right-central disc protrusion mildly indenting the cord.
T9/T10 left-central disc protrusion without evidence of neurological compromise.
T12/L1 broad-based disc bulge without nerve root involvement.