T
Tatler
Guest
I showed my Doctor my previous results from an MRI from twelve years ago, and the surgeon
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M
MsKatee
Guest
I feel you on the "I don't think PT really helps" topic. I assume that is what you are talking about when you say 'physio'. Physical Therapy...
Anyway, I am going right now. My insurance approved 9 visits. I go, I lay on an uncomfortable bed with this large heat pad thing under me and a tens unit that never seems to be in the right spot or strong enough, and they leave me there for 15 mins. Then some young assistant comes in and gives me a mild massage. I can't complain about massage, but she's just not doing anything since she's tiny and her massage is so light. Then I go to the gym, and the actual PT therapist watches me do like 3 exercises and then I go home. It's a total waste of time. I do all the things they do at home every day...BETTER! I do exercises with a ball, on the floor, etc.. I have a tens unit, and I have a heating pad. The only difference with the PT is that I have to waste an hour of my day and drive to them instead of staying at home.
O well, that's my rant about PT. I'll keep going, because the only way to get my insurance co. to approve anything they want to see that I'm doing everything they want. Blah Blah... I'll play the game.
Happy Monday to everyone. I hope all of your pain levels are low!
Heather
Anyway, I am going right now. My insurance approved 9 visits. I go, I lay on an uncomfortable bed with this large heat pad thing under me and a tens unit that never seems to be in the right spot or strong enough, and they leave me there for 15 mins. Then some young assistant comes in and gives me a mild massage. I can't complain about massage, but she's just not doing anything since she's tiny and her massage is so light. Then I go to the gym, and the actual PT therapist watches me do like 3 exercises and then I go home. It's a total waste of time. I do all the things they do at home every day...BETTER! I do exercises with a ball, on the floor, etc.. I have a tens unit, and I have a heating pad. The only difference with the PT is that I have to waste an hour of my day and drive to them instead of staying at home.
O well, that's my rant about PT. I'll keep going, because the only way to get my insurance co. to approve anything they want to see that I'm doing everything they want. Blah Blah... I'll play the game.
Happy Monday to everyone. I hope all of your pain levels are low!
Heather
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feelbad
Guest
i would seriously NOT go to one single session UNTIL that doc actually has updated that TWELVE year old MRI here for goRAB sake?? soooo very very MUCH can happen and really seriously change in even ONE year of time going by, what do you think could simply have occured in that area in 12?? that MRI is simply wayyy obviously too out of date right now to even be close to even accurate after twelve years of just plain wear and tear and simple aging just does, let alone either a previously operated on area or just plain spinal problems? it was kind of confusing the way you wrote that up above as to whether or not you did or did not actually even have any surgery? but sounRAB like possibly was actually recommended back then but been holding off here?
honestly i don't know what kind of doc this actually is you saw, but if this truely IS the ONLY MRI he is using to send you off for 'unknown impact' physio, it better be an updated one. he is simply doing this in a way that is NOT in the very best interest of his patient by even allowing ANY PT at all without the benefit of a good very recent MRI to even know what could become made worse or better with physio or any actual PT being done at all on you right now. PLEASE tell me you do actually have at least a year old MRI here and not ONLY the 12? if this really IS the one that is 12 years old(we ARE actually talking well over a decade of progression/shifting here goin on behind the scenes kinda thing?), simply have him just DO that MRI before even thinking of sending you for ANY PT. when you just do not actually know what is underneath and doing physio in some cases, you really have no real clue as to what IS and what IS NOT actually being really impacted inside of you, thats all(you would feel THAT impact even during but mostly later with poss symptoms).
any 'good' knowlegable doc or surgeon would simply WANT to know before he senRAB someone for PT not see the possible damage show up on an MRI well after the fact that also can be FROM the PT too? its just plain old common sense here. all he has to do is write a referral for the MRI INSTEAD of the PT first? pretty simple for him to actually do there for ya ,and just oh soo much safer. and DO ask for the use of a good contrasting agent to also be included(when he actually writes that order for the MRI) at that MRI so you simply get better more accurate pics.
sometimes we just have to be our own advocates here whenever something really just does lack good common sense among other types of situations. if YOU yourself stated you feel it may only aggrevate the injury, well... our overall safety just depenRAB upon US in almost every case(yes or no to something?). i am just hoping this is not actually the only MRI this man is using here, thats all. you simply cannot go to PT with that much of an outdated MRI with YOUR type of real spinal situation going on too? not good. just make certain with one simple MRI as to what you actually have going on NOW, not 12 long years ago, before anything else gets done or referred? he may not even actually want you to even attempt PT once the 'new" MRI shows possible severe progression of the more deterioative findings or herniation somewhere(it just CAN realistically occur over that much time esp)? it does matter. Marcia
honestly i don't know what kind of doc this actually is you saw, but if this truely IS the ONLY MRI he is using to send you off for 'unknown impact' physio, it better be an updated one. he is simply doing this in a way that is NOT in the very best interest of his patient by even allowing ANY PT at all without the benefit of a good very recent MRI to even know what could become made worse or better with physio or any actual PT being done at all on you right now. PLEASE tell me you do actually have at least a year old MRI here and not ONLY the 12? if this really IS the one that is 12 years old(we ARE actually talking well over a decade of progression/shifting here goin on behind the scenes kinda thing?), simply have him just DO that MRI before even thinking of sending you for ANY PT. when you just do not actually know what is underneath and doing physio in some cases, you really have no real clue as to what IS and what IS NOT actually being really impacted inside of you, thats all(you would feel THAT impact even during but mostly later with poss symptoms).
