Hello Martie, I had Scoliosis surgery (T2 to L2) along with a Harrington implant in 1977.
Everything has been fine with that section of my back, but over the years, I started experiencing pain below my spinal fusion. The initial pain was due to a Bulging Disc in the early 90's that was managed with physical therapy for years. In 2022, I started experiencing a different type of pain, and consulted with the Orthopedic Chair at the local university medical school. L2 - S1 had a multitude of problems, including DDD, spinal stenosis, lateral listhesis spondylolosthesis, flat back, Bertolotti's, Tarlov cysts (asymptomatic), et cetera.
I went through the conservative management spectrum--physical therapy, and nerve block injections to potentially identify nerves for ablation. Unfortunately, with the complexity of my back, the specialist was not able to find the source of my pain.
I sought a second opinion from a top tier hospital and went through the same routine.
Next --Surgery was recommended. Unfortunately, the Ortho Chair no longer did cases like mine. He recommended a younger doc that had limited years of experience.
After I expressed a concern, I was referred to another surgeon with more experience. The surgeon planned to remove all my existing hardware and replace it with new hardware, while correcting the issues in my lower back. As my prior rod and fusion were fine, I was reluctant to have my hardware removed.
This led Dr. Jeremy Fogelson at the Mayo Clinic in Rochester, MN.
Dr. Fogelson planned to leave my existing hardware in my back, correcting my problems and fusing my back from my T10 to pelvis. Additionally, due to the arthritis in my Sacroilliac (SI)Joints, it was recommended for me to have my SI joints fused.
I had my SI joint fusions with Dr. William Cross on day one ( 2 hours max) and the spinal surgery with Dr Foegelson on Day 2. ( 11 hours)
Fast forward--that was exactly 8 months ago. My chronic pain is gone. I do occasionally get sore when I sit for too long. I am so happy I had the surgery. I still need to ice periodically. I am walking 2 miles a day, and doing strengthening exercises.
I had some right leg numbness and tingling in my calf and foot before my surgery and that still remains. I have been advised, by several doctors, that nerve recovery can take 1 1/2 to 2 years--and it may never go away. ( I should not have waited so long to have the surgery--but I had/have Osteoporosis and was on teriparatide to strengthen my bones before and after surgery.)
I highly recommend Dr. Fogelson as he focuses on Scoliosis and complex cases.
@nlback22
Thank you for all your input and information, everything you mentioned including stenosis I am there I have everything you named. For bow we concentrating on my cervical & nerve root to see how extensive it is. I shuld have more answers next week as all scans were completed yesterday. I will say it is scary as I am no longer 13 and have delt with everything all my life but it is now to a point of excruciating pain & feeling helpless.I am so happy your surgery worked and you are pain free for the most part.
@nlback22 I'm not taking any drugs for the nerves, just vitamin B12, magnesium and D3 which I read are good for nerves. I'm going to purchase / try R-alpha-lipoic acid too. I visited a neurosurgeon today but he didn't have much to add. He reviewed my pre-surgery CT scans and MRIs and said that he feels my surgery was the right one. He also mentioned the con about having surgery far from home, which is that it would be harder to have follow ups. But yes, after my upcoming MRI, depending on what Dr. M says, I'll consider Phoenix.
@ccchang
Hi Cori,
I am sorry to hear the Neurosurgeon didn't have much guidance.
Thanks for the reminder about B12, D3 and Magnesium. I get some of each in my existing vitamins, but I 'll have to check out how much--and maximize my doses.
Regarding follow-up for my post-op appointments with Dr. Fogelson, I do video calls with him. He just sends me a referral for needed imaging, in advance of my video appointment. My primary care doctor writes up the script. Once the imaging is completed, my healthcare group sends the images and summary electronically to Mayo Clinic/Dr. Fogelson. I can't guarantee it, but other providers may do the same.
