advice
 

hurt my self at work picking up tire and wheel went to er doc thougt it was right trapezius strain xray neg prescribed 5mg valium 800 motrin the valium let me sleep 1 to 3 hours told to see family doc monday she thought ruptured disk ordered mri prescribed 60 mg predisone once a day for six days 10 mg valium 325 oxy- mri has been delayed for a week workmans comp slow prednisone let me sleep all night very little if any during the day should i still have the mri? i am a worry wart

YES -- get the MRI for sure! And make SURE you get the MRI report for yourself, and bring it here and type it out for us. We can decipher it for you and explain it so you can understand it. Then you'll know what's wrong with you. ;) Make sure they do the MRI with and without contrast material. Ask the doc to order it that way. That way shows things better.

I'm sorry you got injured. I hope we hear from you again -- but hopefully we'll be able to explain things and it won't be TOO bad.

Take care my friend and God bless. Hugs, Lee :) PS -- don't do any heavy lifting til you find out what's WRONG!!!

I am surprised that no PT was rx'd..
Work comp cases have so many extra rules & delays..:(
You may need to seek out a good work comp atty if you think this might be a very serious injury.

What is your pain level?
Did any of the drs do "hands on " evaluations or just ask question?
PTs will do a hands on - experienced ones are usually more knowledgeable on finding the cause than MDs.

You may or may not need an MRI, but if none have done hands on palpation eval yet, ask for a advanced PT eval.

You may just need some sessions of expert PT to get thru this.
PT can be for pain relieving modalities as well as rehab/recovery.
You might also look into a physiatrist -
http://www.google.com/url?sa=t&rct=j...47883778,d.aWM

Hi Deter
 

Yes, please ask for the MRI. Prednisone isn't such a good medication if you can possilby avoid it do. Ask for pain medicaitons until you get your MRI if the motrin isn't working. I don't take prenison unless I am on deaths doorstep, because it effects my mood and ability to sleep. When you are injured, sleep is so important. I hope you can get your MRI soon. ginnie

thanks
 

thanks every one only a little pain and numbness in right arm in the mourning no pain during the day thought mri was a waste of time

Hi Deter
 

I will hope that you heal with no other intervention. Be well. ginnie

update
 

had mri done yesterday have cd but cant get report till i see doc tues workmans comps say there is a lot of degenertive damage but nothing acute can degenertive damage suddenly cause pain and a slight lose of balance ?

Alot depends on where the damage IS. We'd have to see the report to know. I'm sorry to be so uncertain and give you so unclear answers, but like I said, we have to see the report. :confused:

I think it's weird that they can ONLY give you a copy of the report when you see the doctor. Afterall, this is YOUR record! The Freedom of Information Act makes it your record, and they SHOULD give it to you! Everyone else gets their report, and BEFORE they see their doctor -- I dont know why this place is being so difficult.

Anyway - when you do get it, you can bring it here and we can decipher it for you if you like -- and IF your doctor doesn't explain it enough for you.

Best of luck and God bless. Hugs, Lee ;)

By any chance is the report on the cd too? Have you looked at it?
Is it only the images?

Are you only seeing the "work comp" doctors or can you also see a dr of your choice?

If you have DDD and then also injure yourself it could make pain/symptoms increase a lot.
Also soft tissue injuries can be quite painful too.

Did you have any pain in the area before the injury?

try to post mri reprt three time says am not logged in i give up

:confused: but you had to be logged in to have made this post?

Perhaps you were taking a long time uploading the MRI and got logged out by default? Try checking the Remember Me box when next you log in to bypass that.

If you are typing up a post and it takes too long the system will log you out unless you check the Remember Me box as Chemar mentions.

Another way is type it out in word or such and then copy/paste into the post box to save time.

mri report
 

last try findings the cervical medullary juntion is normal vertebral body heights and alignment are maintained thoughout .mild endplate spondylosis at c5-6. no fracture or subluxation at c2-3 there is mild diffuse disc bulging,with small foraminal spurs present bilaterally. no central canal stenosis or intervertebral foraminal stenosis atc3-4,there is diffuse posterior disc osteophyte complex eccentric into the right foraminal postition, where there is moderate to severe right foraminal stenosis. mild to moderate left foraminal stenosis. no central stenosis atc4-5,there is diffuse posterior disc osteophyte complex seen extending eccentric into the left foraminal postion. bilateral facet arthropathy.no central canal stenosis.moderate left foraminal stenosis and mild to moderate right foraminal stenosis atc5-6,there is diffuse posterior disc osteophyte complex which narrows the anterior subarachniod space without causing central canal stenosis.bilateral facet arthropathy. moderate to severe bilateral forminal stenosis. atc6-7,there is mild diffuse disc bulging eccentric in left paracentral postion without evidence of central canal stenosis.mild left foraminal stenosis. right intervertebral foramen is patent atc7-t1 there is no focal disc protrusion, central canal stenosis or intrvertebral foraminal stenososis att1-t2 there is mild diffuse disc bulging,with a small right paracentral disc protrusion,as well as broad- based disc protrusion in the left foraminal postion. moderate left foraminal stenosis. no evidence of central canal stenosis or right intervertebral foraminal stenosis significant mucosal thickening and partial opacification involves the visualived portions of the right maxillary sinus. mild mucosal thickening inthe left maxillary sinus. surrounding paraspinal tissues are within normal limits cervical spinal cord signal within normal limits.

added some Bolding & spacing hope that is OK and helpful for those replying

mri report
 

posted my mri report could any one tell me what it means before i go to doc tommorow search advice thanks

I bolded some things you can look up for more information.