any 'good' knowlegable doc or surgeon would simply WANT to know before he senRAB someone for PT not see the possible damage show up on an MRI well after the fact that also can be FROM the PT too? its just plain old common sense here. all he has to do is write a referral for the MRI INSTEAD of the PT first? pretty simple for him to actually do there for ya ,and just oh soo much safer. and DO ask for the use of a good contrasting agent to also be included(when he actually writes that order for the MRI) at that MRI so you simply get better more accurate pics.
sometimes we just have to be our own advocates here whenever something really just does lack good common sense among other types of situations. if YOU yourself stated you feel it may only aggrevate the injury, well... our overall safety just depenRAB upon US in almost every case(yes or no to something?). i am just hoping this is not actually the only MRI this man is using here, thats all. you simply cannot go to PT with that much of an outdated MRI with YOUR type of real spinal situation going on too? not good. just make certain with one simple MRI as to what you actually have going on NOW, not 12 long years ago, before anything else gets done or referred? he may not even actually want you to even attempt PT once the 'new" MRI shows possible severe progression of the more deterioative findings or herniation somewhere(it just CAN realistically occur over that much time esp)? it does matter. Marcia
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brendaks1
Guest
Especially if you are in that much pain from them just lifting your leg a bit, it would be very wise to demand an MRI before doing PT.
If there are no problems found however, very rarely does PT cause or aggravate a problem. While PT may or may not improve your problem, you will be better off from having strong muscles and ligaments in areas of pain.
Also, there are many other benefits of exercise such as improved mood and heart health, as well as having the support of a person you see regularly.
Best wishes!
If there are no problems found however, very rarely does PT cause or aggravate a problem. While PT may or may not improve your problem, you will be better off from having strong muscles and ligaments in areas of pain.
Also, there are many other benefits of exercise such as improved mood and heart health, as well as having the support of a person you see regularly.
Best wishes!
F
feelbad
Guest
while there are many many benefits to doing PT, it also has to be the 'appropriate form for that particular patients issues too. THAT is where the bigger probelm comes in here at all. he simply does NOT actually know what 12 years of ongoing use,wear and tear/aging and what you already had wrong that surgery was actually recommended for back then over a decade ago? THAT one thing seriously is the major 'key" here, finding out what you actually have there and the true overall extent/impact of it NOW on what were the major problem areas first and foremost well before ANYTHING gets done on your body. that part just NEERAB to be identified with at the very LEAST,a good contrasted MRI being done before any doc can simple 'safely' send any patient to rehab/excercise what they don;t even really know could be impacted, even with limited movement to particular areas of more impact within that spinal level at all?
just what did that previous MRI actually state back then as the "problem' areas and what was the severity 12 years ago?? if you could actually just type out what was in that MRI summary at the very end of that report word for word as that interpretting rad actually wrote it, it would help tons in just knowing how really impacted the area was back then and what exact levels and what it could have simply progressed to at this point too? THAT would be most helpful right now to even know.
you kind of have two options here at this point. either calling that surgeons office and simply telling them that you simply really do not 'feel good' about doing ANYTHING as impactful as what PT cpould do if youy do not actually ahve that MRI done first? or, you simply show up for that initial eval with that PT person, tell them just what the MRI age is that the surgeon is actually using and how really afraid you are that you just could easily, and at ypur age too(sorry but it does matter here) really seriously "hurt' something or make a bad situation worse if ypou actually did do anything at all when you have that much real pain and problems going on with NO MRI to even dictate to the PT what even IS the best type of real therepy for you? either way here, if this were me or my hubby, you can bet your butt that i would be demanding that MRI simply be done first and WITH contrast. it is not any type of 'big deal" here for any given surgeon to simply write and order for one and refer you for it when it is just SOOO needed right now for YOUR best interest too.
i would first try calling his office and at the very least speak with either his trusty sidekick that would be his PA or NP and explain the overall situation and your fears/symptoms. i just cannot imagine them not doing this simple and very much safer thing for you first. like i said, basic common sense should always by YOUR guide thru any medical situation? and basic advocating for ourselves whenever we simply feel that anything we are being told is simply 'not right'. in just a couple of phone calls you could easily get that MRI done. or like i said, go to that PT but tell them up front that you don't know and they don't know what they are even trying to treat here with no recent MRI?? that just is NOT what any PT wants to really take on the liability for either.
