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is it inappropriate???

virginiapvvirginiap Posts: 508
edited 06/11/2012 - 8:52 AM in Neck Pain: Cervical
Is it inappropriate for me to bring my cervical MRI films to my Neurolgist appointment this week? The appointment was arranged for EMG lower extremities for my post lumbar fusion issues. I have never met this doctor and don't want to ambush him, my 2nd opinion with NS is not till the 19th and I was just wondering if I should bring my films in and get his thoughts.
I am an impatient type and a bit freaked out since I got my read from current NS.
I assume Neurolgists read mri's?????
Thanks for your input!



  • I took my films in (ALL of them) to my first appt with my PMDr. He was glad that I took in a couple hard copies because he said that he preferred them over the CD, looking at them on the computer. Of course yours is a Neurologist, but he can either look at them or not-if there is no time. You could just take them and leave them in your car, tell him you have them with you and see how that goes. The 19th is only two weeks away, so you can always ask him if it would be OKay to take them in then too.
    Good luck at your appt., I hope it goes well & isn't too painful.
  • Actually the appointment on the 19th is with a different doctor a Neuro surgeon which is specifically for 2nd opinion on my cervical issues.

    The Neurolgist appointment was set up by my pain mgmt doc for nerve studies on lower extremities. Which is why I feel perplexed to throw the cervical mri on him.

    But I like your idea of bringing them & leaving in car and testing the waters...... to see if he is willing to give me a consultation on c spine in addition to EMG.

  • Goes to show you how good my comprehension skills are working tonight.. I'm trying to space out my medication, working on lowering my tolerance, and probably should stick to reading only at times. But yeah, I would have them in the car and just mention it offhand, he may be interested, though try not to feel rejected if he doesn't (happened to me before). I can sometimes be very sensitive and take things personally with new Drs.
  • I always carry a day timer and have anything I might think they need, in report form and CD form. Sense he is being used for a emg study alone he might say NO, but what do you have to loose by asking.
  • Most likely this neuro only does EMGs. Just like some specialize in injections or other things. I think you might be better to keep the focus on what you are going for, especially since this is the first time seeing this particular doc. But mention that you are also having cervical problems since there could be some interconnection.
  • We are fighting the good fight here so to speak. When I had the nerve studies, the Neuro did want to see films. In fact it helped him know hat he was looking at in my case, which includes multiple areas of my spine.
    Just my "2 cents"
    Good luck
  • For advice! I'll bring films and hope he will have a look if not, no harm, no foul, I guess the worst he can say is no.

    Robin I know what you mean about cutting back and not being all there! I'm in the mists of doing the very same thing! Not easy!

    Fighting the GOOD FIGHT I like that!

    Well one more day to EMG... I'll let you all know how it goes and if he reads my mri.

    Thanks again for support

  • Virginia,

    I bring *any* new imaging to my Neurologist, EMG appointment or otherwise! This doctor is a Neurologist - if he/she can't read an MRI, I would run, and run hard and fast! (G)

    The EMG is a piece of the puzzle as is the MRI, I vote = bring the images or CD. Please let us know how it goes.

    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
  • Firstly for the chuckle hehe me running. .. TY!
    Second for putting it in perspective, yes he is a Neurolgist although he is not a surgeon he should be an expert with nerves, pathways and what not.

    Getting ready now. should I NOT take any soma before this????? I thought I read some where that muscle relaxers shouldn't be taken right before EMG/ NCS; I'm having both per my confirmation call yesterday.

    Gotta go!

  • You're Welcome as always Ms. Virginia!! When I see "Neurologist" they = nervous system specialist, and I would assume that they can/should be able to read an MRI??

    As for Soma, I can only say this. I asked similar about my Lyrica, and I was told the medication reduced the pain, but would not interfere with the EMG results. I'm not familiar with Soma, but a phone call should answer that question? Fingers crossed that they see what is going on woman. *HUG* My "nappy" bell is ringing....

    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
  • I had a neurologist who looked at my MRI and told me that he couldn't help me because (and I quote) "It's not neurological". This was very early in the diagnosis and I wasn't convinced at the time my symptoms were spine related. Honestly, I don't know how a neurologist like that should be allowed to practice! I've never been back to see him since. :)
    2011 ACDF C5-6 for Spondylosis with Myleopathy
    2012 L4-5 herniated disc and hernated disc at C4/5 2013 Taking Amitriptyline for headaches
  • EMG & NCS done of lower extremities, not bad procedure the NCS was annoying some body jerking. Neurolgist just did EMG after tech performed NCS.
    Gave NO indications of results as he has to review both results and then will send results to my referring doctor.

