D
deb53
Guest
Hey Ladybug,
Several thoughts......
Usually your private insurance will not pay for any medical care that has been filed through W/C. Even if you drop W/C there is a good chance they will not cover anything related to this particular back injury. Check with your insurance company.
Check and research the W/C laws for your state. Every state is different, but in Va. they have to grant you a second opinion.
If you have an L5-S1 herniation with nerve pain and it has not improved over all these months, there is a chance it may not improve without surgery. When PT knows that you are already herniated with nerve impingment they are not going to be as agressive with PT for fear they will make your issue worse. At least that is what I found. The lami may help with the nerve pain but then again since the nerve has been impinged for so long you may have permanent nerve damage. So you really have some thinking to do girl. But I would definitely ask for a second opinion and try PT before you do anything.
OK, now for the nurse side of me....he is right about the smoking. I don't agree though with the way he presented it to you. When you are injured you need all your blood cells to help heal the injured site. Blood cells carry oxygen and nutrients. Your blood cells don't carrry as much oxygen and nutrients as someone who does not smoke. Instead of being saturated with all oxygen, the smoke saturates a part of your blood cells. Since the tissue doesn't receive as much oxygen and nutrients it really slows down and hampers the healing time as well as making tissue, muscles, etc. a little more fragile. So he is right, but being critical doesn't accomplish as much as explaining WHY smoking causes this to happen. Now, we all know many smokers who have healed just fine and are doing well. There is no way to predict which smokers will have problems but if you ask any surgeon about operating on smokers, they will tell you that healing times are longer and they have many more complications. When a smoker has surgery and is inactive (as you have to be after any back surgery)the chances increase for pneumonia. I'm not being critical here Ladybug, just trying to explain and give you the facts as I know them.
Good luck girl and let us know what you decide.
Deb
Several thoughts......
Usually your private insurance will not pay for any medical care that has been filed through W/C. Even if you drop W/C there is a good chance they will not cover anything related to this particular back injury. Check with your insurance company.
Check and research the W/C laws for your state. Every state is different, but in Va. they have to grant you a second opinion.
If you have an L5-S1 herniation with nerve pain and it has not improved over all these months, there is a chance it may not improve without surgery. When PT knows that you are already herniated with nerve impingment they are not going to be as agressive with PT for fear they will make your issue worse. At least that is what I found. The lami may help with the nerve pain but then again since the nerve has been impinged for so long you may have permanent nerve damage. So you really have some thinking to do girl. But I would definitely ask for a second opinion and try PT before you do anything.
OK, now for the nurse side of me....he is right about the smoking. I don't agree though with the way he presented it to you. When you are injured you need all your blood cells to help heal the injured site. Blood cells carry oxygen and nutrients. Your blood cells don't carrry as much oxygen and nutrients as someone who does not smoke. Instead of being saturated with all oxygen, the smoke saturates a part of your blood cells. Since the tissue doesn't receive as much oxygen and nutrients it really slows down and hampers the healing time as well as making tissue, muscles, etc. a little more fragile. So he is right, but being critical doesn't accomplish as much as explaining WHY smoking causes this to happen. Now, we all know many smokers who have healed just fine and are doing well. There is no way to predict which smokers will have problems but if you ask any surgeon about operating on smokers, they will tell you that healing times are longer and they have many more complications. When a smoker has surgery and is inactive (as you have to be after any back surgery)the chances increase for pneumonia. I'm not being critical here Ladybug, just trying to explain and give you the facts as I know them.

Good luck girl and let us know what you decide.
Deb