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Lumbar Spinal Fusion question..

Posted on 4/11/14 at 5:12 pm
Posted by bopper50
Sugarland Texas
Member since Mar 2009
9141 posts
Posted on 4/11/14 at 5:12 pm
I was just told that my MRI showed a compressed Disc in my Lumbar region, although to me the spacing looks ok, but the Doc says the jelly in it is mostly gone it appears more black on the MRI?

I have been doing PT for 3 weeks now and while I am much stronger, when I make a golf move, it flares back up.

I am now trying a very expensive steriod cream, not sure about tye benefit of that.

My next step in a shot in the back and then a fusion.

If I need the fusion, can anyone say anything positive about it ?

It only bothers me when I make that certain move.

I can pickup any heavy and no issue, I can squat and bend fine..Only when I twist is there an issue.

Has anyone had this before ? I want to believe it is a nerve issue.

Thoughts and comments ?
Posted by twoliter
Shreveport via West Monroe
Member since Oct 2005
843 posts
Posted on 4/11/14 at 5:13 pm to
quote:

If I need the fusion, can anyone say anything positive about it ?


There's a 50% chance it will help. Glass half full?
Posted by NOLATide
New Orleans
Member since Jun 2007
2576 posts
Posted on 4/11/14 at 5:19 pm to
Seek a second opinion, preferably from a Neurosurgeon who specializes in Spine. Surgery should come as a last resort once the disc has herniated and you have pain radiating down your leg.
Posted by Zappas Stache
Utility Muffin Research Kitchen
Member since Apr 2009
38691 posts
Posted on 4/11/14 at 5:20 pm to
quote:

Thoughts and comments ?


So 1 bad disc and he is saying fusion? I would definitely get a second opinion. If fusion is the recommended path, ask your doc about artificial discs. LINK

You may have to go to a more technically advanced doctor to have this done but it is the route I would take. And you may have to give up golf either way.
Posted by mydadpulledout
Member since Jul 2013
702 posts
Posted on 4/11/14 at 5:21 pm to
don't do it mayne
Posted by Monk
Baton Rouge
Member since Aug 2007
3660 posts
Posted on 4/11/14 at 5:23 pm to
Do not get a back fusion or other back surgery unless you are absolutely forced to.
Posted by Lakeboy7
New Orleans
Member since Jul 2011
23965 posts
Posted on 4/11/14 at 5:40 pm to
quote:

Seek a second opinion, preferably from a Neurosurgeon who specializes in Spine.


This. I've had clients have this done but they were in constant pain. They all got some relief but the recovery is long and you lose some mobility.
Posted by saderade
America's City
Member since Jul 2005
25737 posts
Posted on 4/11/14 at 5:44 pm to
The steroid cream won't work for your back. I would stick with conservative treatment for a long while before considering spinal fusion. They can be successful when they are indicated but probably have the lowest success rate out of any spine surgery.
Posted by LSUwag
Florida man
Member since Jan 2007
17319 posts
Posted on 4/11/14 at 5:53 pm to
You really need to give recovery a lot more time. No way would I do a fusion unless it was a last resort, after a long attempt at treatment and recovery.
Posted by CorkSoaker
Member since Oct 2008
9784 posts
Posted on 4/11/14 at 5:54 pm to
Medtronic spinal cord stimulation
Posted by Earl Long
Member since Aug 2006
131 posts
Posted on 4/11/14 at 5:59 pm to
Lumbar fusion should be last resort. You may just have to avoid the "golf" move. A fusion is not a cure all by any means

