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Doc recommends spinal fusion from T12 - S1.

Spine Health | Last Active: Nov 29 8:24am | Replies (111)

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@idontgetit2024

I’m not sure how long ago this conversation was posted. But I had a 3rd cervical fusion yesterday. The first was in 2006 at C5/6 the second was C6/7 with removal of 3 spiky osteophytes 2 of which were punctured into the spinal canal (thank goodness there was not a leak!) the 3rd was new that was not on the imaging 3 moths prior. However, the scar tissue had not stopped growing from the 2006 ACDF and caused 2 times the length of the estimated procedure and an assistant to be called in for extra help because of the complex nature. In December of 2023 I had to have a complete removal and replacement of the neurostimulator I had implanted in 2008 because the 2 of the wires were not working anymore and caused the generator to not work correctly that was replaced in 2022. The scar tissue was an even worse case that caused 2 of the 3 incision’s to be enlarged and a second laminectomy above the planned T8 to allow for the unthreading of all of it to allow a paddle when they final released the 3 different lengths of floating leads from the original procedure.
That surgery I feel is still in a healing mode in my thoracic area 7 months later.
Yesterday I had another planned ACDF and posterior stability rods from C4 to C6 then flipped over to start the ACDF @ C4/5 and they re did the cage at C6/7 as well from March of last year. The removal of new end plate osteophytes that were spiky again and a disc removed at C4/5.

My lumbar CT scan is similar to my cervical spine. But there is a lot of arthritis in there that has never been removed. When the stimulator is functioning properly I do not get stuck in bed with out being able to logbook as often. More in the winter but when the battery needs replaced, it happens at least 3 times a week. I’m not 50 yet, but I am single and live alone when I am able to work and support myself.

Is there a group of physicians that can help me understand why I grow much scar tissue and why it calcifies in places in my spine? It happens centrally as well as bilaterally.

I have a belly full of scar tissue after a 1999 C-section and then a partial hysterectomy 9 years ago followed by a full oophorectomy a year to the day later which ended up reopening the c-section and nicking my artery enough a specialist need to be called in. I recently found a record of a diagnostic laparoscopy that I was told afterwards there was nothing wrong with my, the record stated it was either microscopic edemetereosis (spelling?) or the type that grows in the muscle of the uterus. There was a line or some indication of evidence to support one or the other. In my mid 20’s I was told I was creating cysts when I ovulated. That the er drs were not correct when they told my family and myself that I was attention seeking.

So I’m concerned I’m crazy for being worried about more unseen scar tissue causing me difficulty being independent and unable to do some daily living activities.

Or being so incredibly frustrated that I can not get an answer of what type of doctor or team to help me understand if I can find some strategies to facilitate a new way to reduce the connective tissue problem and reduce some unnecessary pain and stress.

I want to be able to not only be independent but self supporting. I have no interest in trying to live on a limited activity schedule or budget! I’m not yet 50! I’ve had horrible experiences with er doctors and lack of explanation of what evidence does show possible causes to the end result of not being or feeling like I able to be a productive participant in my own life let alone a community I miss deeply.

Please if anyone has a way for me to begin to identify a start of a small solution, I’m am being as vulnerable as possible by asking here. Because I have not been given anything other that you a special kind of case. Do loose hope. I’m sure you figure something out.

Sincerely,

Aubrey

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Replies to "I’m not sure how long ago this conversation was posted. But I had a 3rd cervical..."

@idontgidontgetit2024 - Your angst is obvious in your post and I'm sorry for all your travails and discomfort.

Often the key to solving medical riddles is, first, to ask the right question. You have posed your question along the lines of, "scar tissue development which is affecting your spine and other areas.". Maybe there is a different and broader question that could help lead you to some understanding and maybe even a solution?

Have you ever seen a physiatrist? I didn't know of this specialty until I wound up in the spine diagnostic process where I had lots of negative data (MRIs, x-rays, anecdotal evidence) but several conflicting diagnoses.

A physiatrist was brought in and helped untangle the complicated and sometimes vague data. These are pain specialists and they often end up dealing with spine and back issues. I liked the idea the doctor had no particular orientation relative to surgery or not. He was only focused on understanding the causes of my many symptoms.

In the end, I took his advice, 15 months later that advice has proved to be sound, and I'm on the road to a better future. Maybe you would benefit from a physiatrist consult? Have you tried that strategy?

@idontgetit2024 Aubrey, I wanted to add some information in addition to Phil's recommendations. My physical therapist who has treated me after surgeries does a tissue stretching hands on modality called Myofascial Release. It can help stretch out tight surgical scar tissue. I actually was doing this before my spine surgery which made it easier to retract my neck during my cervical spine surgery. I find my surgical scars do periodically get tighter, and I just stretch it all out again which eases the tightness.

Here's a link to our discussion that has a lot of information.
Neuropathy - "Myofascial Release Therapy (MFR) for treating compression and pain"
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/
I think most people can benefit from MFR work and it helps get the tissues moving and sliding again as they should and helps maintain better ergonomic posture and functioning. I have been doing this stretching for 14 years to maintain my condition.

I think Phi's approach of asking how to treat scar tissue is a good path forward. There is a provider search for MFR therapists at http://mfrtherapists.com/.