I just left the Neuro's office. As u know, I had esi on L-5 S-1 about 2-3 weeks ago, Did not really help at all. I fell in Jan and MRI revealed herniation, S-1 impingement.
In looking at an MRI from Oct., before the fall, It shows some potrusion of disc material. I had a Micor'd in April 09...evidently he didnt get it all cleared out. Anyway, now he thinks the fall caused a stretching of that S-1 nerve...He's telling me my options are..another micro..TLIF... PLIF, or an implanted stimulator.I will not have an implanted machine. He said I'd have to sign 2 consent forms because he wouldnt know which proceedure (PLIF/TLIF) he'd have to do until he got inside.
I'm scared and dont know what to do. I cannot stand this pain anymore. He said only about 50-60% of people get some relief.The other percent do not. I'm not even very informed on these 2 proceedures. i know one is done with a rod and pedicule screws and I believe he said the other was an older method done with bone graft..is that right?
Also he mentioned my smoking. He wants me to look into chantix. I know smoking inhibits fusion but i know i cant quit.Can you guys advise me about these proceedures please?