Ask Your Health Question and Get an Answer ASAP
I have spinal stenosis in my cervical, thoracic and lumbar spine. I have gone through horrible experiences with pain. I had aching numb arms and hands for awhile and still it causes pain to rest my forearms against anything. Even my own lap. Now I suddenly developed severe pain in my right leg. It hurts the most to stand still and it hurts in some degree all the time. I have a numb right foot and outside of my right calf. It feels as if i cant move my toes and its hard to slip a flip flop on between my toes. When I walk it hurts down the back of my thigh and behind my knee almost like a pulled muscle. The pain in my entire leg is excrutiating. It is near unbareable. I do have a herniated disc in my low back but no back pain at this time. What could this be? I am having a difficult time performing any normal activities of daily living.
I have also had ncs on upper extremities and i have had surgery on my neck during which two cages were placed in my neck. I have also been diagnosed with carpal tunnel in both arms, the right is moderate to severe. The left is mild to moderate. One study showed I also had ulnar nerve damage but now the tests dont show that. The spinal stenosis is near severe. My Dr. said im at a 7 and severe is 8.
I am 48years old. One Dr. said my neck looks as if it belongs on a 90 year old. I do not have athritis or any autoimmune disease. I also do not have osteoperosis etc. Please forgive my poor spelling. I was attackted and injured.
I am 49 years old. I just had new MRI tests on my lumbar and cervical spine. I got the results about a week and a half ago. The report says spinal stenosis. I do believe I had that same diagnosis in 2011 though not as severe. The disc herniation is the first time being discovered in these new tests.
I am taking oxycontin, norflex, and mobic. Nothing is touching this pain. I stay on a heating pad most of the day and walking is very difficult. I try changing positions constantly and get very little relief. My primary Dr. gave me shots under ultrasound directly to the area I hurt the most in. He pressed on various areas and a spot on my buttocks sent me through the roof. I read sciatica gets relief if you sit or lean forward. I also read you have back pain with it.
I also have alot of perfectly round sores that are painful and wont heal. Could they be connected. They have been on my buttocks for a couple years and i get them on my face and arms as well. Now I have some on my legs.
I have had most of these issues for a couple years at the least. How will i know if its permanent? My neurologist has me scheduled the 23rd of this month for a nerve conduction study. He also referred me to Stanford. I saw him on a wednesday and by that friday Stanford was calling and I see them this coming monday. It all took less than two weeks to get that apt. Should I be worried?
As you have already tried the oral medications,heating pad,changing the positions,shots in painful area & other treatment but still there is no relief from pain,so I think surgery will be the best option now.
The painful round sores on buttocks & other area does not seem to be related to this & you need to consult your skin doctor for this.
As you are already scheduled for appointment with neurologist on 23rd,I advice you to wait for this & then after tests the treatment will be done accordingly.
You need following tests:-Electromyography(EMG)-Nerve conduction studies,-Certain blood tests,-Electro physiological studies -Nerve conduction velocity (NCV) Also I would advice you to wait for the Stanford appointment to consult the specialized doctor & discuss the surgical option to get the lasting pain relief from this.
Surgical procedures may involve removal of bone and disk tissue or may remove bone spurs or disk material (decompression) and provide lasting pain relief.You may need either decompression surgery or a stabilization surgery, and often, adecompression and fusion are done at the same time. Artificial disc replacement(ADR), sometimes called total disc replacement (TDR), is a newer and somewhatmore complex procedure than fusion.So your neurologist will decide the best option accordingly.
Please remember to rate my service once you have all the information you need. If you have any other questions,please ask me - I'll be happy to respond.
Kind Regards- Dr. Charles
I am sorry I fell asleep last night.
Wow that is alot. However I knew most of that already. I feel you were simply repeating what i already told you but threw in some technical info to make it sound official. I am not trying to offend you. I was looking for a possible diagnosis. I mean the MRI results already tell me i have nerve compression.
