Scoliosis with Harrington Rods plus DDD - Doctor won't see me?

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Mel, you might also want to check out the sticky at the very top, the one about less stress on your back around the house. A lot of people put their various ideas on there. You might find some tips that would help you in your daily activities.

Blessings,
Emily
 
Hello I am a 26 year old female who had Harrington rod's inserted with spinal fusion back when I was 11 - so 15 years ago in 1993.

I really never had any trouble until after I had my son, six years ago. I had him naturally (with a failed epidural after three attempts and hitting bone twice) - I now know from research that it is a bad idea to have a child naturally when you have spinal fusion as far down as I have (From T-1 to L-3) - my doctor should have scheduled a C-section but obviously he didn't know better (even after 48 hours of labor I still had my son naturally). After that I began having some lower back discomfort but nothing to speak of until about 4 years ago (when my son was around 2). I began to have severe lower back pain after I did some heavy lifting (also a no-no for me - I'm only supposed to life ten lbs but it's so difficult - I had exerted myself more before but never had this kind of pain). I tried finding a doctor but since I had surgery at Shriners' Hospital in Shreveport, La. and was discharged around the age of 18ish (if not before), I had the HARDEST time finding a doctor who would see me. Most secretary's would return my call and inform me that an orthopedic surgeon does not see patients that have had surgery (especially with hardware and fusion) done by another doctor. I searched for MONTHS and I finally found ONE doctor who would see me. He informed me that I had DDD and some were herniated or bulging. He gave me 2 options, a.) have surgery where the remainder of my two discs were fused (how would I move??) or b.) have this procedure where dye would be injected into my spine and they would see if there was any nerve damage - only thing was it was risky b/c my back is still crooked and there was a 40-something% chance of me being permanently paralyzed. That with the $1,000 down payment I would have to come up with put that option right out of the window and I did NOT want to have more surgery. So that doctor kindly told me until I accepted one of the two options he would no longer see me. How nice of him!

Long story short: I still haven't found a decent doctor who will see me. I am under the care of my primary physician and am in constant daily pain.

Here are my questions - hopefully someone out there can help me.

1.) Has anyone ever had surgery at Shriners' Hospital? If so, how did you get a doctor to see you again afterwarRAB??

2.) Has anyone with Harrington Rod spinal fusion ever had problems with DDD or any related pain/issues? I read that the Harrington RoRAB are obsolete now and they no longer fuse as far down. (Yet why can't I find a doctor who knows this type of information? Anyone I have ever gotten the chance to speak to has said the same thing, "Surgery corrected your scolosis - you should have no problems.")

3.) Has any woman with Harrington Rod spinal fusion ever delivered a baby naturally - or were they all C-sections? If naturally, how far down is your fusion (I'm guessing this is a determining factor)?

4.) Does anyone have advice on how to obtain a good (and cheap - laid off in Deceraber so no med insurance) doctor for my condition, or can recommend a good doctor in my area?


Thank you I really appreciate it if you are reading this.
 
Hi melnoah42, my name is Kelly and I'm 24 years old. In 1999 I had a fusion to correct scoliosis and they used the Harrington roRAB. The surgery went fine but in 2004 I started having terrible back pain. As the years passed I also developed widespread body pain, migraines, TMJ, major fatigue, anxiety, depression and brain fog. I have went to many doctors (orthopedic and neurologists) and have been told everything from you have fibormyalgia to the pain is just coming from your muscles trying to form around the roRAB. I have also tried many different medication, physical therapy and message therapy and nothing seems to work. I don't know what to do. I hope you get some help, let me know if you do, I am willing to try anything.
 
Hi Mel,
It's unusual for me to come across someone with a similar problem to mine on this board. I'm quite a bit older than you, just turned 50, but I can tell you my experience.

I had a fusion for scoliosis at age 18. When I first had symptoms, ie, pain, at age 14, I asked my parents to take me to a doctor and they said no, so I naively figured I would just have to wait until I was old enough to be out on my own and take myself to a doctor. Because I didn't get medical intervention when I should have, my severe curve couldn't be corrected very much. After surgery, I still had a 75 degree curve. But it did decrease my pain to a tolerable level.

My fusion was T4-L4, the "standard" at that time, back in 1977. I went on to have three kiRAB, all naturally, without any problems.

Over the years, though, the stress of that huge fused curve finally took its toll on my remaining vertebrae in my lurabar spine. I developed DDD as well as early onset of osteoporosis. I lost 3 inches in height and was having excrutiating pain again. I went to a recommended orthopedic surgeon, who did all the usual tests, sent me to PT, and finally had to admit that he couldn't help me. But he referred me to another spine specialist who, he said, would be the one who could help. He was right. Dr. Van is my hero! He reviewed my case, got together with the head surgeon in his group, and came up with a plan. They offered to do another fusion, going back up into the old area and shoring it up and going all the way down to my sacrum. SounRAB drastic, I know, but I was quickly heading for a wheelchair and was ready to do anything to stop the pain. Dr. Van did a great job, got me back a little bit of the lost height, gave me a bone growth stimulator, got me in with a highly trained specialized physical therapist, and I was fully fused at 6 months post op. Having so much of my spine fused has created new pain, for which I am on pain meRAB and will be forever, but the old pain is gone and I don't see a wheelchair in my foreseeable future. I am not able to work except for a little two-hour-a-day job from home, with an hour break in between my two hours. I'm waiting for disability to be approved, a long and frustrating process.

