Well, today I finished the last test my Neurologist wanted to have me do - NCS/EMG all extremities. My Neurologist is going to conference with my Surgeon of his findings and suggestions. After that, he and I will get together (July 1st), and he is kicking me back to surgery.
In May of 2009 my C6/7 disk herniated hard onto my right exit nerve causing instant pain, loss of function, strength and feeling along that nerve root (triceps). My surgeon at that time felt I probably sustained damage at that time. Surgery stopped most of the pain, but the function and strength did not return. 8 months later had another NCS/EMG and the findings were very close to pre surgery.
Todays NCS/EMG now shows more degradation than my prior study for the C7. The C6 is showing compression again, and the C8 (Ulnar) is a mix from my neck and prior damage from when my Ulnar was trapped at my elbow. My prior fusions (C5-7 / C6 and C7 nerves) show issues internal of the fusion (osteophytes, calcification, stenosis). The game plan as it stands now is revision with the addition of C8 (C7/T1) front and back. No surprise there.
Thanks to the development of Epidural Lipomastosis my nerves at the L5 and S1 are being entrapped much like a disk would do. Bilateral radiculopathy is now moderate due to it. They normally do a Laminectomy to get the material out.
The Neuropathy in my thighs has gotten worse - caused by the L2/3/4 herniations and nerve compression. I'm still trying to put off intervention there, but the look on my Neurologists face, not sure how long I can hold out. Prior MRI (same facility) the disk issues were deemed protrusions, now they are hernias. Sigh.. So possible fusion for the L2/3/4. Fun huh?
EMG wise, I think the focus will be the neck and the Lipomastosis issue first (not at the same time of course). So far my C2/3 has only had slight changes - so I am hoping that won't be on the list of things to do on top of all this. So in a nutshell for the next year or so, revision + at least one level for the neck, Laminectomy L5/S1, and possible fusion L2/3/4. Are we having fun yet?
The good in all this is I did get validation as to why the pain, weakness, function issues etc. Good or bad news, we all need our validations. Well, that's the update from my oral brief I got from my Neurologist today.
Brenda "I'm an official mess!" (G)
PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.