first let me say my pain management dr is part of a HUGE medical practice, this practice has every type of dr you can think of. as per my first post my pain management dr has been pushing me towards injections, than when he got my mri referred me to a spine surgeon within his practice group. I asked monday for a soft neck collar as I used ot have one and it helped with spasms and he denied me-a simple soft collar to help relax my muscles.
So I drive the 45 minutes to the spine surgeon to find his office is shared with! my pain management dr. (pain management dr is in town mon & fri and out tue-thurs at the office where surgeon is apparently). I had my xrays done-again, and the surgeons assistant came and spoke with me explainig my mri & xrays(the mri and xrays are also part of their group). Assesing my functions said I have weakness on my left side. He felt my neck spasms and said they are pretty severe. He pointed out my very limited range of motion in my cervical spine during the examination and it showed on my xrays. The assistant leaves and the surgeon comes in with a physical therapist, another part of their group. The surgeon did not evaluate me in any way shape or form. He did not have me turn my head, he did not touch my neck-he didnt shake my hand. Just sat in his seat and talked.
The only part of meeting this guy that I respect was he isnt rushing for surgery. He said I need a 3 level fusion and doing so now would cause more of the same issues I have now above & below the fusion, so I should wait until I am neurological compromised. The 2 discs are touching my spinal cord but not to the point I am having severe neurological issues yet.
He was a know it all. First he blamed my kyphosis on posture and introduced me to the physical therapist he walked in with. I explained Ive done 5-6 rounds of physical therapy and I know the exercises. Than he said the kyphosis was from my congenital fusion, than he said I was born with it. After that 3rd explanation I asked how come it was never found in the last 17 years Ive been having issues? Ive had ct scans for my cancer, mri's & xrays on cervical spine and noone ever mentioned it. He said it is something missed unless a spine surgeon reads it (yet their radiology dept found it in my mri). Than went back to the posture cause, so I said I was told years ago that due to the muscles removed in my cancer surgery it left the ones there to work extra hard maybe that is why. His response was they do not remove muscles they lift them up. I told him look in your computer my surgical reports are in there-my 3rd surgery was a bi-lateral modified radical neck diasection and in that surgery muscles were removed since they contained lymph nodes containing cancer. (in my surgical reports my surgeon goes thru the techniques used to remove everything, what was sent to pathology-and there are 2 muscles on each side of my neck that went to pathology in there. As far as I know once something goes to pathology it does not get put back in lol)His response was I am a surgeon thats what I do they dont remove muscles-I suggest you do what dr ...(the pain management dr wants aka shots) and return if things get worse....
do I leave things as they are or go to a different dr that doesn't know it all and takes time to examine someone? if so what kind of dr? like someone else spost, I wish these dr's could feel the pain I feel if just for 2 days than they would know what people go thru. I am kept on the same meds that do close to nothing to help my pain & spasms.again here are my mri reports from last week.
c4-c5 mild circumferential endplate spurring and moderate broad-based disc bulging effacing the ventral thecal sac and narrowing the AP diameter of the spinal canal to 9.5mm, compatible with mild spinal canal stenosis.
c5-c6 decrease of the AP diameter of the vertrebral bodies with narrowing of the intervertebral disc space, compatible with partial congenital fusion.
c6-c7 mild circumferential endplate spurring and moderate broad-based disc bulging effacing the ventral thecal sac and narrowing the AP diameter of the spinal canal to 10mm, compatible with borderline spinal canal stenosis.
c4-c7 mild kyphosis which may be secondary to the muscle spasm or chronic and secondary to congenital partial fusion of c5-c6.