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Lower back, left glute, and hip pain ... 2nd appt with ortho doc


I had an appt with ortho doc last month. I met with him for about 20 minutes. He views my MRI on disc and recommended a discogram. From his interpretation of it, it was a simple procedure. After researching, I discovered in my opinion it isn't simple. It requires a driver, IV, performed in hospital, create more pain than normal, and assist with pin pointing the pain generator disc. I've called ,I requested the billing codes and called my insurance to find out more, such as a 3 level injection and CT scan. My co-pay is $750 and insurance covers the rest. It took 2 weeks for doctor he referred me to within his ortho facility to call and scheduled. I informed her that I want to meet with ortho specialist first because I have many questions about the procedure and why he didn't recommend anything less invasive. I have done PT in the pass. I have used over the counter drugs, Icenter, heat, stretching, and prevented movements that cause or increase pain. I have been an athlete al my life, even collegiate, and continue noon besides me scaling when discomfort occurs. I have L-4 - L5, L5 - S1 degenerating which caused bulge and narrowing per the printed MRI diagnosis. I have my husband going to appt with me today to discuss and ask questions, because I couldn't get it over the phone. This ortho specialists is great and accepts patients of his choosing but I'm confused as to why we wouldn't try epidermal injections, pain and inflammation medicine, etc. I just can't understand who I would pay so much to create more pain. Thank you for your help. I'm just confused and this seems to be the beginning of my journey.
Lumbar Radiculopathy
L4 - L5 Diffused Annular Disc Bulge
L5 - S1 Diffuse Concentric Disc Bulge, caused neural foraminal canal narrowing bilaterally, left more significant
Sciatic pain on left left


  • SavageSavage United StatesPosts: 5,476
    edited 04/21/2015 - 9:41 AM
    It seems very good thing to have someone with you. Sometimes it's a lot to hear, esp when concentrating on controlling your pain.

    You say you had PT in past. Was that for this same...recurrent...situation?
    Once you are without pain, does your doctor tell you to resume all activities as before?

    You might need to taper some activities to prevent future pain or problems. I don't know, but worth asking doctor.

    Best of luck...let us know how it goes
    Spine-Health Moderator
    Please read my medical history at: Medical History

  • Yes I had PT in the past. First for strain glute, then sciatic pain in that same glute and hamstring. It would go away but then come back. Not sure why it returned. Recently it has been involving my lower back and I did PT for 2 months until I was able to get on calendar to see ortho specialist.
    Lumbar Radiculopathy
    L4 - L5 Diffused Annular Disc Bulge
    L5 - S1 Diffuse Concentric Disc Bulge, caused neural foraminal canal narrowing bilaterally, left more significant
    Sciatic pain on left left
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