I need someone to tell me if this result is serious or not.I have a neuro and a PM doctor but this happened on the weekend and my neuro hasnt even returned a phone call for seven days. And my PM said follow up with neuro, both are 35 miles away and neuro is hard to get in office for appointment. I had MRI at a local clinic and only have report of MRI to look over and I am hurting worse than before this injury. I am now having nerve pain on the left as well as the right. Called the neuro office after 4 days from first call and was told my name "is on PA's desk but she hasnt gotten to me yet." This is frustrating and makes me wonder if I want a surgeon to operate on me if they can't return a call in 7 days or less...
Anyways, the MRI reads as follows,
Normal alignment of vertebral bodies. There has been a partial right laminectomy at L5. AT L5-5, there is a focal area of increased intensity within the posterior aspect of intervetebral disc. This is consistent with annular tear. mild broad based bulging of the intervetebral disc hypertrophied ligamentum flavum. This narrows the spinal canal. At L5-S1, there is a right paracentral herniation which compresses the thecal sac and narrows the neural foramina. The disc fragment measures 9x10x13mm. Spinal cord is normal in size and signal intensity. No abdominal enhancement seen on post-contrast images.
I just had a discography in march and was positive for L5 and went to neuro but no call back for a week when I told them I hurt my back again and needed appointment they told my wife they couldnt see me anytime soon, bad sign. So in my small town choices are limited as are my time. So now I will see a back specialist ortho pretty quick and will have to choose from a fusion or artificial disc. I would like to try another laminectomy to see if it helps, I am only 32 and I would like nothing more than to be normal again and off the medication. Which is neurontin 400mg TID, Flexiril 10mg BID, oxycodone 10mg BID and oxycontin 10mg TID. This provided minimal relief and now provides no none. I am going to PM on 15th with hopes he will consider perscribing more relief.
Is a laminectomy worth a try or what? I do understand the support offered here is just advice. Any is appreciated and I will not hold you responsible. Thanks for reading.