pain along with esp having ANY muscle atrophy(this is also what PT is supposed to help but only with certain situations) going on as well can come from two totally speprate situations. either an actual muscle is not even actually innervated anymore so it wont move or be changed no matter HOW you actually move it since it is not being properly sitimulated anymore,it is kind of dead in the water so to speak. or the muscles have fallen into atrophy becasue of basic disuse that can come from an actual injury within your spinal itself or the pain has kept you from moving it at all. this is where that MRI would indeed show exactly what levels along with the discs and those crucial nerve roots have become impacted that would possible SHOW why things are the way they are too? and if anything at all has actually even moved more towarRAB your spinal cord? PT in some cases like that could really create huge possibly irreversable problems for YOU, not the doc who decided not to simply order that MRI as an actual 'precaution' first? just be very careful here and push everything you can to simply get what actually just should have been ordered FIRST actually done before consenting to anything more physical. like i mentioned above, this just IS a better safe than sorry type of situation that should have been a total no brainer for that surgeon. maybe another opinion may be in order here? seriously? just a thought. just protect yourself above anything else right now. good luck and please let us know how things go here for ya. marcia
just what did that previous MRI actually state back then as the "problem' areas and what was the severity 12 years ago?? if you could actually just type out what was in that MRI summary at the very end of that report word for word as that interpretting rad actually wrote it, it would help tons in just knowing how really impacted the area was back then and what exact levels and what it could have simply progressed to at this point too? THAT would be most helpful right now to even know.
you kind of have two options here at this point. either calling that surgeons office and simply telling them that you simply really do not 'feel good' about doing ANYTHING as impactful as what PT cpould do if youy do not actually ahve that MRI done first? or, you simply show up for that initial eval with that PT person, tell them just what the MRI age is that the surgeon is actually using and how really afraid you are that you just could easily, and at ypur age too(sorry but it does matter here) really seriously "hurt' something or make a bad situation worse if ypou actually did do anything at all when you have that much real pain and problems going on with NO MRI to even dictate to the PT what even IS the best type of real therepy for you? either way here, if this were me or my hubby, you can bet your butt that i would be demanding that MRI simply be done first and WITH contrast. it is not any type of 'big deal" here for any given surgeon to simply write and order for one and refer you for it when it is just SOOO needed right now for YOUR best interest too.
i would first try calling his office and at the very least speak with either his trusty sidekick that would be his PA or NP and explain the overall situation and your fears/symptoms. i just cannot imagine them not doing this simple and very much safer thing for you first. like i said, basic common sense should always by YOUR guide thru any medical situation? and basic advocating for ourselves whenever we simply feel that anything we are being told is simply 'not right'. in just a couple of phone calls you could easily get that MRI done. or like i said, go to that PT but tell them up front that you don't know and they don't know what they are even trying to treat here with no recent MRI?? that just is NOT what any PT wants to really take on the liability for either.
pain along with esp having ANY muscle atrophy(this is also what PT is supposed to help but only with certain situations) going on as well can come from two totally speprate situations. either an actual muscle is not even actually innervated anymore so it wont move or be changed no matter HOW you actually move it since it is not being properly sitimulated anymore,it is kind of dead in the water so to speak. or the muscles have fallen into atrophy becasue of basic disuse that can come from an actual injury within your spinal itself or the pain has kept you from moving it at all. this is where that MRI would indeed show exactly what levels along with the discs and those crucial nerve roots have become impacted that would possible SHOW why things are the way they are too? and if anything at all has actually even moved more towarRAB your spinal cord? PT in some cases like that could really create huge possibly irreversable problems for YOU, not the doc who decided not to simply order that MRI as an actual 'precaution' first? just be very careful here and push everything you can to simply get what actually just should have been ordered FIRST actually done before consenting to anything more physical. like i mentioned above, this just IS a better safe than sorry type of situation that should have been a total no brainer for that surgeon. maybe another opinion may be in order here? seriously? just a thought. just protect yourself above anything else right now. good luck and please let us know how things go here for ya. marcia
T
Tatler
Guest
Hi I have several documents, they state that back then I had a bilateral pars defect at L5 ,grade 1 spondy and disk bulging above L5 and that the injury was clearly visulised on the left side.
But after speaking to the surgeon he recommended long term rehab at the time, he told me it would take two years to recover from surgery.But this may have been because it would have been quicker cheaper and easier to let be discharged from the army.
Instead I struggled on, continued to train with the guys, parachute etc and even got sent on active service.Don't worry I now realize it was all bullshit :dizzy:
But after speaking to the surgeon he recommended long term rehab at the time, he told me it would take two years to recover from surgery.But this may have been because it would have been quicker cheaper and easier to let be discharged from the army.
Instead I struggled on, continued to train with the guys, parachute etc and even got sent on active service.Don't worry I now realize it was all bullshit :dizzy: