Welcome B and B Orange.
I had a similar problem so I know it can be really tough.
I had one level, but the operation was not covered by insurance.
R
This is a discussion on New to Community - Surgery Scheduled Next Week (Discectomy at L3-L4, L4-L5, and L5-S1) within the Surgical Outcomes forums, part of the Spine Surgery Forums category; Hello y'all! I am a 27 year old female that's suffered from chronic low back pain for about 13years. At ...
Hello y'all!
I am a 27 year old female that's suffered from chronic low back pain for about 13years.
At 14yrs old, I experienced sever pain in my lower back when I was getting of the gym floor for golf team pictures. After several doctor visits, physical therapy, mri's, etc. my doc at the time decided surgery was necessary, but cancelled surgery on my pre-op visit due to my young age. I was told I had the spine of an 85 yr old hard-working man. They couldn't understand how I was even walking. (My life saver has been my EXTREMELY high pain tolerance, but that's another story.)
I suffered through high school and basically became a couch potato in college due to the pain. After graduating, I took an internship where I sat for 8 hrs in an office, and then walked on concrete floors for the duration of a baseball game. This killed my back. It got so bad that I couldn't even lift my left leg to walk in 2005.
I met with Dr. Adametz, a neurosurgeon in Little Rock, and based on my history and MRI, he performed a discectomy on L3-L4, L4-L5, and L5-S1. These three discs were pressing on nerves in 5 different places, so it ended up being a MAJOR surgery.
I was relatively pain free for almost 5 years. In June of 2009, I started feeling pain in my left hamstring. I thought it might be a muscular issue and had my fiance stretch my leg out. After stretching, I experienced numbness down my left calf and into my big toe.
I'm a little ashamed to admit that the issues from my first back pain experience made me reluctant to go see a doctor about my new issues. I hoped they would work themselves out. I was also in the middle of planning my wedding, going to showers, and getting a new job because of education budget cuts in CA. Not to mention that I was the sole breadwinner, and my husband was in graduate school. Eventually (in 2010) I saw a Physician's Assistant that ordered a new MRI and prescribed me some Hydrocodone (which did nothing but make me sleepy).
At this point (May 2010), my husband and I were preparing to move to Texas. I decided to wait for our move and go to the Texas Back Institute for treatment. It took a few months for my husband to get a job and for us to get our health insurance switched (so everything would be in-network), so in the meantime, I mailed my MRI and medical history to Dr. John Regan in L.A. and had a phone consultation with him. He did my mother's fusion in the early 90s at the Texas Back Institute and I trusted him to know all the new treatment options. He suggested a possible fusion/ADR hybrid or stem cell injections and recommended that I see Dr. Guyer at the Texas Back Institute.
Dr. Guyer has been great in helping me so far. He prescribed Gabapentin to try and help the numbness in my leg, as well as major anti-inflammatories and muscle relaxers. He also prescribed 4 weeks of physical therapy. None of these things reduced my pain or helped the numbness in my leg. I then tried facet joint injections. This did not help either. I then had a discography where I rated 2 levels 10 out of 10 for pain and one level 9 out of 10. I also had some leakage in L5-S1.
At this point, Dr. Guyer said he would normally suggest a fusion, but because I had 3 levels and I was so young, he said he would never do a 3-level fusion for me. He was also reluctant to do ADR because BCBS TX won't cover it. Because I have 3 levels causing problems, I was not a candidate for the stem cell injection trials. Desperate for any relief (I was basically bound to the zero gravity chair my mother loaned me), we asked what he would do if money was no option and he said he would suggest a fusion/ADR hybrid (just like Dr. Regan). So, thanks to my parents and my in-laws, that's what I'm going to do.
They are paying the up front costs so I can have the surgery, scheduled on December 21st, 2010. Woohoo! I will be having a fusion done on L5-S1 and I'm getting the Prodisc-L for L3-L4 and L4-L5.
I purchased Laurie Todd's book, and I'm doing research to try and get reimbursement from my insurance company. I seem to be a unique case with the number of levels causing the problem and my young age, so I think I have a good case. But...I can't seem to find any precedent, and I'm having trouble finding studies done on the Prodisc.
This experience has been extremely trying on me over the past year. As a newly-wed, it's been especially hard, and most of the joys of being a newly-wed have been overshadowed by my debilitating pain.
I've read several of the posts here and I'm thankful for all the information available. If anyone can offer any suggestions, or point me to anything that might be of help, I would be so grateful!!
I am excited that I am getting the surgery, but I'm worried about the amount of money I will owe my family.
Welcome B and B Orange.
I had a similar problem so I know it can be really tough.
I had one level, but the operation was not covered by insurance.
R
DDD or DJD
ADR recepient.
Mother of four, advocate and insurance fighter.
Hi and welcome. I would try not to worry about the money from your family, I'm sure they just want you well. Are you all prepared for the post op period as you will have a while recovering?
alison x
Alison 46 year old female
2012 Doing Rehab
2011 Sept 3rd Op Removal of old instrumentation and PLIF L4/L5 - L5/S1 both adr in situ
2010 May Discogram on L2/L3 & L3/L4
2009 May 2nd Op Failed revision fusion on L5/S1 with Charite ADR in situ
2008 Caudal epidural exacerbated nerve symptoms. Prolapse L2/L3
2007 L5/S1 Facet deterioration
2002 March 1st Op ADR Charite - L4/5, L5/S1
2000 Disc prolapses L4/5, L5/S1
I'm not sure if his insurance paid or not, but Justin our founder and Administrator also started back problems in his teens and has had 3 spine surgeries. He may or may not be able to help you. Also, check with JSS who also has BCBS and is in North Texas.
31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011, completely pain free still!
Thanks everyone!
KBear: I appreciate your suggestions!! Any help is good help!
Alison: That's exactly what my family says. LOL. But as a newlywed, there's that desire to "take care of ourselves". Haha. But I realize how fortunate I am that they are willing to help. Otherwise, I'd be suffering for quite a while more. I am prepared for the post-op. With my previous surgery, I know how bad it can be. I actually think this procedure might be better. My first surgery required me to be in bed for about 6 weeks, and I could only sit up for 30 minutes a day after about 4 weeks. Talk about torture!! haha. We'll also be going to my parents for Christmas, so my husband will have extra support from people that already know what it's like. (My mom also had a fusion several years ago). I'm glad he'll have some support. He's a worrier, and I think it will help him not freak out!
Runagain: Thanks for the support. It's always nice knowing you aren't alone!
Regardless of the "battle" ahead, I'm excited to be having the procedure and for the possibility of eventual relief!
BleednBrntOrange,
Welcome to the Spine Patient Society.
Your history of spine issues above hits home. Mine started at a young age as well (see my signature for details). I was evaluated by Dr. Guyer in 2003 before my 2-level Artificial Disc Replacement surgery. He is an incredible surgeon and such a great guy. I saw him last year, as I traveled to TBI with my Dad to have his spine problems looked into.
Good luck on the 21st!Please give my regards to Dr. Guyer...you're in great hands!
BTW, keep us posted on your progress, as we are here to help with the "roller coaster" ride that is recovery.
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
Questions? Suggestions? Need help with registering, creating a signature, etc.?
justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
I'm glad there's a way forward for you. If the op helps reduce your disability your earning potential will go up regardless. Pretty hard to be at your best when battling chronic pain. I agree that your family are probably just happy to improve your quality of life.
You sound like a real trooper, hope this all works out for you.
BleednBrntOrange,
How did your surgery go? Update us when you get a chance.![]()
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
Questions? Suggestions? Need help with registering, creating a signature, etc.?
justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
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