I have a 36 degree thoracic lumbar scoliois s curve and my pain management MD suggested 2 medial branch blocks with lidocaine and then if I had 80% or more relief of pain from that, then he could do a denervation. Anyone had experienve w/ this? My pain is mostly a buring R sided pain and pain over the spine. I am in an "8-9" pain in the evening, most evenings. Any help in assisting me to understnad this would be helpful Thanks.
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Adult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rodTags: None
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First of all, WELCOME!
I am a fellow pain sufferer with relatively small curves also. I have not had denervation, which I'm guessing is the same as nerve ablation? What levels are you having pain and where specifically is your pain?Be happy!
We don't know what tomorrow brings,
but we are alive today!
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Originally posted by rohrer01 View PostFirst of all, WELCOME!
I am a fellow pain sufferer with relatively small curves also. I have not had denervation, which I'm guessing is the same as nerve ablation? What levels are you having pain and where specifically is your pain?Adult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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Originally posted by jrnyc View Posti have had nerve ablation...didn't do much for my severe lumbar pain, though...
but that is not to say it wouldn't help you....
the nerves grow back anyway....
jessAdult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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Originally posted by susancook View PostAccording to my xray, I have "severe degenerative disc disease" from T10 to L5 and "moderate disease" from L5 to S1.
The question is if you have more advanced DDD for your age due to scoliosis. And then the question is what treatments will help. Only a surgeon would know.
My father-in-law has debilitating pain issues which I assume are DDD but he is 72. He has no scoliosis.
Good luck.Sharon, mother of identical twin girls with scoliosis
No island of sanity.
Question: What do you call alternative medicine that works?
Answer: Medicine
"We are all African."
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Originally posted by rohrer01 View PostFirst of all, WELCOME!
I am a fellow pain sufferer with relatively small curves also. I have not had denervation, which I'm guessing is the same as nerve ablation? What levels are you having pain and where specifically is your pain?Adult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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Treatment for the DDD may solve your pain problems. Did you have the scoliosis or the DDD first? I know that many people w/out scoliosis develop DDD, But I also wonder if those with scoliosis develop it faster. My DDD was "mild" as of two years ago, yet still caused a significant amount of sciatic and back pain. I also have suspected sponlylolysis. I haven't had the proper test to confirm it, as there's not much that can be done about it anyway. I have no vertebral shifting on x-ray. But DDD along with arthritis can be very painful, even in the mild stages. So it's not surprising to me that you are in so much pain. I hope your procedures work. My last epidural steroid injection worked for about a year before symptoms started coming back. It's definitely worth a shot (no pun intended!).Be happy!
We don't know what tomorrow brings,
but we are alive today!
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Originally posted by rohrer01 View PostTreatment for the DDD may solve your pain problems. Did you have the scoliosis or the DDD first? I know that many people w/out scoliosis develop DDD, But I also wonder if those with scoliosis develop it faster. My DDD was "mild" as of two years ago, yet still caused a significant amount of sciatic and back pain. I also have suspected sponlylolysis. I haven't had the proper test to confirm it, as there's not much that can be done about it anyway. I have no vertebral shifting on x-ray. But DDD along with arthritis can be very painful, even in the mild stages. So it's not surprising to me that you are in so much pain. I hope your procedures work. My last epidural steroid injection worked for about a year before symptoms started coming back. It's definitely worth a shot (no pun intended!).
SusanAdult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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a friend in CA had arthroscopic surgery for DDD...he is fine now, though he does not have scoli....
it was nothing compared to fusion surgery, per his report...
most pain management treatments are a world away from scoli surgery...
most are simple in comparison, easily done in a doctor's office...
get up and walk away afterwards....then hope whatever it was... worked....
people have reported all kinds of results after such treatments, from no relief, short term relief,
to longer term relief....
most report no complications, which is nice for any tx....
jessLast edited by jrnyc; 04-22-2012, 02:28 AM.
