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Serve Immobilizing Pain

My Dad has the following diagnosis:
Disc narrowing, osteophytes. Vacuum phenomena extends left posterior-laterally from the disc and effaces the fecal sac, compatible with a disc herniation and likely impinges where the l3 nerve root arises. There is a mild facet osteoarthritis on the left side.

There is mild to moderate foraminal stenosis where the l2 nerve root exits due to the facet hypertrophy and posterior osteophytosis.

Marked disc narrowing, anterior and posterior oseophytosis and moderate annular bulging
Mild to moderate left canal stenosis where the l3 nerve root exist.
Mild right lateral canal stenosis where the l3 root exits on this side
The bulging annulus mildly effaces the anterior fecal sac
Moderate to severe facet osteoarthritis on the left, mild on the right
Marked disc narrowing with vacuum phenomena, anterior and posterior oseophytosis
Moderate annular disc budging
Moderate sized vacuum phenomena/ disc herniation extending right posterior centrally, slightly below the disc margin effacing the fecal sac at this level
Mild bilateral foraminal stenosis, right slightly greater then left where the L4 nerve root exits, moderate facet osteoarthritis on the right, mild on the left
Mild spinal stenosis overall.
Marked facet osteoarthritis right greater then left. No disc herniation or spinal stenosis. Mild narrowing of the lateral recesses where the S1 nerve root enter related to facet osteoarthritis.

He is currently in excruciating pain and is taking hydro morphine, nerve blockers and anti-inflammatories, which seems to have no effect. He can only lie flat on his back and can move his legs slightly to the left and right. He still has movement in his feet and ankles. He generally has a very high pain tolerance but it seems as if the pain is killing him. I have never seen my father is so much pain. He cannot get out of bed to see his doctor because it causes him so much pain. He has been to emergency via a n ambulance but they just pump him u with more pain medication and send him home. He has been in to see his GP but he just prescribed him the hydromorhine which has no affect on his level of pain. Any advice at this point would help. I am so concerned for my Dad and the medical systems is not helping.


  • sandisandi Posts: 6,269
    edited 04/06/2014 - 7:03 AM
    The GP is not the right doctor, not for what appears to be a spine condition......he needs to be seen or evaluated by a board certified spine surgeon, ortho or neuro.Is he having issues with being able to go to the bathroom or empty his bowels or bladder?
    If he is, then he needs to be seen at the emergency room. Who is administering his medications? Is he taking them exactly as prescribed? Do not give him more than he is supposed to take, no matter what, because doing so can cause breathing problems for him.
    Is there an adult you can call for help? A neighbor or friend's dad?
  • that needs to come from his doctor......if he is not getting adequate answers from his primary, it is time to make an appointment with a surgeon........
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