[christinlal]

Hi Jeff,
Dr. Zigler's office submitted a surgery plan to replace the C5, the facet block was a diagnostic test but I still felt the pain so the discogram was done. That one was kinda awful.
I am so skinny now and miserable, I want to be on the other side of this. I know they are going with the prodisc because it has been fda approved in the us, he wanted to use the mobi c, but I don't think I can last another 6 months.
He and his office have been great, I am just praying for it to be over.
Thanks for always checking on me,
Christine

To: Jack Zigler, MD
From: Renaud Rodrigue, MD
Date: 07/14/2011

PROCEDURE: Three level cervical discogram at C4-5, C5-6, and C7-T1.
LEVEL ARCHITECTURE VOLUME/RESISTANCE PAIN

C4-5 Mild degen; leak 0.4cc - reduced Concordant neck pain; VAS 8/10

C5-6 Mild/degen; leak 0.5cc - reduced Concordant neck pain; VAS 10/10

C7-T1 Normal 0.4cc – normal No pain; VAS 0/10

IMPRESSION:
The C4-5 disc was mildly degenerative. Contrast leaked thru annular defects and into the epidural space. Resistance was reduced. Pressurization caused concordant neck pain VAS 8/10.

The C5-6 disc was mildly degenerative. Contrast leaked thru annular defects and into the epidural space. Resistance was reduced. Pressurization caused concordant neck pain VAS 10/10.

The C7-T1 disc was architecturally normal. Contrast was contained within the nucleus. Resistance was normal. Pressurization was painless. 0/10.

Discographers note: this is a very stoic patient. Her reports were consistent and reproducible on the one level that I tested twice-i.e., C4-5. There was no pain whatsoever with pressurization at C7-T1.

TEXAS BACK INSTITUTE FOR SURGERY
Cervical Discogram Report
Referring Physician: Zigler

LEVEL ARCHITECTURE VOLUME RESISTANCE PAIN
C 2-3 _Normal _0.1 cc _Normal _No Pain
_Abnormal _0.2 cc _Reduced _Concordant
_Degenerative _0.3 cc _Increased _Discordant
_Flat _0.50cc _/10
_Leaky _ .75cc

LEVEL ARCHITECTURE VOLUME RESISTANCE PAIN
C 3-4 _Normal _0.1 cc _Normal _No Pain
_Abnormal _0.2 cc _Reduced _Concordant
_Degenerative _0.3 cc _Increased _Discordant
_Flat _0.50cc _/10
_Leaky _ .75cc

LEVEL ARCHITECTURE VOLUME RESISTANCE PAIN
C 4-5 _Normal _0.1 cc _Normal _No Pain
_Abnormal _0.2 cc X Reduced _Concordant
_Degenerative X 0.3 cc _Increased _Discordant
_Flat _0.50cc 8/10
_Leaky _ .75cc
MILD
LEVEL ARCHITECTURE VOLUME RESISTANCE PAIN
C 5-6 _Normal _0.1 cc _Normal _No Pain
_Abnormal _0.2 cc X Reduced _Concordant
X Degenerative MILD _ 0.3 cc _Increased _Discordant
_Flat X 0.50cc 10/10
X Leaky _ .75cc

LEVEL ARCHITECTURE VOLUME RESISTANCE PAIN
C 6-7 _Normal _0.1 cc _Normal _No Pain
_Abnormal _0.2 cc _ Reduced _Concordant
_Degenerative X 0.3 cc _Increased _Discordant
_Flat _0.50cc _/10
_Leaky _ .75cc
LEVEL ARCHITECTURE VOLUME RESISTANCE PAIN
C 7-T1 X Normal _0.1 cc X Normal X No Pain - SUBTLE
_Abnormal _0.2 cc _Reduced _Concordant
_Degenerative X 0.3 cc _Increased _Discordant
_Flat _0.50cc _/10
_Leaky _ .75cc