Rich, After 6 months of pain, with Ultracet and Advil, I had my first MRI in January.
The Radiologist stated in big letters at the bottom of the typed MRI Report.
"Must see a spinal specialist immediately!" My PMC advised me to go to a local surgeon. Even after his saying that, I would not go to the surgeon first. I wanted to go to ...an Ohio Pain Management Clinic. Even knowing this, my PMC's office still contacted the surgeon's office to call me to make an appointment. I told the surgeon's office, I was not ready to see the surgeon. That's when I went the the Ohio Clinic for Pain Management.
My first steroid injection was a Lumbar Injection, done at the end of February.
I had 10 days of no pain and then it all came back. They do injections here in series of 3 and only one time a year. The second injection was at the end of March. Never had any days when I was not having one type of pain either buttocks & legs, or the back . These two months I kept off meds as much as possible. When I went back in April for my 3rd injection, I told my PM Dr. that the two Lumbar Injections never gave me very much freedom from pain. He told me that the goal was to get me pain free. On that 3rd injection, the Dr. changed it from Lumbar Injection to Transforaminal Injections; given as two separate injections. One at the L4 and one at the L5 site. I had 3 days of some pain relief and immediately went back to the pain stage of 7 & 8.
I was given a 4th appointmentin May and when I got to the Clinic, I was told that I would be given the Transforaminal Injection as before. Again it was at the L4& 5 as two separate injections. I went home and found myself almost immediately on pain meds again because there was no relief.
June was the last of the Transforaminal Injections and again they were at the L4&L5 as before. Nothing....absolutely no pain relief. There was a total of 5 visits, but a total of 8 injections.
In July as I struggled to stay off meds, I had a terrible episode of pain with the buckling of knees as I tried to do housework, I could barely climb steps without severe pain and a loud crunching snap in the lower back. I called my PMC and he sent me to the surgeon he had advised before. This surgeron advised a very aggressive procedure ...open back, 8 inch incision, Discectomy, Laminectomy on 2 vertebrae, Fusion with instrumentation.
Oh yes, I was to give blood prior to surgery. I could expect 6 months recovery period and at least a year before I might feel better. There were no promises that this surgery might not create problems for the rest of my spine, eg. thoracic area where I have mild stenosis and other herniated discs.
My PM doctor sent me to whom he considered the best surgeon at the Ohio Spine Institute. That doctor is the one who will perform the Min. Invas. surgery procedure on me in November. I will have a lamenectomy and Fusion Institu of the L45 Level. My surgeon said if he just took care of the stenosis and not the spondy, he could not guarantee that there would not still be back pain, although the buttock and leg pain should be relieved. So I was faced with Fusion. LSI nor Bonati when I researched them would deal with Spondy.
Steroid Injections were a dead end for me, Rich. They gave me no relief.
If I had had any relief from just one of them, I might have continued to try to get one....but after 8 in 5 months, I had already gone past the usual limit for them in a year. And with no relief at all, the suggestion was that my stenosis was so wide based, blocking the nerve canal, that the steroid injections were not aiding enough to reduce the pain level.
That is why the need for the Laminectomy and not a laminotomy. The surgeon has to take the roof of the vertebrae and some of both sides of the lamina off just to relieve the pressure on the cauda equina. He will do some other things like removing bone spurs, relieving the two pincched nerves and also seeing how the disc is effected once the pressure is off. And that is even before he deals with the spondy that is present at the same level.
I know that it isn't the best or clearest explanation for why the surgery instead of staying with injections. But that is how messed up my spine is. I can only hope the surgery will be successful enough and give me freedom from pain.
I do hope you will be able to continue without surgery.
Your comment about not being able to go to the wedding with your wife, made me understand that you have compromised with your back situation. And I'm glad you have some periods of freedom from pain.
I wish my situation could be the same. My back pain just ain't choosing to go away easily. I also don't want to give up any more of my life to it after dealing with it for one year and 4 months. I just reached a point where it takes too many meds and too often for me to compromise in anyway.
If two Celebrex held me....well then I would consider staying on the meds.But the next thing I know is that I need something stronger because I just can't do anything when the pain runs rampant. The pain has controlled too much of my life already and needless to say it certainly has hit the pocketbook way too much.
As to if this surgery is the right choice???? I've done as much as I could. Now the rest is in God's Hands.
Marie B.