Ok this may be long. I was injured at work in July 09, I was out of work for 7 weeks then I returned. I started feeling pain again so I went back to the Dr. I got an MRI which I will post the results of further down. Then the Ortho referred me to a surgeon and a pain doc. because of results of MRI. Surgeon found out I have spondlylisthesis(sp) he ordered more x-rays and a CT. I went out of work again for 2 weeks in Dec. then I went back and went out for good 1-27-10. I am in to much pain and I have a VERY physical job. at this point I couldn't hold any job because I can't sit, stand or walk very much. Anyway the surgeon wrote me out of work for 3 months, no light duty or anything, my STD who also runs the WC case says medical dosen't support me being out of work because my gait and range of motion are fine. I also think in mid january I totally blew my disc out and that's why may pain level went through the roof but the Dr.'s didn't do any new physical exams on me. So I call surgeons office today to ask if they can submit more paper work to get STD approved and the dr tells his secretary to tell me that I am fit for light duty next week and to go to work. I was speechless, I have a written note in my hand clearing me until May 8th 2010, is this legal? I've had 3 epidurals, the first 2 gave minimum relief and the 3rd one none at all. I don't know what I need to do, I have an ortho reg. dr, an ortho surgeon and a pain dr. do I need to go to a general practitioner for std approval?
Oh on top of all this, I got a new WC adjuster who won't return phone calls (I have since hired a lawyer) because I am waiting on a second opinion, first surgeon says I need a 3 level fusion. I also researched this surgeon and found out he had a patient die during a routine discectomy, so I bet he is trying to appease WC co. so they keep referring patients to him.
here's my test results.
The doctor only says I have Bulging discs in the mri which was performed 3 months before the C-T scan. In the C-T scan he refers to some discs as herniated.
Both MRI and CAT-SCAN results writen by the same Doctor.
MRI results 11-6-09
T11-T12 There is disc bulging noted. This is imaged only on the sagital plane.
There is deformity of the sac but no deformity of the anterior margin
of the cord is noted.
T12-L1 There is disc desiccation.
L1-L2 No evidence of disc degeneration or herniation. There is no evidence of canal
or foraminal stenosis.
L2-L3 No evidence of disc degeneration or herniation. There is no evidence of canal
or foraminal stenosis.
L3-L4 There is diffuse disc desiccation and diffuse bulging. No herniation or
neural impingment is seen.
L4-L5 There is a right sided broad based disc protusion noted. This causes mild
deformity of the exiting right L-4 nerve root primarily due to foraminal
stenosis. The disc very slightly deforms the anterior margin of the
thecal sac. The left L-4 nerve root exits without impingment.
L5-S1 Disc desiccation and mild narrowing. Very slight asymmetric bulging
on the left. No neural impingment is noted.
Cat-Scan results from 2-9-10
L3-L4 There is disc bulging present which does appear slighly more pronounced on
the left compared to the right. Nerve roots normally.
L4-L5 There is diffuse disc bulging present along with a broad-based right-sided
foraminal disc herniation. It does not distincly displace the exiting right
L4 nerve root although it does extend to the inferior aspect of the nerve
root and may actually impinge the nerve root onto the right pedicle. I do
suspect involvment of the right L5 nerve root. Associated disc bulging is
present. The left L4 nerve root and left portion of the thecal sac appears
unremarkable. There are bilateral Pars defects present at L4. No listhesis
L5-S1 There is an asymmetric disc bulge on the left causing mild posterior
displacment of the left S1 nerve root. No central stenosis is noted.
There are no paraspinal soft tissue masses identified. Suspected small bone
island is noted at T12