Hi, I have been suffering pain since a fall at work on the cement floor. I orinally went to a walk in clinic. They did an exray to rule out broken bones, Bone scan and an MRI.
They had me see a orthopaedic surgeon who told me I had bursitis in my hip and gave my a (BLIND) injection with no xray guilded equiptment.
They I went to a pain clinic that did two more injections but with xray juilded eqiptment. They read the MRI report and said that they would recommend the Nerve Ablasion. They couldn't promise that it would work. I do want to point out that I have heard so many horror stories about cortisone injections.... I have a NEEDLE PHOBIA! I am scared to death to get this done, so scared I can't go and do it.
I also had a IME (Independent Medical Evaluation), done by the request of the Labor and Industries company. Nobody seems to think that there is anything wrong. So.... here is my pain history with my case and the MRI results.
Pain is in my lower back, probably from osteoarthritis. But since falling over a year ago, I have pain in my right hip. I have numb skin on the outside of my hip at times, sometimes worse than other times. I cannot walk very far, as the pain gets worse. When I sit, the pain goes away. I do have off and on pain like dull pain up around the whole hip bone that sometimes throbs.
I was put back to work with no restrictions and after 4 hours I couldn't do it anymore. When it is bad, I feel like someone is pulling my lower back and hips to the floor and find it difficult to walk. Very slow and painful.
I also have fibromyalgia and my feet have begun getting swollen the last few months as well and I have to take water pills for that everyday. I am only 46!
I believe that there is something in the MRI results that have to warrent a problem that the walk in doctor just isn't qualified to see.
Finding: The alignment is within normal lmts. The conus apperas normal and is at the level of L1-2.Minimal anterior wedging of T11 and T12. No abnormal marrow edema within the T12 or T11 verebral bodies. Probable tiny intrasacral meningeal cyst or perineural cyst within the scaral spinal canal at the S2 level.Paravertebral soft tissues are unremarkable.
L5-S1, the disc is mildly decreased in height.Minimal disc bulging. Mild facet arthropathy. No nerve impngement or stenosis.
L4-L5, minmal disc bulging. Mild to moderate left facet arthropathy. No nerve impingement or stenosis.
L3-L4, small right foraminal-far lateral disc protrusion. Minimal right neural foraminal narrowing.
IMPRESSION: Miniaml disc bulging at L5-S1/
Minimal disc bulging L4-L5.
Small right foraminal -far lateral disc protrusion at L3-L4.
Minimal rght neural foraminal narrowing.
Minimal anterior wedging of T11-T12.
So even though all these are minimal,can something still be ccausing all of this pain? And what is the tiny intrasacral menngeal cyst or perineural cyst???? Nobody even mentioned
that.! The IME doctor told me NOT to do the facet joint injections...so not sure what is going on or what to do.