Just hoping somebody can provide me with input on my situation. I was decompressed and fused in 2010 from L2 thru L5, T11-12 in 1993 and C5 thru C7 in 2008. I was doing fairly well until several months ago but things gradually went downhill with constant moderate low back pain, pins and needles in both feet and legs left much worse then right, and leg weakness especially noticeable when climbing stairs as well as various urinary problems gradually worsening.
EMG conclusion: #1. There is evidence of paroxysmal bilateral root involvement, #2. Evidence of chronic left sided L5-S1 muscle changes consistent with chronic denervation.
MRI: L5-S1 - Minimal posterior bulge is present. Moderate /severe right and mild / moderate left facet arthrosis is detected and no central canal stenosis. Moderate left and mild / moderate right neural foraminal stenosis is identified.
There is edema in the deep posterior paraspinal fascia at the mid and lower lumbar motion segments and dorsal to the upper sacrum.
My Surgeon has mentioned the possibility of the need for a L5-S1 fusion but first wanted me to have facet injections for both diagnostic as well as a theraputical approach which I did with minimal short relief and I also had a caudal epidural injection recently with no relief at all.
I am do to revisit my Surgeon who performed all three of my sucsesful past surgeries at HSS in NYC and will probably do whatever he advises which I believe will be another fusion at L5-S1 but am very nervous about having a 4th lumbar segment fused.
I have managed to keep fairly flexible and keep working by spending 1 1/2 hours every morning swimming and doing various aqua exersices with my local hotel pool membership but am afraid of another fusion being the straw that broke the camels back.
If anybody out there can provide me with any insight on my situation itg would be GREATLY appreciated.
Thank you very much