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iSpine Discuss QUESTION:L5/S1 ADR or FUSION? in the Main forums forums; I just heard word back from stenum after sending them my information and they are recommending the Maverick ADR. This ...

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Old 05-30-2009, 08:20 AM
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Default confusing information

I just heard word back from stenum after sending them my information and they are recommending the Maverick ADR. This is probably because on MRI my facet joints dont show anything wrong except mild hypertrophy.
I have decide to make sure first before going ahead with the fusion and will get a facet block booked for 12th June. I think id best make sure.

Michelle.
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Old 06-15-2009, 08:16 AM
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Angry Careful who you choose for invasive procedures!!!

Hi,
I just wanted to update and also VENT!.
I went to have a facet medial branch block on Friday. I didnt go off my oxycontin untill the morning (I probably shouldnt have had any the night before but decide to so I could sleep). So consequently i wasnt at the 5/10 pain or over (I was about a 3)which I needed to be for the block.
So at the last minute the doctor decided to give me a facet injection instead. And apart for the first few hours while the anaesthetic was still working it has been far more painfull than before and I am now having pain radiating into my hips that I never had before!
I am so angry for allowing him to change the procedure at the last minute. I would much rather have paid for the medial branch block that wouldnt have shown anything than something that has caused more pain.
I have had this procedure once before and they were in and out really quick, very professional, but this guy was digging around with the needle for ages and his bedside manner sucked. I have a good pain threshhold but I was screaming out and now feel worse and am on more pain medication than before. I hope this isnt permanent damage.

Thanks, I needed to get that off my chest.

Michelle.

Oh, and I definately know where my face joints are now!
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Old 06-15-2009, 04:56 PM
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With any medical treatment, your choice of doctors is a primary concern. Sometimes I'm actually shocked at the treatment I receive for something considered relatively simple. Multiply that by the complicated nervous system and you have room life altering medical errors. Choose carefully.
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Old 06-16-2009, 02:20 AM
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Hi Michelle

Fusion is forever ADR is unknown.

I think You have a tough choice

Motion preservation is the best to do but will it last?

All the Best
Gil
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L5-S1 lam 1994
L2 to L5 DDD
L3 -L4 hern Dec 2007.
L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
L5-S1DDDDD
L2-L3 Right-sided neural foraminal narrowing at and L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
C3-C4 limited DDD
9 injections Depo. P.T. 13 months 5 dose packs,
Nerve Block Injections.4 ESI S1
L5-S1 foraminotomy 09
L4-L5 Microdiscectomy 09 Reherniate 4-2010
Coflex-L Implants L4 to S1
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Old 06-16-2009, 03:03 AM
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HI Michelle,
I had two ADR's put in and then needed a Revision surgery to take them out and fuse. Everyone said I looked like a great candidate for ADRs. The last surgery was a killer but I am doing well although not totally pain free. My facets also looked great on my MRI but I did have some facet hypertrophy. My original doctor said that this would get better with a double level ADR. You have a hard decision to make but ADR's are not always as wonderful as everyone says. I think getting many opinions is good way to go. I hope that everything goes well for you.
Phylly
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Cervical fusion C4-6 March 2002
Fall on tailbone causing sciatica and back pain April 05
Conservative Treatment and PM for 2 years
Discogram concordant pain @L4-S1 Aug. 07
Prodisc ADR's at L4-S1 November 2007
Foraminotomy July 08 for Sciatica
Continued problems and back pain worsened
Prodiscs removed and discs fused at L4-S1 Feb. 09
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