New with questions

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aggyb

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Greetings, all.

I'm looking for advice and answers regarding a neck/back injury.

The injury occurred at work about 13 months ago (Deceraber 2006). I slipped and fell sideways. I hit my ribcage on a raised platform (about 12" high) which caused my neck to snap over so hard I bruised my cheek when it hit my shoulder. Then I bounced the other direction onto a concrete floor, landing pretty much on my back. Due to it being a workplace accident all medical care has been coordinated through workers comp. insurance.

Immediately following the fall (for about 3-4 weeks) I had nurabness and tingling in my shoulders and down the outside of my arm from elbow to pinky fingers, but that went away after about a month. Also had pain in my neck and middle back (about even with the point I hit my ribs).

After some wrangling with insurance was finally referred to an orthopedic doctor (for the first month I was being sent to a walk-in clinic which was no help at all). He diagnosed neck pain as purely muscular. Had an MRI done which showed small bulges in the discs in neck, but those were ruled normal.

Doc put me on extended treatment of prescription drugs (Naproxen and Skelaxin, then Meloxicam and Methocarbomal with Tramadol as back up pain med) to resolve the diagnosed muscular issues. However, the medication has done nothing to get rid of back pain. (Tramadol does get rid of the headaches that occur when my neck flares up but the pain in my neck remains constant.)

At first I was only having flare-ups every week and a half or so and then primarily in my neck. Since August I've been experiencing more pain in my middle back and increase in frequency of flare-ups, now about every 3-4 days. Inbetween flare-ups the pain is usually mild to moderate so I can manage it with taking a short break, lying down or sitting down with feet propped up. But when it gets bad (which is happening with more and more frequency) I can't get comfortable. The headaches get so bad I get dizzy and the pain in my back makes it hard to breathe comfortably.

Went back to the doc at the beginning of the week and he outright dismissed the idea that the back pain was in any way related to the injury (and therefore not his responsibility). He also told me that since my pain was not responding to his prescribed treatment (which is based on his diagnosis of muscle strain) that I must have some other condition. His exact worRAB were "Something like fibromyalgia but not fibromyalgia that causes your muscles to damage easily."

I told him that the pain in my back started as a sharp, shooting pain like hitting my funny bone and would run up towarRAB my shoulder. To which he said "SounRAB like a muscular issue."

Then, when taking my paperwork up to the front desk, I saw that he had marked down "spinal strain" and "disc degeneration" as my diagnosis. I'm very confused and suspicious. He has been less than helpful the entire time I've been seeing him, obviously not believing me when I tell him how much trouble I have with flare-ups, etc.

Can anyone tell me what sort of options I might have here? My attorney has said previously we could request to see another doc but he (the attorney) wanted to stick with this one for as long as possible. Aside from the attorney is there someone else I should be talking to about the suspicion that doc is deliberately misdiagnosing (or misinforming) me?

Please help.

Thanks.

aggyb.
 
Try to get your attorney to get another doctor outside the workman comp group of doctors. You might get an honest opinion then. W/C doctors are all the same most of the time. I had spondy, two herniated disk, and nerve damage occurring in my legs and they sent me back to work twice, saying that I had low back muscle strain. My attorney finally got a court order,after waiting 3 years, to have spinal fusion surgery. I think the waiting and playing games is the reason I am in so much pain now. I would call my attorney every day if necessary to get something done. I hope you can find some kind of pain relief real soon.
 
Thanks for the suggestions, Chris54.

Talked to the attorney today. Unfortunately he is still saying "stick with current doc." I'm thinking it might be time for a new attorney. I can understand trying to work with the system or "play the game" so to speak but I don't think I can spend another year with no diagnosis and no effective treatment.

I mentioned to him (the attny) that I was uncomfortable because I felt the doc was lying to me and he just hemmed and hawed and said best to stick with a doc we've already been establishing a medical history with.

Also, my fiance and I just found out recently that I'm pregnant, so Attorney says there isn't any sort of diagnostic tests the doctors would want to do until after delivery. Is that true? I know I can't have x-rays or CT scan, but what about MRI?

What are the options for diagnosing back injury? I've had an MRI but it was over a year ago and it only looked at my neck, nothing in my back.

Thanks for any help you can offer.

aggyb
 
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