@nlback22
Thank you for all your input and information, everything you mentioned including stenosis I am there I have everything you named. For bow we concentrating on my cervical & nerve root to see how extensive it is. I shuld have more answers next week as all scans were completed yesterday. I will say it is scary as I am no longer 13 and have delt with everything all my life but it is now to a point of excruciating pain & feeling helpless.I am so happy your surgery worked and you are pain free for the most part.
@martie67
Hello Martie,
Sorry you're in so much pain.
I know it's difficult..just know that with the right steps and right surgeon your pain will lessen. You're about 10 years younger than I am and that is in your favor.
Let us know how things progress. With this group, you are not alone.
🙏🙏🙏
Nadine
@martie67
Hello Martie,
Sorry you're in so much pain.
I know it's difficult..just know that with the right steps and right surgeon your pain will lessen. You're about 10 years younger than I am and that is in your favor.
Let us know how things progress. With this group, you are not alone.
🙏🙏🙏
Nadine
@nlback22
HI @nlback22 ,
I appreciate your support it really has helped with my mental state, lately i've been having a difficult time. But I know everything will be ok especially with you all. I will definately keep you updated.
Blessings
Martie
@nlback22
HI @nlback22 ,
I appreciate your support it really has helped with my mental state, lately i've been having a difficult time. But I know everything will be ok especially with you all. I will definately keep you updated.
Blessings
Martie
So I finally received results of my MRI , shows Spinal Stenosis at multiple levels, but particularly severe at C4-5 & C5-6, with narrowing of the exiting roots on both sides and some pressure on the spinal cord at C5-6. I just typed what my Dr. sent me, she is suggesting we try injections first before surgery ( she is referring me to a pain specialist). So I will see what happens next, trying to stay positive although injections have never worked before so we shall see. Anyone have suggestions? Thank you again for listening I really appreciate all the love and support I have received here.
So I finally received results of my MRI , shows Spinal Stenosis at multiple levels, but particularly severe at C4-5 & C5-6, with narrowing of the exiting roots on both sides and some pressure on the spinal cord at C5-6. I just typed what my Dr. sent me, she is suggesting we try injections first before surgery ( she is referring me to a pain specialist). So I will see what happens next, trying to stay positive although injections have never worked before so we shall see. Anyone have suggestions? Thank you again for listening I really appreciate all the love and support I have received here.
@martie67
Hi Martie, i can't help you here. From my back experience, surgeons often have you try conservative approaches, like PT and injections, prior to considering surgery.
My husband has some pinched nerves, in his neck, and Physical Therapy focusing on his posture helped considerably.
Jennifer had cervical spine issues and you will most likely hear from her.
Hello Martie, I had Scoliosis surgery (T2 to L2) along with a Harrington implant in 1977.
Everything has been fine with that section of my back, but over the years, I started experiencing pain below my spinal fusion. The initial pain was due to a Bulging Disc in the early 90's that was managed with physical therapy for years. In 2022, I started experiencing a different type of pain, and consulted with the Orthopedic Chair at the local university medical school. L2 - S1 had a multitude of problems, including DDD, spinal stenosis, lateral listhesis spondylolosthesis, flat back, Bertolotti's, Tarlov cysts (asymptomatic), et cetera.
I went through the conservative management spectrum--physical therapy, and nerve block injections to potentially identify nerves for ablation. Unfortunately, with the complexity of my back, the specialist was not able to find the source of my pain.
I sought a second opinion from a top tier hospital and went through the same routine.
Next --Surgery was recommended. Unfortunately, the Ortho Chair no longer did cases like mine. He recommended a younger doc that had limited years of experience.
After I expressed a concern, I was referred to another surgeon with more experience. The surgeon planned to remove all my existing hardware and replace it with new hardware, while correcting the issues in my lower back. As my prior rod and fusion were fine, I was reluctant to have my hardware removed.
This led Dr. Jeremy Fogelson at the Mayo Clinic in Rochester, MN.
Dr. Fogelson planned to leave my existing hardware in my back, correcting my problems and fusing my back from my T10 to pelvis. Additionally, due to the arthritis in my Sacroilliac (SI)Joints, it was recommended for me to have my SI joints fused.
