My PM wants me to do a trial for a SCS and then hopefully an insertion, but I am not sure about it. I had L4/5 laminectomy / disc 2010 - failed, and a L4/5 360 revision lumbar fusion with hardware in 2012 that was brutal. I was only out of pain for about 2 months.
My right leg has become weaker and my walking is very limited. An EMG done post op in 2013 revealed Radiculopathy from L2-S1. Before surgery it was only L5/S1. I have been on pain management since the surgeries.
Since May 2014, till present I have had numerous caudal injections, SI inections. The caudal injections did work initially, but I cannot receive another one for several months. The last caudal only lasted a couple of weeks. The doctor does a caudal because of my previous fusion.
I am concerned about the SCS because I had a Cervical cord injury, a precious Cervical Fusion and auto fused at C3/4/5/6. now have radiculopathy at C7/T1 and suffer from myofacial pain in my upper back. I also have herniated thoracic discs. If the implant is in the mid or
upper back, I am afraid of aggravating the pain.
Also, I received a copy of my Lumbar MRI , My PM doctor had not received this at my last visit.
At L3/l4 there is retrolisthesis of L3 on L4 with a moderate pseudo bulge, facet arthritis, and posterior ligamentous thickening resulting in canal and neural foramininal stenosis at this level. This could effect the exiting right and left L3 and L4 nerve roots & clinical correlation is recommended.
The Radiologist asks to please correlate with findings referable to the right and left L3/ and L4 nerve roots previously in his report, also.
My question is, should I try to follow up on the L3/4 nerve roots? They are adjacent to my fusion. I am not sure exactly what they mean by correlate? But, if they
are the source of my pain/weakness ( also canal stenosis), should I get some opinions as to minimally invasive surgery, or what other options I would have, before I go with the SCS?
I will be so thankful for any thoughts or experiences you have. I also have Addison's Disease, so I am worried about risk of infection. and have been diagnosed with "Sick Sinus Syndrome." I am 63 and was tested by a cardiologist with a Halter Monitor. I am not symptomatic yet, but I may need a Pacemaker at some time in the future. So, they would have to remove the SCS.
Thanks so much.
Take care and God Bless,