    He WOULD NOT review my cervical films as the appointment was "diagnostic /testing only".
    He had a whole file on me which my Pm doc had sent over.
    So more waiting!
    PM doc called to schedule 2nd cervical bilateral ESI next week on 4/12.
    Saga continues...
  • That is insane you had/myelopathy and that's NOT neurological? ?? Then what is???
  • last time i looked the cervical is connected to the thoracic which is connected to the lumbar, to the sacral,
    so looking at your cervical MRI may have been relevant to the diagnostics

    guess he justs like to stick with the one "compartment theory"

    shame virginia, that he didnt extend an opportunity

    anyway at least you will have some answers soon re those tests
    good luck with your 2nd opinion NS app

  • Virginia,

    Was this 'your' regular Neurologist that conducted the electrical study, or a separate one? My last EMG wasn't conducted by my regular Neurologist, but he still perused my medical scans/notes other tests. Also when done, he gave me a basic of what was found in the NCS/EMG - the report turned out more scary though!

    On this NCS/EMG, that will be with my Neurologist, so all the testing will be gone over during that appointment. It can and does make a difference if it is your Neurologist verses 'one' that you just go to a study for. It could be a professional courtesy issue. He says one thing, and your primary Neurologist says something else - could get sticky?

    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
  • I don't have a Neurolgist I have always seen NS. last year before surgery my NS sent me to a Neurolgist for EMG. Now post op my PM doc ordered these tests
    so as far as I know I will never see him again. for sure a courtsey thing.

    i do see PM doc next week for o/v Monday & ESI Tuesday.
    so i assume i will be tuning in next week for the live results show!

  • I agree Brenda. Maybe he is the type that sticks to the theory "do one thing and do it right."
    V~I'm so glad that you are "done" with that and I anxiously await the results--if you are kind enough to share. My good wishes that your cervical bilateral ESI is a success!
  • not sure if my post actually reflected what i was trying to say , lol
    what i ment was as your having probs in lumbar legs, thus the nerve testing...
    i think it may have been beneficial to look at the cervical MRI , in case (not saying) that there was anything in the cervical that could have helped look at the whole picture

    i do understand the professional courtesy thing, however i still think that it was /maybee relevant to have a look at the cervical MRI

    but hey you tried and thats all we can do , right

    just my thoughts , trying to help
    hope the ESI help and good luck with NS app
    hugs flower
  • For your well wishes.
    How do they determine success I wonder, seeing I have a cord injury will it be based purely on relief of symptoms??? Which are progressing quickly. My weakness in wrists are getting worse and now my left thumb feels like I've sprained or broke it, out of no where, Sunday i was icing my wrist and silly me didn't make connection and Monday I checked nerve map and bingo! .its C 5/6 which is my worst level! Today my left shoulder blade feels like I've been kicked by a horse. Even hurts to breath! Headaches are not as severe and I feel my ROM is a bit better. Neck pain still there and pain at base of skull ditto!
    Anyone know?

  • Yes, I think they do determine success by an improvement in symptoms-at least that's the way I hear it from my Dr.
    My main issues are C 5&6 too, and I often have the breathing problem, because it hurts I take short (uneven) type breaths. Only different positions help, but then I get stiff. I have the exact same symptoms as you, ie; thumb, headaches, ROM. My little and ring finger are numb/tingles often too. Shoulders and blades hurt.

    Couple weeks ago I had my second CII RF (for headache), last time was in Oct., and it wasn't helpful. I am having less headaches since this last one though-so..success I suppose.
  • Virginia,

    I don't know your insurance, but depending what is going on, you might want to consider getting with a Neurologist, or other "spine" specialist for a full work up. I'm sure your PM is good, but most aren't spine specialty trained. Just a thought.

    That is what I did/am doing - so I follow my own advice! (G) This way the whole picture is seen by an expert. *HUG*

    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
  • Oh the shoulder blade burn. I remember that all to well. *HUG* Sorry you're in that boat Virginia. In some ways when I had the burn, that was the worst! Granted the pains down my arm and hand pain was bad, but that bloody pain in the shoulder blade was the worst. It made me feel like I was 90 or something....

    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
  • Thanks for your support! Sorry, I don't know what CII RF is???
    I am glad that your headaches are better this time around. Can you share what they are?

    I too get Just a little tingle in pinky but nothing really to complain about.

    For me my biggest pain issue is the actual neck pain, radiating up in back of skull, real tight feeling wraps up in ny head in ear & eyes causing headache; and radiating pain in shoulders & blades, burning, stretched to the limit type stabbing pain. The muscles in the sides of my neck are in a perpetual spasam! I feel like I have sore throat????

    FLOWER, thanks for your reply & post.

  • Oh, Bil C2 RF. I was injected with Xylocain-5ml and Isovue-1ml
    Needles used-18g1.5 , 25g1.5 , 10cmRF

    (I copied that from the form I signed)

    And I feel like I have a sore throat too..but I actually thought it was a sore throat, I've just had it for a couple years now.

    But anyway-we were talking about you...lol.Sorry about that.
  • I had never heard of that shot. Isovue I believe is contrast dye???
    I hope you get continued relief.
    Btw please feel free to share in my posts it helps me feel normal! Not only sore throat but also sort of an ear infection too for me you know that area between ears & throat. Oh such fun : -)
    Goldy bless us all!
  • Salutation should have read
    God bless us all!

    Sorry... auto correct not so smart!

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