I also am confused or i obtained some bad info, but if it is something along the lines of peripheal nueropathy - excuse the mis spelling, it certainly does include the possibility of sores that wont heal.
Speaking of the sores i would also appreciate an opinion here, they are perfectly round, deep, painful and very red around the outside border. Any clue what it may be?
My apologies i didnt recall you mentioning sciatica however i re-read your response and i see it is there. Can sciatica really hurt this bad? It is near unbarable. It feels like i have rubber bands around my ankle and up a bit on my leg plus like i have a sock on thats much too tight on top of the rubber bands. Don't worry your review will be favorable.
I have trouble swallowing and its been that way since my neck surgery in Dec 2011. I see that plus sores that wont heal and the pins and needles and other types of pain along with trouble using the restroom- I have every symptom but two- and peripheal nueropathy pops up. Is this a possibility and what would be the prognosis for this?
Thank you for your response. To me it seemed much more informative and was greater appreciated than the previous responses though those were not bad either.
I meant to contact you sooner and let you know that in my first response to you i said on the 23rd i am having a nerve conduction study. The appointment with Stanford was yesterday the 19th. It was a bit disappointing. To explain in the simplest of terms as well as the fastest, I have too many symptoms in some ways and not enough in others and the right symptoms are in the wrong area. All of which the Dr. said does not make me a candidate for surgery. This was in regards XXXXX XXXXX lumbar spine and the horrendous issues im having in my leg. He said its like sciatica but not sciatica. As you did, He suggested epidural injections and possibly physical therapy.
As for the issues with my neck, its kinda in pergatory. They say severe spinal stenosis is an 8. I am a 7. More than moderate but not severe enough to be a candidate for further surgery there. He said it can take years if ever to progress though I have progressed and have done so rapidly. The Dr. was conservative which I did appreciate so I wasn't left wondering if surgery was suggested just because he is a surgeon.
I hope you don't mind but im going to share my MRI results with you in the hopes i can take advantage of you once more and maybe you can explain some of it to me.
My neck: with and without contrast, it shows the anterior fusion from c-4 through c-6 from surgery done December of 2011. Development of worsening of central canal stenosis, with at c6-7 and c7-T1. Type I endplate changes at c7-T1 and diffuse thickening of the posterior longitudinal ligament from c6 through T1. There is central canal stenosis with 8mm of residual central canal from c6-T1. There is mild flattening of the cord but there is preserved CSF signal around the cord. There is mild to moderate neural foraminal narrowing due to uncovertabral joint hypertophy most pronounced on the left side at c6-7. Right side predominant disk ostrophyte complex at c5-6 causing central canal stenosis with 9mm of residual central canal but without impingement on the cord.
My lumbar spine: with and without contrast. Without neurogenic claudication. New (compared to an MRI of less than a year ago on 12/05/12) right side predominant disk bulge at L5-S1 causing effacement of the right subarticular recess and probably impinging on the right S1 nerve root.
Unchanged disk osteophytosis complex at L2-3, more pronounced on the left than the right, effacing the left subarticular recess and probably impinging on the transversing left L3 nerve. There are reactive type I endplate changes around the disk unchanged.
A right extraforaminal disk bulge effaces the fat ventral to the right L5 nerve root and may be causing impingement on this nerve root.
Moderate facet arthropathy of the lower lumbar spine.
If you would explain each of these areas, their meaning and the symptoms each would possibly cause I would be forever indebted to you. I have another Dr. apt as I said on the 23rd for a nerve conduction study and for once would like to show up informed. Alot of the terminology I have not been able to find on my own or if i do the continued medical terminology leaves me even further confused. It is frustrating and I find at alot of Dr. apts they talk fast and you cant get a word in and then it is over. The Dr. at Stanford seemed kind and compassionate and answered questions but I did not have my MRI report in front of me and I think I simply was nervous and worried even being there because I was there so quickly when referred so i had some horrible ideas and prognosis on my mind.
Sincerely, XXXXX XXXXX
I promise after this help i will rate you and even without you already get all five stars and my gratitude.