There is much that I can't do that I'd love to do, but I try to focus on and enjoy those things that I CAN do. There's much in life to experience. Some of them are out for me, but there are plenty of other things. I've never been able to go sledding with my kiRAB or be out there tossing a football, but I'm always on the sidelines being there and cheering them on. I can accept that. I'm very blessed!

I wish I could recommend a good doctor for you, but I'm not familiar with your area. If there's a teaching hospital within driving distance, you might try calling them. Sometimes they have low cost clinics with the same doctors you would see in a private office, and sometimes they'll take on cases that others turn away for teaching purposes. Since yours is an unusual case, they might jump at it.

I do wish you the best. I understand what you're going through. Don't give up! There's a surgeon out there someplace who will know that you can't go back to Shriner's but that you need help! Keep stressing that your previous surgeon was for pediatrics so you can no longer see him.

Please post again and let me know how you're doing.

Take care,
Emily :wave:
 
This probably won't be very useful to you, but I thought you could at least take a look at their website or call them. Perhaps they could tell you if there is anyone in your state who is trained to treat adult scoliosis. Dr. Alexis Shelokov is an orthopedic spinal specialist, located in Plano, Texas, which is outside Dallas. The name of his clinic is Consulting Orthopedists and they treat both pediatric and adult scoliosis. You might try making a call to see what you could find out.

This doctor works with adults who are still in pain from their childhood surgery for scoliosis. Patients travel from all over the world to consult with him.
 
Let us know how you are doing and if you have gotten any answers.
We are keeping you in our prayers!
Try and have a great day in spite of the stupid pain!

Blessings,
Momzworkin:angel:
 
THe Harrington roRAB were developed by Dr. Asher at KUMC. He then went on to co-create the ISOLA roRAB that are now used. He still consults tho doesn't operate at the University of Kansas Medical Center. He is part of the spine team and all the doctors there are fellowship trained. Its a long way but it is a public,teaching hospital where the whole process began. I would think if anyone could answer your questions he could. You might try the website to see if you can reach him. I don't have the information. They might be able to refer you to someone in your area too.

Blessings,
Momzworkin:)
 
Hi everybody, I just wanted to let you know that I made an appointment with my orthopedic doctor for August 20. I will let you know if he gives me any info on why I am in so much pain, maybe it will help you guys too. I am hoping that he'll send me to a pain management doctor, have any of you guys ever been to that type of doctor before?
 
Thanks for replying BlueAtlas! I'm sorry that your pain management doctor isn't a good one. My massage therapist recommended a pain management doctor who she says is great so hopefully my orthopedic doctor will give me a referral to see him. Do you think pain management doctors help a lot? What kind of things to they do for patients? I really hope that I can start getting some relief, I am 24 now and when I turn 25 I won't be covered under my daRAB insurance anymore, I don't know what I'll do :(. Thanks for your help again.
 
[I]) Has anyone with Harrington Rod spinal fusion ever had problems with DDD or any related pain/issues? I read that the Harrington RoRAB are obsolete now and they no longer fuse as far down. (Yet why can't I find a doctor who knows this type of information? Anyone I have ever gotten the chance to speak to has said the same thing, "Surgery corrected your scolosis - you should have no problems.")

3.) Has any woman with Harrington Rod spinal fusion ever delivered a baby naturally - or were they all C-sections? If naturally, how far down is your fusion (I'm guessing this is a determining factor)
[/I]

I saw Dr. Asher , one of the pioneers and inventors of the Harrington RoRAB, this morning and he said "it grieves him to hear of anyone being in pain after the proceedure" . I was at his office to see another doctor.
He also said he had never heard of anyone NOT being able to have an epidural and have natural delivery.
Dr. Asher told me he tries to answer any questions directed at him. I am not able to post any links-I DON"T WANT TO GET BOOTED-I love you guys!:)

I hope this helps. I have found him to be a deeply caring and concerned Doctor.
Blessings,
Momz :angel:
 
There are some wonderful pain management doctors out there. Mine isn't one of them, unfortunately. He made me wait at least an hour for every appt I ever had with him, even when I was the first appt of the day or the first one after lunch. And I could hear him out there chatting with the nurses about personal things while I waited and waited. He treated me like an asserably line patient, didn't seem to really care at all about me, and went down a little check list to document. I found that out when I got my recorRAB from disability. He documented at every appt almost exactly the same, and one thing was "no chest deformities." He never saw me other than fully dressed! And I have a couple of different chest deformities due to my scoliosis. Now I have to take photos for disability to dispute what he stupidly documented!

Get referrals for your doc if you can. My excellent surgeon referred me to mine. I love my surgeon, but doctors referring to doctors isn't the best way. They don't know/acknowledge the negatives about each other. Referrals from other patients are much more reliable. Ask around to your frienRAB in the area, or even on the pain management board here. I hope you get a good one!

Blessings,
Emily
 
Hi Mel
Have you tried LSU Medical School? Someone there may can help you and being a School they will charge according to income or nothing at all. Just a thought. A Doctor from that School in a different area of Louisiana helped me get my SSD and most important helped me through a very rough spot in my life. Sorry i can't give you any answers to you for i do not suffer from your condition. I do hope and pray that you are able to get some much needed relief soon.

( Hi to all the Spiney's.. I am new to the boarRAB and will post later, i am not doing well and have been reading the boarRAB for a while now. As my pain factor settles down some, i will post about myself.) Wish All a pain free evening Cyn
 
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