ETA: steroid injections usually only give relief for 2-6 weeks. Good luck
This post was edited on 4/11/14 at 6:01 pm
Posted by lsufan1971
Zachary
Member since Nov 2003
18266 posts
Posted on 4/11/14 at 6:01 pm to
I had a two level fusion when I was in high school. I basically had too because I had a vertebra cracked in two. It was about a year recovery. There is no way you should have a fusion if it hurts sometimes. Fusion should be the last resort for unbearable chronic pain.If you have it you can pretty much guarantee loss of mobility depending on which vertebra is fused. Are you prepared financially to be out of work for 6 months? If you do aNy kind of manual labor that is what your looking at easy.
This post was edited on 4/11/14 at 6:03 pm
Posted by Kingwood Tiger
Katy, TX
Member since Jul 2005
14162 posts
Posted on 4/11/14 at 6:01 pm to
I had a bad disc back in 93....had spinal fusion. Haven't had any issues since, other than a stiff back every now and then.
Posted by Roscoe
Member since Sep 2007
2913 posts
Posted on 4/11/14 at 6:21 pm to
quote:

compressed Disc


quote:

I want to believe it is a nerve issue.


Did the doc say anything about a compressed nerve?

Are you having any pain radiating into your legs, or only the back?
Posted by SM6
Georgia
Member since Jul 2008
8799 posts
Posted on 4/11/14 at 6:31 pm to
Lumbar discs are not a joke. Get a second opinion. Dr Eiserloh at BR Orthopaedic did my microlaminectomy when I was in school. I would fully recommend him.
Posted by Come2Conquer
Baton Rouge
Member since Sep 2004
4794 posts
Posted on 4/11/14 at 7:37 pm to
Not lumbar, but I had a level 1 fusion at C-6/C-7 last year and I'll be having a level 3 from C-6 up in a couple of years.

Treatment was long & laborious leading up to surgery, but my post-op recovery didn't take more than a month. The worst part was regaining all the strength in my right arm; the nerve was impinged for quite a long time.

I've had zero issues since then.
Posted by 911Moto
Member since Sep 2013
5491 posts
Posted on 4/11/14 at 7:45 pm to
I had a cervical fusion (C5-6-7) about 8 years ago and continue to have big problems. And cervical fusions are the most predictable and have the highest success rate. My neurosurgeon refuses to do lumbar fusions - he will do whatever other options are available, but believes very strongly that lumbar fusions should not be done. And he is the most honest surgeon I've ever met. He also strongly believes that neck and back surgery are done primarily for arm and leg pain, respectively. He says if the neck or back pain goes away, consider it a bonus.
This post was edited on 4/11/14 at 7:50 pm
Posted by Gulffisherman
Bogalusa
Member since Oct 2009
3531 posts
Posted on 4/11/14 at 7:48 pm to
50K worth of titanium cage and screws and a new disc at L3/L4. Beautiful thing now; best decision I made was going to 6 different doctors before I found one I would trust to do it. Chris Cenac in Houma went thru my side and did not cut my back. Up walking 6.5 hrs after a 1 hr 10 minute surgery.
Check him out and others, but you need to trust and believe in the doctor or don't let him do it.
Posted by Come2Conquer
Baton Rouge
Member since Sep 2004
4794 posts
Posted on 4/11/14 at 7:49 pm to
quote:

I had a cervical fusion (C5-6-7) about 8 years ago and continue to have big problems. And cervical fusions are the most predictable and have the highest success rate. My neurosurgeon refuses to do lumbar fusions - he will do whatever other options are available, but believes very strongly that lumbar fusions should not be done. And he is the most honest surgeon I've ever met.


Spill the beans. You having trouble with your hardware or what?
Posted by 911Moto
Member since Sep 2013
5491 posts
Posted on 4/11/14 at 7:55 pm to
I did fine the first few months after surgery, then went back to work (dentistry). Within a couple months of that, all my original problems returned - along with some new ones. Been on total disability for several years now. I really think I went back to work too soon. I've been getting around 15 trigger point injections in my neck and back every 3 weeks for over 5 years now. I've seen x-rays of my hardware, and it all looks perfect. Screw alignment and everything looks perfect.
This post was edited on 4/11/14 at 7:58 pm
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