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Got bone scan results today

AnonymousUserAAnonymousUser Posts: 49,578
edited 06/11/2012 - 7:25 AM in Chronic Pain
Hi everyone,
I got a call from the anesthesiologist who did my ESI (he specializes in spine problems)and he said that my facet joints all look good, except L3-L4. He said that there is fluid in them, but not to the degree he had suspected. We were hoping it would be glaringly obvious that that was the problem causing the pain in my legs. He said that we should go ahead and try the facet joint injection, but that he isn't as optimistic as he would be if the facet were brightly lit up. I am so frustrated and discouraged. If this doesn't work, then it is most likely a disc problem and the doc said that not much can be done. I have been just hoping we were going to find an answer and I would finally get some relief from this pain. I have had back pain for years and have managed that, but I can't imagine having this leg pain forever. I am afraid this is a progression. Does anyone have any other ideas what could be going on? Are there any other tests they haven't done? I know no one is a doc here, but any ideas?
My GP doc is getting concerned about the pain meds she has me on (hydro 10/325 every 4-6 hours), because we both thought it would be short term. The facet injections are going to be 3-4 weeks from now.
Thanks, and sorry for the long post, I just feel so discouraged.


  • a discogram? Has that been tried? That is how my annular tare was found and it also diagnoses a painful disc.
  • No, they haven't done a discogram. I think that it seems like the disc would be the only answer left, but wouldn't that show up on the MRI? I have been doing some reading online and I thought they could see that. But the doc did say that if you rule everything else out, it's probably the disc. Also, do you think maybe I should get another opinion? The doctor who did the ESI specializes in spine, but he is an anesthesiologist. Should I go see a NS? I can't go back to mine, because they don't take my insurance. Also, I thought I heard that the discogram hurts. And is it a test or a solution? How do they treat it? Sorry for all the questions! I am just searching for answers. :/ :S
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  • I would definitely go see a neuro-surgeon. They are much better qualified to diagnose problems. As far as I know, an anesthesiologist just performs the tests ordered by docs and surgeons. I think they inject a dye and then watch it circulate for a discogram, and I have heard they hurt like hedoublel. Good luck, and hope you find out the problem soon.

  • I just had my 3rd epidural today and also for the first time facet joint injections. My leg feels better and there's also less pain in my back. I'm not sure if doing a facet joint injeection would be a diagnostic or just to give pain relief. I also don't think facet joint injections help leg pain but your pm Dr. would know better what to do. Have you had xrays, bone scans and MRI of your leg? Anyways I hope they find what's causing the pain and be able to treat it. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Hi Charry!
    The doc says that we hope the facet injection will help and if so, that can also help to diagnose if that is the problem. He also said that from what I have told him, it doesn't sound like a pinched nerve, but I am starting to wonder if I explained it wrong. I am also having numbness in my right foot now. I am so scared that this is a permanent problem, since no one seems to have an answer. I haven't had any tests done on my legs, since it seems to come from my back, but now who knows? I have to take the pain meds at right about 4 hours because if I wait any longer, I'm already in pain, but my doc seemed surprised I was taking that many a day. She RX'd every 4 to 6 hours, though, but I don't know what her plan is if we can't get this under control.... I am going to have my doc refer me to a NS and see if they have any new ideas. How are you doing? Did you notice the relief right away with the facet injection? I am glad you're feeling better. Thanks!
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