It might help the drs you go to if you list all related pain & symptoms, it is so easy to forget something that might be important for the best treatment.

doc visit
 

doc says pro- just a pinched nerve wants me to up my activity see if pain comes back if it does go to pain man- and if that does not work have surgery doc say mri was fine start back to work july1st

I just saw this -- I'll try to help.

C2-3 Mild diffuse (spread out) disc bulging with small foraminal bone spurs bilaterally (both sides).

C3-4 Diffuse rear disc bone spur complex into right foraminal position. The foramen are the holes that the nerves pass thru to get to the spinal cord. There is moderate to SEVERE right foraminal stenosis and mild to moderate left foraminal stenosis. No central stenosis. This means the holes are getting narrow.

C4-5 Diffuse rear disc bone spur complex extendiing into left foraminal position. There is bilateral facet arthropathy. The facets are "wiing-like" structures on each side of the spinal cord. You can sometimes see and feel them if you hunch your back. Arthropathy is disease of the joint, so there is facet joint disease. There is moderate left foramnal stenosis (see above) and mild to moderate right foraminal stenosis.

C5-6 Diffuse rear disc bone spur complex which narrows the front subarachnoid space without causing central canal stenosis. The subarachnoid space is a space that runs the whole length of the spinal cord.
There is bilateral facet arthropathy (see above) and moderate to SEVERE foraminal stenosis.

C6-7 Mild diffuse disc bulge in left paracentral position. Mild left foraminal stenosis.

C7-T1 Normal

T1-T2 Mild diffuse disc bulge with right paracentral disc herniation as well as broad based disc herniation in left foraminal position. Moderate left foraminal stenosis.

Surrounding paraspinal within normal limits. Cervical spinal cord signal within normal limits.


I think if I were you, I would take these films to A NEUROSURGEON for an OPINION ONLY and see what he says. If he mentions surgery at all, make SURE you get 2 MORE opinions from OTHER NEUROSURGEONS. Never take one doctors opinion when it comes to surgery.

The thing I'm concerned about is the SEVERE STENOSIS. You may not need surgery at all, but you should at least be looked at by a Neurosurgeon!!!

Please let us know what the surgeons say, ok? Best of luck and God bless. Hugs, Lee

Hi deterfuzz
 

I wish you the best at your appointment. Remember to get that second opinion no matter what your doctor says. ginnie:hug:

What kind of "doc" did you see? Was it your regular doctor, or a Neurosurgeon?

Didn't your doc even READ the MRI? He said he thought it "might be a pinched nerve." HUH?? Good grief. :rolleyes:

What kind of work do you do? Is it very physical? do you have to do a lot of lifting? Be VERY careful what you do at work. DON'T do any heavy lifting. Ask them to go easy on you. Take the MRI with you if you have to. But try not to lift, push, pull.

And before you have ANY surgery, get 2 MORE OPINIONS FROM OTHER NEUROSURGEONS and see if they agree that you need surgery! And remember that surgery is only for mechanical problems. It is not for pain. Usually after surgery, you're left with the same pain or worse.

Then there is the "domino effect." That's where the levels above/below the surgery site fail. That's because they have to take on more of the load. Then you need MORE surgery. So you get THAT fixed, and then the levels above/below THAT surgery site fail, and you need more surgery. It goes on and on. It's a vicious circle. :(

You have a lot to think about. I wish you the very best. I hope and pray that physical therapy will be offered to you. Latest studies have shown that people who have had surgery get the same results as people who have had physical therapy!!!

Take care my friend and God bless. Hugs, Lee :)

It a work comp claim/case so there are lots of rules to go by, it is very different from using pvt ins.
Have to get authorizations for other drs and that takes time.

If you are in a lot of pain, you should seek out a good work comp atty to help you get the best outcome. A good atty will help you get to drs of your choice and not just the comp ins drs.

You might explore our Workers comp forum for tips on claims and how that system works.
http://neurotalk.psychcentral.com/forum30.html

I am a 50 year old machanic and there is alot of heavy lifting and pulling i am in not much pain tell i do moderate type work than i cant sleep at night and right arm and shoulder blade hurts with slight numbness in right arm Talk to my workmans comp nurse he set up a doc vist with a ortopedic doc thanks to everone for ther help and support

update
 

went to othopedic to day diagnosis right shoulder sprain but thinks there is something else going on wants me to go see a physiatrist i am off balance both hands shake if i do any hard work a little pain after l work i think i am going crazy from what i learned on this website it is severe stenosis how many docters well it take ?

I need help
 

Done with phy-therpy today I have the same pain after any kind of hard work i have hand tremers pain and numbness behind both legs cant sleep i am a emotional mess go back to work thursday

Neuro ???
 

Did you ever get to see a neuro doc?

Sorry, I just starting reading this thread, so I may have missed something along the way.

no workmans comp claim so i have to see who they tell me to see