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 ***** ***** 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, ***** *****
I promise after this help i will rate you and even without you already get all five stars and my gratitude.