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Osteoarthritis, stenosis, & spondylolisthesis
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An_189670 posted:
Three years ago I developed fibromyalgia as a result of repetitive muscle overuse at a less than ergonomic work station. While going from doctor to doctor looking for a diagnosis I had a full spinal MRI which showed OA, stenosis & spondylolisthesis (Grade I at the time). Most was in the lumbar region. At the time, I had no lower back pain. One doctor told me I had a bad back for someone my age, which was 52 at the time. Another doctor told me I'd need surgery in 5 to 10 years.

In the last six months I've developed moderate to severe lower back pain. Of course, the fibro exacerbates the degenerative conditions. On my left side, the pain can be pinching & very severe. At times, I feel a weakness there as though the area is going to give.

In addition to all this, I have fibrous dysplacia in my left femur which has indirectly caused OA in my left hip. This is now bone to bone & I've been advised to have my hip replaced. I am not yet using any walking aids.

My back pain is worse than the hip/leg pain. I'm sure the OA in the hip can aggravate my back but there is clearly trouble in my back. I have not been to a ortho or neuro for my back issues since the first visits three years ago.

I fear recovery from a hip replacement with the poor condition of my back & also the fibro.

I look forward to your comments.

Thank you.
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bj1208 responded:
hi and welcome to the support group -

it does sound as though u have something going on in the lower back area. and since it's been a while since u have seen a spine specialist I would say you need to see either an Orthopedic Spine Specialist or a Neurosurgeon Spine Specialist. Current MRI or CT Scans need to be done - this way the spine specialist will be able to let you know what treatments are available. If one is pain management I would suggest being referred to a PHYSIATRIST Pain Management Clinic - they go deeper into pain management care than regular pain clinics. here's a link to let you know what they are:

http://www.spineuniverse.com/treatments/what-physiatrist

Once you have seen the spine specialist (I prefer Orthopedics over Neurosurgeons) and get started in pain management I'm sure they can help you -

please keep us posted as to what you find out -

take care - ^Joy^
 
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An_189671 replied to bj1208's response:
Thank you, Joy. It's my understanding that it's tough to get them to order MRIs, etc. due to the high cost of these tests. Three years ago one doctor told me that he couldn't order them unless surgery appeared necessary. That seems ridiculous because they can't make any true diagnosis without the test. I'll keep you posted.

Thank you, again.
 
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bj1208 replied to An_189671's response:
hi again!

It shouldn't be hard to get them to order one - especially if it's been more than a year and you are having new symptoms - that should be the number one reason to do it -

there is a rule of thumb with most Spine Specialists - if you have bad back problems - especially those of us that have had surgery - MRI's CT Scans are usually done every 6 months to a year - just so they can monitor to see if any changes -

Like me - I had an EMG With Nerve Conduction Test done in 1/2010 - it showed I still have nerve damage in both legs but the report was inconclusive of where the problems existed so i was sent to an Ortho Spine Specialist and he ordered an MRI/CT Scan done in 3/2010 (my surgery was 2/2008 on L5-S1) and now I have 3 bulging discs (L4, L3, L2) so it's doing the ripple effect - and this is what they want to watch for -

So I would stress that you want the CT Scan/MRI done - and if that doc won't do it - go to next one - it's horrible that we have to look for a needle in the hay stack when it comes to doctors -

take care = ^Joy^


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Try water therapy
I also have had surgery for L5S1,protruding disc for sciatic pain. Everything was fine for a year. Then the pain came back and the doctor ... More
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