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Originally posted by jrnyc View Posta friend in CA had arthroscopic surgery for DDD...he is fine now, though he does not have scoli....
it was nothing compared to fusion surgery, per his report...
most pain management treatments are a world away from scoli surgery...
most are simple in comparison, easily done in a doctor's office...
get up and walk away afterwards....then hope whatever it was... worked....
people have reported all kinds of results after such treatments, from no relief, short term relief,
to longer term relief....
most report no complications, which is nice for any tx....
jessAdult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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i do not believe there are any "quick office fixes" for bad discs...
or for any spinal pain or injuries for that matter....
when discs are first injured, many doctors give high dose prednisone, then wean
the pills down...i found that doesn't help much...it helps with the pain initially, but then
you have to go off the prednisone, and the disc pain is back...
any in office pain treatment is temporary, addresses the pain, doesn't fix the discs themselves....
my CA friend who had arthroscopic disc surgery had 6 weeks of recovery, after which
he was fine....but as i mentioned, he does not have scoli...
bad discs can cause really awful pain, and the pain can go on for a long time...
i have also found that disc injury can reactivate with any new stress on spine...
my husband has a good back, but he hurt his discs, and his back hurts all over again any time
he does anything stressful to his spine...
in office treatments are fast compared to scoli surgery....compared to any major surgery....
but they are not able to fix the problem itself...the steroids address the pain coming from the problem...
and steroids carry their own risks, as i discovered with my cortisol problem....
for many years, the theory was that "scoliosis doesn't hurt"...doesn't cause pain...
that theory is STILL subscribed to by many doctors...
jessLast edited by jrnyc; 04-23-2012, 10:25 PM.
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Susan,
It's also my understanding that they treat adult onset degenerative scoliosis much differently than those of us with unknown etiology (IS - idiopathic scoliosis). I don't think the trigger in degrees for surgery is the same. They want our curvatures to be much higher. So I don't know what the criteria are for fusing with progressive degenerative scoliosis. You'll have to ask your doctor about that one. I hope you can get some pain relief in the meantime.
Rohrer01Be happy!
We don't know what tomorrow brings,
but we are alive today!
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Originally posted by rohrer01 View PostSusan,
It's also my understanding that they treat adult onset degenerative scoliosis much differently than those of us with unknown etiology (IS - idiopathic scoliosis). I don't think the trigger in degrees for surgery is the same. They want our curvatures to be much higher. So I don't know what the criteria are for fusing with progressive degenerative scoliosis. You'll have to ask your doctor about that one. I hope you can get some pain relief in the meantime.
Rohrer01
SusanAdult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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Hi Susan
I just wanted to say welcome...
I went as long as I could and had pretty bad lumbar DDD and 4 herniations with sciatica. This can also lead to end plate damage....a good question for Dr Hart.
I did not do any shots. It was offered....but at the end with my x-rays looking pretty bad it just didn’t make sense to me. I was barely walking and pain was spiking 10. Death and taxes, and my tax was due. I was a Luque wire candidate in 1976 so it was a long wait.
I did just about everything else, Chiro, massage, and hot water soaks. Hot water is the easiest way to get the most relief from extreme pain events.
I do have a stretching machine......and an arch table. Electrostim machine, sock installer, walker, ski poles, and scuba gear! All used for scoliosis.....Just PM me if you are interested. The stretching machine is a professional unit that was ordered by a doctor for me, and its heavy duty and weighs a few hundred pounds...not an easy thing to move, but can be done. Anything is possible, I’ve proven that.
Ed49 yr old male, now 63, the new 64...
Pre surgery curves T70,L70
ALIF/PSA T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
Dr Brett Menmuir St Marys Hospital Reno,Nevada
Bending and twisting pics after full fusion
http://www.scoliosis.org/forum/showt...on.&highlight=
My x-rays
http://www.scoliosis.org/forum/attac...2&d=1228779214
http://www.scoliosis.org/forum/attac...3&d=1228779258
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