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  #11  
Old 10-26-2011, 05:56 PM
MeggieLynn's Avatar
MeggieLynn MeggieLynn is offline
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Join Date: Mar 2011
Posts: 114
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Hi Ventura,

I think I would opt for the epidurals to start, especially since the herniation is fairly recent and sudden as you state in your first post. Older herniations (>6mo) have a lesser probability to respond to the steroid medication. I think steroid shots into knees and hips act somewhat differently than ESI's, which could to a certain extent maybe help to shrink the disc somewhat. From the MRI report it looks like the C5-6 could also be a pain generator and a good interventional pain management doc could help you determine if it is. When deciding on your surgery option, if any, I think the condition of that disc should be taken into account as well.

When I was finally offered an ESI, it was too late (6mo after and a year after the herniation). It had no effect so didn't proceed on to the second injection. A newer herniation may have a good response after 3 ESI's. It may buy time as well as comfort while considering options/insurance issues.
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*C4-5 and C5-6 Mild & moderate posterior broad-based disc bulges w/small posterior end plate osteophytes, mild spinal canal stenosis.
*C6-7 Broad-based posterior disc bulge w/small focal posterior central protrusion mildly indenting the anterior thecal sac, no canal or neural foraminal stenosis.
*SI Joint issues, Fibromyalgia, Chronic Myofascial Pain, Neurogenic Thoracic Outlet Syndrome
*Tx's-PT, 2 ESI's Interlaminar & transforaminal, 2 SI Joint steroid injections, Failed LBB for SI Joint
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  #12  
Old 10-26-2011, 06:40 PM
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laid up doc laid up doc is offline
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my initial injury was misdiagnosed but went away on its own.

first big flare that i had after leaving that doctora fea took me to a pain doc - did epidurals w/ some response - for annular tear, not herniation.

had biacuplasty (whole nother story) then car accident - seems there was a new annular tear b/c i had this awful radicular pain that i never had before. first 2 epidurals worked so well i thought i just had a little pull on it but nope... fire brewed up again and wasn't gone til last Wed. my disc looked like one that had endured multiple annular tears on the left.... but no herniation. lucky me... consensus from my docs is that annular tears produce some of the worst pain they see.
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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!
laidupdoc@gmail.com if my PM box is full

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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  #13  
Old 10-27-2011, 10:42 AM
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Texas Toast Texas Toast is offline
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Join Date: Aug 2011
Posts: 33
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The injections are definitely helping me "get by" until I can get Social Security & Medicare (also Flexeril, Celebrex, and Lidocaine patch).

You might ask the doc why he/she thought the insurance co. would approve ADR and investigate the appeal process, if you still want to pursue ADR. I intend to investigate ADR further once I'm covered. Others' comments that surgery is a last resort seems right on. I'm getting to the point where I cannot live with the pain anymore, so surgery is looking likely for me. Pain management is first choice, though.
__________________
Applied for S.S.D.I./Medicare, 1st appeal.
Dr. ordered Discogram of S1/L5, L5/L4, and L4/L3. Have not gotten; 2 lower discs black/herniated
Injections in cervical, thoracic, lumbar, and 8+ in S.I. joint
Plan: Trying to see spine surgeon at charity hospital, further diagnosis. Evaluate for S.I. joint fusion and lumbar and cervical fusions/ADR.
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  #14  
Old 11-20-2011, 05:35 PM
gymnast1981 gymnast1981 is offline
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Join Date: Sep 2011
Posts: 150
Default appeal?

have you appealed?
I have UHC and they denied my claim for ADR twice. UHC claims that ADR is experimental... My doctor knew that UHC would deny the claim so his office set me up with an advocate group that works with/for Synthes the maker of ProDisc (Patient Assistant Line. PAL) they were the ones that put together all my medical records and put the appeal together and fought very hard to help overturn the denial.

7 months later an independent review origination (MCMC) decided that ADR is the right procedure for me and that it is NOT experimental. Now on Tuesday (11-22-11) Ill be having my L4-L5 replaced using ProDisc L.

if you read my posts in Insurance Hell (Fought UHC and won... and Patient Assistant Line (PAL) & Advocate) I talk about what PAL is and how they helped appeal the decision UHC.

I hope you find the best answer for you.
__________________
Becky (30 yrs old) From Wisconsin.
2004 my back goes out for the first time.
MRI in 2004, 2009 & 2011 DDD L4-L5.
MRI in 2011 more DDD and disc starting to bulge.
Fought UHC for 8 months and WON
October 31, 2011 IRO overturned UHC denial!
November 22, 2011 my spine got an upgrade.
(ProDisc-L) Best medical decision I have ever made


http://www.facebook.com/rebeccabille
my story: http://youtu.be/hT1jKmcOV8Y
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bcbs, bcbs appeal, cervical disc replacement, cervical herniation, pain management, shoulder pain, si joint dysfunction

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