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Spinal Roundtable Discuss Good day...Please alleviate my pain in the General Discussion forums; Raj, The decision to do hybrid vs adr is based on patient factors... It isnt a random decision. No study ...

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  #131  
Old 01-31-2012, 12:17 PM
laid up doc's Avatar
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Raj,

The decision to do hybrid vs adr is based on patient factors... It isnt a random decision. No study would help b/c if you need a fusion at L5/S1 then you need it... Make sense??
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US non-spine MD - laid up no more!!!
had recurrent annular tear L5/S1, failed everything
M6L done 10/19/11 w/ Dr Clavel getting back to my old self more and more every week!

The content herein represents my professional thought and opinions in a general sense only; they do not constitute professional advice or services. if you need medical advice, please consult a licensed physician.
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  #132  
Old 01-31-2012, 12:47 PM
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Congrats on having a date set for your trip to England! That must be such a huge relief to have that date set and be able to see some light at the end of the tunnel. I'm so glad you're feeling better and better every day!

~Sara
__________________
*************************
30 yrs old
Lumbar herniation L5/S1

- Did mild PT, some chiropractics and self regulated pain management since initial sports injury in Spring 1997.
- XRay and Bone Scan Jan/Feb 2007
- PT March to May 2007
- MRI Jan 2008
- Disco positive at L5/S1 Feb 2008
- ADR surgery at L5/S1 on June 23rd 2008 - Prodisc
- Recovery - so far so good!

*************************
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  #133  
Old 01-31-2012, 04:26 PM
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Quote:
Originally Posted by laid up doc View Post
Raj,

The decision to do hybrid vs adr is based on patient factors... It isnt a random decision. No study would help b/c if you need a fusion at L5/S1 then you need it... Make sense??

yes i understand . did you ever go through mood swings right prior to surgery? yesterday i was all excited, today i am all down and scared. i understand not every surgeon is perfect, i am just scared to always fall into the bad statistic. but not able to walk well is whats driving me to take this surgery. urgghh
__________________
2006-weightlifting accident.
2008-2 level disectomy/laminotomy. completely healed.
2010: car accident. reherneated
2011-diagnosed with two level DDD L4-L5 L5-S1
2011-ESI performed then 2 level disectomy/lami
12/11: Diagnosed with spinal infection. Currenly on antibiotics (ivy). changes in mri due to infection. rushed to the hospital. got surgical drainage and a laminectomy at l5 and another partial laminectomy at l4.
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  #134  
Old 01-31-2012, 09:42 PM
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no, i didn't have swings... i was very very down for quite a while until i made the decision to have surgery - then i was busy planning a move, the trip, etc... and i felt better. i KNEW i would be better after and tried to stay positive. i was ready to get it over and done with, and move forward.

have tried to keep the same attitude during recovery... which can be agonizingly slow at times. am still definitely in recovery mode even at 3+ months out. i know from others' updates here that improvement continues for several months, so i continue working hard to regain some level of fitness and strength, especially as i look ahead to returning to work on the 15th - which means 8+ hours of sit/stand/walk/bend/stand up/lift/repeat.

it's totally understandable that you'd have ups and downs though, especially since you're still getting over the discitis and laminectomies. try to keep your head up, note what progress you HAVE made, and focus on getting yourself as well as you can by May!!
__________________
US non-spine MD - laid up no more!!!
had recurrent annular tear L5/S1, failed everything
M6L done 10/19/11 w/ Dr Clavel getting back to my old self more and more every week!

The content herein represents my professional thought and opinions in a general sense only; they do not constitute professional advice or services. if you need medical advice, please consult a licensed physician.
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  #135  
Old 01-31-2012, 09:53 PM
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I'm not sure I can say I had mood swings entirely because of my spine situation or fear of the surgery. Though, I had already known in the back of my mind that someday I would need surgery to correct my back problems. It was a matter of when and what kind that was the main question.

Was I nervous about the surgery? Definitely. And when I get nervous, I get really intense about being prepared and on time for stuff. I probably drove my hubby crazy the night before because I kind of prepared for going to the hospital like I was packing for a weekend getaway, minus the normal clothes packing. I was also generally depressed and moody for a long period of time anyway because it was impossible to explain what was wrong and have those who never experienced it understand. To this day, I still get people who don't get it even though I've had surgery to correct the issue!

However, the prospect of getting rid of that nagging pain/pressure in my back and possibly being able to get back to having a normal life excited the heck out of me.

I can see where you might have more ups and downs emotionally over the surgery. You've been through a lot with the infection and the other procedures that didn't work. That can be really hard on a person when all you want is to be better and get back to living life. I agree 100% with LUD. Try to think about all the positive things that have been going on lately with the recovery from the infection, the fact that you're mobile again, the level of support you've gotten from Dr. Boree with remote consultations and advice while you dealt with the infection issue and best of all, the prospect of getting better and getting back to living your life the way you want to live it.

No matter what type of procedure winds up happening anything has got to be better at this point than the agony and uncertainty you've dealt with for so long. Now, you have a date to count down to. You could think of it as a countdown to the rest of your life, in a positive way of course.

~Sara
__________________
*************************
30 yrs old
Lumbar herniation L5/S1

- Did mild PT, some chiropractics and self regulated pain management since initial sports injury in Spring 1997.
- XRay and Bone Scan Jan/Feb 2007
- PT March to May 2007
- MRI Jan 2008
- Disco positive at L5/S1 Feb 2008
- ADR surgery at L5/S1 on June 23rd 2008 - Prodisc
- Recovery - so far so good!

