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Bertolotti's Syndrome: Looking for a specialist

Spine Health | Last Active: Jan 18 9:10pm | Replies (48)

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@heidicrockett

I have lived in Florida the last ten years. I have Bertolotti's Syndrome which began as exterior right ankle pain at age 32. I did not get the diagnosis until age 37 and suffered terrible pain with all tests showing nothing wrong. No doctors in Florida were able to understand the condition and I ended up private paying for surgery with Dr. Arthur Jenkins in NYC, (yes my BCBS HMO would not cover and insurance won't recognize the condition as legit). My condition is much improved since my half fusion 10 months ago but I have pain with sitting and still use crutches when I have to walk further than 2 blocks. If I had been diagnosed and treated sooner, I don't think I would have had the level of nerve damage which I now still need to heal. I would not get surgery from anyone except Jenkins unless you meet a surgeon who can clearly explain exactly why you are having the symptoms you're having and why the surgery the surgeon is suggesting will alleviate your symptoms. Bertolotti's is EXTREMELY rare, do not expect your local (famous/well-known) orthopedic surgeon or neurosurgeon to understand the condition or know how to treat it. You're lucky if you're reading this post, getting the diagnosis is thr biggest hurdle then the other half is getting proper treatment. The jury is still out about how to best treat the condition but in all my research I determined that Jenkins seemed the most knowledgeable. I would at least private pay for a phone consult with him before getting a surgery anywhere else. This condition requires the patient to be SUPER diligent in finding appropriate care, not all surgeons are the same and back surgery is for LIFE. Read the book, "Crooked" before making a decision about back surgery. All that said I had to have treatment and am happy with my choice. Low dose naltrexone 4.5mg has been the most effective pain medication with fewest side effects that I have come across. It has to be compounded by a pharmacy, Skip's Pharmacy in Boca Raton is well-known for knowing the proper filler to use. Sorry to anyone who suffers with this condition, I was super athletic and healthy before, now I'm on crutches and have to use a standing desk and can only manage working part-time. If you're having nerve pain try and get treated before the nerve damage becomes more permanent if that's possible. Good luck!

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Replies to "I have lived in Florida the last ten years. I have Bertolotti's Syndrome which began as..."

You mentioned you private paid? My insurance won’t cover either…so may be willing to do what you did to get the treatment I need.

I have Bertolotti syndrome as well. Like you, I was athletic, an avid runner and hiker, and a career in the Air Force before this happened to me… I lifted my arms to take down the curtains on my PCS move and ruptured four cervical discs at once in Feb 2020. It was excruciating. I wasn’t able to run after that anymore, I started doing long-distance walking to avoid anything high impact. I was 35 when that happened. A cascade of injuries and issues have happened since that event, then after three years and nine months, I was finally diagnosed for everything that was happening. I have SLE, dysautonomia, hypermobility joint syndrome, sacroiliac joint dysfunction, DSD, and Bertolotti syndrome, and still the several cervical discs still messed up. My initial injury set off a flare in both SLE, dysautonomia, which also caused DSD. That was a struggle because I didn’t have a diagnosis for such a long time. Bounced around to so many doctors. A year later, on 5 Oct 2021, I took one step about 3 1/2 miles in on a trail and my left SI gave out, I took another step, and my right side did too. I hobbled back and have not been able to walk the same since. It was debilitating pain. I was diagnosed with bilateral sacroiliac joint dysfunction. After two rounds of physical therapy and three rounds on each side of ESI‘s, nine months later I had the first out of both SI fusions. Immediately after the left fusion in July 22, I had a new pain that shoots all the way down my left leg to my foot and has not turned off since. My right side went smoothly 9 months later, but I still suffer from the left. I finally received a diagnosis of Bertolotti syndrome after numerous X-rays and a few MRIs trying to determine the cause after surgery. I was told that I had Bertolotti syndrome, and that the alignment after my fusions caused my Bertolotti syndrome to show symptoms. My surgeon has never performed it before, but said he would do some reading on it to do the surgery. Since he’s already done two spinal surgeries on me, I thought I would stay with him, but since I’m now forced to medically retired from the military, it will process a year short of my 20 year career, my insurance will no longer cover all of it and I’ll have a co-pay. That’s if it covers it at all since it’s considered an elective. So, I started to look for other surgeons that were experienced, and I found the doctor in NYC as well. His office told me over the phone that they don’t accept tricare. I understand you paid out-of-pocket. I know the surgery techniques are different for everyone depending on their level, but may I ask how much yours was out of pocket so I can have somewhat of a ballpark number of what I might be looking at? I’ve tried to find a range online but haven’t been successful. I’ve found numbers that are drastically different for similar procedures, ranging anywhere from 9000 to 90,000.
I’m sorry you’re still suffering from this. I wish you a speedy recovery with your nerves.
I’ve been worried about nerve damage this entire time too. I’ve had the symptoms of Bertolotti‘s since July 2022 and I’m nowhere close for the surgery yet. Apparently I am unable to have a surgery during the retirement process, so I have to wait until I’m a civilian which just prolongs the pain further, keeping me in a continuous SLE, dysautonomia, and DSD flare from the pain, and I fear more damage. My only wish is that I can go for a walk again. I’ve already come to terms with giving up high impact activities. But since all this is happened to me, I’ve mourned the life I had before, my independence, body, and self confidence, now I just hope for the ability to go out for a walk again one day. I’m 39 now and hope this can be resolved before I’m 40.