Hello everyone! A little about my situation. In march of last year I slipped and fell in some water at work. I followed all the right protocols by filling out accident report, going to doctor right away. Xrays showed right sided pars fracture at L5. We started with conservative treatment. Bracing, anti-Inflammatories, followed with physical therapy for about 2 months. My physician felt my condition wasn't improving much as I was hypermobile in the SI Joint and I was having radiculopathy, particularly my right leg and numbness of the toes. She ordered an MRI which showed a difinitive right sided pars fracture at L5, bone bruising around SI Joint. She felt I essentially "sprained" the si joint with the twist of the slip. MRI also showed disc bulges at L4/l5 and l5/s1. Shortly after I was referred to a pain management doctor. He agreed with my doctors findings and we srarted with medial branch blocks for the facet joints since he believed dinervation at the joints would help with the radiculopathy. I had my first RFA last August. The procedure helped with the shooting leg pain but it was very clear after that I was having paon elsewhere. I was still getting pain that wrapped around the hip area, pain with walking, getting up from a sitting position, srairs...and sleep has become something of the past. I get frequent muscle spasms and lately they are in the arch of my right foot into my calf. I don't doubt for one second that its all related. I had my 2nd RFA 3 weeks ago of the l4/l5 facet joints. The pain doc would also like to do the SI Joint as well after recovery from this.
I had the dreaded IME in november and the doctor believed it was si joint dysfunction and in fact that I did have a pars fracture but it was old. Let me say that this being a workers comp case had made this sooooo tricky. Cant help but think If I fell at home this would have been different. Ime doctor suggested 2 steroid injections and then no more treatment and they were seeking end of treatment. Now the steroid injections have minimal effect for me. Not enough of a difference to be pumping them in my body "just because". After steroids I started getting my period nonstop and developed polycystic ovaries. My doctor said no...no more steroids. So workers comp isn't paying for my treatment. In workers comp law (here in wi at least)
you are entitled to 2 opinions. I had been referred 3 times so those didn't count. I've had to fight tooth and nail to get my second opinion. Now one year later I have my neurosurgery consult tomorrow.
I am excited but fearful that he will tell me he cannot help me. I've been doing a lot of research on direct pars repair vs fusions. As I understand it I will have to undergo RFA's every 6 months to a yesr for thr rest of my life ...or for as long as I have pain. I am not ready to accept this. While fearful of having surgery I am only 31, a mother of 3 kids and still working..I do jot want to live like this any longer. I am ready to try SOMETHING! Anyone have any suggestions as to what I might ask doctor or what procedure worked for you?