*************************
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  #136  
Old 01-31-2012, 11:42 PM
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Quote:
Originally Posted by Cirobi View Post
I'm not sure I can say I had mood swings entirely because of my spine situation or fear of the surgery. Though, I had already known in the back of my mind that someday I would need surgery to correct my back problems. It was a matter of when and what kind that was the main question.

Was I nervous about the surgery? Definitely. And when I get nervous, I get really intense about being prepared and on time for stuff. I probably drove my hubby crazy the night before because I kind of prepared for going to the hospital like I was packing for a weekend getaway, minus the normal clothes packing. I was also generally depressed and moody for a long period of time anyway because it was impossible to explain what was wrong and have those who never experienced it understand. To this day, I still get people who don't get it even though I've had surgery to correct the issue!

However, the prospect of getting rid of that nagging pain/pressure in my back and possibly being able to get back to having a normal life excited the heck out of me.

I can see where you might have more ups and downs emotionally over the surgery. You've been through a lot with the infection and the other procedures that didn't work. That can be really hard on a person when all you want is to be better and get back to living life. I agree 100% with LUD. Try to think about all the positive things that have been going on lately with the recovery from the infection, the fact that you're mobile again, the level of support you've gotten from Dr. Boree with remote consultations and advice while you dealt with the infection issue and best of all, the prospect of getting better and getting back to living your life the way you want to live it.

No matter what type of procedure winds up happening anything has got to be better at this point than the agony and uncertainty you've dealt with for so long. Now, you have a date to count down to. You could think of it as a countdown to the rest of your life, in a positive way of course.

~Sara
sara and LUD, you guys always manage to light a candle in a room filled with darkness. I guess anything is better than what i am right now. u guys are right..i should keep a pain journal and note down everyday the progress i have made so far. that would be very helpful. can you believe, when i was taken for surgery into Dec 29th, i was crying my way into the surgery. i was fearful the surgeon would do a fusion. Major surgeries like that need to be done correctly.

Thank God i didn't have the fusion. God someway made my L5 vertebra soft enough that he couldn't carry out a fusion. like i said, i believe the vitamins i am taking now, in heavy doses, is actually helping me recover. i have eaten nothing but fruits, vegetables...and very high doses of vitamins. i feel good about quitting smoking. i never noticed how bad the smell was. the other day, when i got into the bus, somebody had smoked and the smell coming from him was so bad it gave me a headache....THANK GOD I QUIT....now i dont smell like a skunk..

well studying differential equations on the bed now...catch ya later
__________________
2006-weightlifting accident.
2008-2 level disectomy/laminotomy. completely healed.
2010: car accident. reherneated
2011-diagnosed with two level DDD L4-L5 L5-S1
2011-ESI performed then 2 level disectomy/lami
12/11: Diagnosed with spinal infection. Currenly on antibiotics (ivy). changes in mri due to infection. rushed to the hospital. got surgical drainage and a laminectomy at l5 and another partial laminectomy at l4.
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  #137  
Old 02-03-2012, 10:16 PM
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Question Soft enough L5

Hey Raj!

Can you share a bit more about your bone density issues in your lumbar spine? Forgive me, I can't recall if you had a DEXA scan. You've made some BIG changes in your life that should help you get better! Congratulations.

Studying differential equations? Wow -- that's great! I barely remember those, not that I ever really understood them.
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Fell on my ***winter 2003, Canceled fusion April 6 2004
Reborn June 25th, 2004, L5-S1 ADR Charite in Boston

Founder & moderator of ADRSupport - 2004
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  #138  
Old 02-03-2012, 11:47 PM
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harrison,

i think raj is talking about the osteomyelitis softening L5, not a metabolic/endocrine issue...
__________________
US non-spine MD - laid up no more!!!
had recurrent annular tear L5/S1, failed everything
M6L done 10/19/11 w/ Dr Clavel getting back to my old self more and more every week!

The content herein represents my professional thought and opinions in a general sense only; they do not constitute professional advice or services. if you need medical advice, please consult a licensed physician.
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  #139  
Old 02-04-2012, 10:17 AM
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Raj,

So cool you quit smoking. I quit a little over 2 years now. Best decision ever. I totally agree with you about the smell. It's nasty. I have to deal with people pretty personally at my job, and the worst is when I get someone in my chair who has just smoked a cigarette. Sometimes I have to stop the haircut and put a little perfume under my nose so I don't gag. LOL Keep up the good work.
__________________
DDD L5-S1
2 1/2 years on/off back pain
radiates down both legs, buttocks, groin area
Had 3 sets injections October 2010 - no relief
PT - no relief
MRI - ruptured L5/S1
Pro-disc artificial replacement L5/S1
Surgery November 17, 2011
36 yr old female
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  #140  
Old 02-06-2012, 11:43 PM
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Default hi

what is the deal with ADR and facet joints? after i had the laminectomy, i am worried whether additional stresses are now held up by my facet joints...at least in the L5 area. it sucks...i was reading my surgical report and it says i have spinal stenosis and yet my surgeon never mentioned i had spinal stenosis. Boeree never mentioned anything about narrowing of my spinal canal. and my symptoms are classic DDD; pain from sitting. pain from jumping. pain from lifting. Do ADRs make facets worse off down the line?
__________________
2006-weightlifting accident.
2008-2 level disectomy/laminotomy. completely healed.
2010: car accident. reherneated
2011-diagnosed with two level DDD L4-L5 L5-S1
2011-ESI performed then 2 level disectomy/lami
12/11: Diagnosed with spinal infection. Currenly on antibiotics (ivy). changes in mri due to infection. rushed to the hospital. got surgical drainage and a laminectomy at l5 and another partial laminectomy at l4.
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