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Hernatied 3 disc bulged L5-S1, L4-5, L3-4 not sure what to do

Hello AHello helloll,

This injury first happened in my early 20,s I fell off a 2 story
balcony backwards while working into a back of a pickup truck bed.
Having my tail bone & back hitting the metal bed
of the pickup. Was young and just got the job, did not report
it, needed the job. Boy would I do that over!

I have had many episodes every since = 30+ years off pain. The last
5 years the attacks can have me non-mobile between 2-3 weeks.
I injured myself again the first of June and have to use a walker
to get around. That is from the bed to the restroom another
painful task, have cut my food consumption to avoid having to
go anymore than I have to, due to the extreme pain currently
while trying to bend to use the restroom is a major task.

Checked into laser surgery was told could have it in two weeks,
is needed to relieve the nerve being pinching due to the
bulged disc. Insurance will not cover it all, will cost between 10,000 - 15,000
not counting my deductible of $6000. So that's 16000 they want
up front. The total surgery cost is 22,500 for laser.
Would be back on my feet 2-3 weeks thou, is in and out surgery.

After seeing the laser consultant I went to a orthpedic md,
they took more xrays of me standing in various positions
and lying on my side curled up much as I could. He checked
both the MRI & xrays and said he thinks epidural spinal injections
could help maybe. They can't get me in for 2 weeks to do the 1st injection.
wants me to go and try phyiscal therapy, really. I can't move around
without a walker right now.

So either I come up with the cash out of my pocket or it sounds the
insurance will make me go through these steps. For 30+ they have
thrown vicidan & soma's, rest, pt, then back to work. I have now
been off 3 weeks. Seems funny the insurance will pay for half if I
choose laser surgery. Yet going in-network the will not do surgery
until I do all the other steps. Even thou this is 30+ years of begin injured.
Was told many people do fine with bone to bone?

Not even sure about conventional surgery due to the long down time.
Laser is considered experimental is what I was told by my insurance
that is why it's out-of-network. Yet with laser could be back to work in 2-3 weeks.
Seems insurance would want you to get fixed to return quickly.

Sorry for the long whine, reaching out to other patients in hopes to
help me make the correct or best solution, kind of sounds like this is just how
it goes. You have to try all invasive procedures first, yet the insurance
will pay right now 1/2 for laser surgery, just don't make sense.
Maybe that is how they weed out the false reports. Think with the
history and fresh MRI would be enough. So I,m on
short term disability.
Thx and pray for those that have to endure this nonsense to try and find
relief from this disabilting pain and the depression that
comes from having no life while dealing with this

History: Back pain.Comparison: NoneTechnique: Sagittal T1, intermediate T2, axial T2.Findings: The lumbar spine is normally aligned. Vertebral bodyheights maintained. Marrow signal normal. The conus is normal inposition and signal.There is straightening of the normal lumbar lordosis.L5-S1 advanced disc space narrowing. Broad-based disc osteophytebulge and facet arthropathy result in moderate to severe bilateralforaminal stenosis. Mild central canal narrowing present.L4-5 disc desiccation, left eccentric broad-based disc bulge andfacet and ligamentum flavum hypertrophy result in severe left andmoderate right foraminal stenosis. No central canal narrowing evident.L3-4 broad-based disc bulge and facet hypertrophic degenerativechanges. There is resultant moderate to severe bilateral foraminalstenosis. Mild central canal narrowing present.L2-3 unremarkable.L1-2 level unremarkable.Impression:1. Straightening of the normal lumbar lordosis.2. L3-4 broad-based disc bulge and facet arthropathy. There isresultant mild central canal narrowing and moderate to severebilateral foraminal stenosis.2. L4-5 left eccentric broad-based disc bulge and facet arthropathy.There is resultant severe left and moderate right foraminal stenosis.3. L5-S1 disc space narrowing. Broad-based disc bulge with centraldisc protrusion results in moderate to severe bilateral foraminalstenosis and mild central canal narrowing.


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