I had my SI joint fusions with Dr. William Cross on day one ( 2 hours max) and the spinal surgery with Dr Foegelson on Day 2. ( 11 hours)
Fast forward--that was exactly 8 months ago. My chronic pain is gone. I do occasionally get sore when I sit for too long. I am so happy I had the surgery. I still need to ice periodically. I am walking 2 miles a day, and doing strengthening exercises.
I had some right leg numbness and tingling in my calf and foot before my surgery and that still remains. I have been advised, by several doctors, that nerve recovery can take 1 1/2 to 2 years--and it may never go away. ( I should not have waited so long to have the surgery--but I had/have Osteoporosis and was on teriparatide to strengthen my bones before and after surgery.)
I highly recommend Dr. Fogelson as he focuses on Scoliosis and complex cases.
@nlback22 I’m a Dr. Fogelson fan too as you know. He excels at what he does and I like hearing your story and how he took a different approach for you. He did that for me too when I asked for a cervical fusion without hardware. That was a good decision for me as I am reactive to metals.
@nlback22
Thank you for all your input and information, everything you mentioned including stenosis I am there I have everything you named. For bow we concentrating on my cervical & nerve root to see how extensive it is. I shuld have more answers next week as all scans were completed yesterday. I will say it is scary as I am no longer 13 and have delt with everything all my life but it is now to a point of excruciating pain & feeling helpless.I am so happy your surgery worked and you are pain free for the most part.
Best wishes,
Martie
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2 Reactions@ccchang
Hi Cori,
I am sorry to hear the Neurosurgeon didn't have much guidance.
Thanks for the reminder about B12, D3 and Magnesium. I get some of each in my existing vitamins, but I 'll have to check out how much--and maximize my doses.
Regarding follow-up for my post-op appointments with Dr. Fogelson, I do video calls with him. He just sends me a referral for needed imaging, in advance of my video appointment. My primary care doctor writes up the script. Once the imaging is completed, my healthcare group sends the images and summary electronically to Mayo Clinic/Dr. Fogelson. I can't guarantee it, but other providers may do the same.
I hope your new MRI reveals good news.🙏🙏Nadine
@martie67
Hello Martie,
Sorry you're in so much pain.
I know it's difficult..just know that with the right steps and right surgeon your pain will lessen. You're about 10 years younger than I am and that is in your favor.
Let us know how things progress. With this group, you are not alone.
🙏🙏🙏
Nadine
@nlback22
HI @nlback22 ,
I appreciate your support it really has helped with my mental state, lately i've been having a difficult time. But I know everything will be ok especially with you all. I will definately keep you updated.
Blessings
Martie
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2 ReactionsYou are in our prayers🙏🙏🙏
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2 Reactions@martie67 You are my prayers too.
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1 ReactionSo I finally received results of my MRI , shows Spinal Stenosis at multiple levels, but particularly severe at C4-5 & C5-6, with narrowing of the exiting roots on both sides and some pressure on the spinal cord at C5-6. I just typed what my Dr. sent me, she is suggesting we try injections first before surgery ( she is referring me to a pain specialist). So I will see what happens next, trying to stay positive although injections have never worked before so we shall see. Anyone have suggestions? Thank you again for listening I really appreciate all the love and support I have received here.
@martie67
Hi Martie, i can't help you here. From my back experience, surgeons often have you try conservative approaches, like PT and injections, prior to considering surgery.
My husband has some pinched nerves, in his neck, and Physical Therapy focusing on his posture helped considerably.
Jennifer had cervical spine issues and you will most likely hear from her.
Best Wishes!
Nadine
@nlback22 I’m a Dr. Fogelson fan too as you know. He excels at what he does and I like hearing your story and how he took a different approach for you. He did that for me too when I asked for a cervical fusion without hardware. That was a good decision for me as I am reactive to metals.
-
Like -
Helpful -
Hug
3 Reactions