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    I think it probably depends on the center, and...

    I think it probably depends on the center, and whether or not you have access to other specialists close by. At UCSF, they usually make it very difficult for patients to see multiple spine surgeons...
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    I don't know if it's always the same, but the two...

    I don't know if it's always the same, but the two CT myelograms I had were a little more involved. After injecting the dye, they had me contort into several different poses to get good radiographs...
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    Tina... Never isn't even close. It totally...

    Tina...

    Never isn't even close. It totally depends on the patient. For older patients who just want to reduce their pain, some may have the option of a one or two level fusion, while others have...
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    Unfortunately, I think it is. If movement isn't...

    Unfortunately, I think it is. If movement isn't stopped, the pain isn't likely to dissipate. That's especially true in scoliosis. Decompression without fusion in the setting of an asymmetrical...
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    I think that stenosis is usually painful because...

    I think that stenosis is usually painful because the movement of bone can irritate a nerve, and the pain can be fixed with fusion because it (fusion) stops movement. For some reason (unknown to me),...
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    Sorry about that. I don't know whether I picked...

    Sorry about that. I don't know whether I picked it up from Ed's post, or made an assumption. It is fairly unusual to have severe neurologic symptoms without pain. Not that it lessens your issue,...
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    If your pain area is at or near an instrumented...

    If your pain area is at or near an instrumented fusion level, I don't think an MRI will be of any use. I'm not, however, a doctor.

    --Linda
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    Tina... It's not always possible to know the...

    Tina...

    It's not always possible to know the cause of a patient's pain. Because of the curvature of the spine, it's not always obvious that there's nerve root impingement (that is, I think the...
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    That is correct. Not all surgeons use the same...

    That is correct. Not all surgeons use the same procedures. Doing smaller surgeries to fuse just the degenerative segments in patients with degenerative scoliosis is usually done by more conservative...
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    Hi Mamichi... Scoliosis, in and of itself,...

    Hi Mamichi...

    Scoliosis, in and of itself, does not typically cause pain. What it does cause is degeneration (typically degenerative discs and stenosis), which are the typical causes of back pain...
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    When I start a course of PT, I always tell the...

    When I start a course of PT, I always tell the therapist to find 3 or fewer exercises that will help. There's no way I'm going to keep up with a bunch of exercises. I want to be able to do...
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    Depending on one's age, some much older patients...

    Depending on one's age, some much older patients have gotten relief from smaller surgeries. Unfortunately, doing smaller surgeries on middle aged adults, often (if not always) leads to destabilizing...
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    Definitely, but a good PT will come up with...

    Definitely, but a good PT will come up with exercises that fit your environment. Because of knee issues, I have a major difficulty getting up from the floor, so my therapists are always having to...
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    That's the single most important factor. Doing...

    That's the single most important factor. Doing exercises in PT is just to learn them. You should plan on figuring out a program with your therapist, that works for you now and in the future. I...
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    I personally think PT is a really good idea,...

    I personally think PT is a really good idea, though some people just don't have the ability to have it. If you have access and your surgeon agrees, I would definitely go.

    Your gait may not be...
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    What PT does depends on each individual's issues....

    What PT does depends on each individual's issues. Most typically, they'll work on gait and core strengthening.
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    I assume you mean hypokyphosis, not hypnosis. :-)...

    I assume you mean hypokyphosis, not hypnosis. :-)

    The amount of kyphosis in a "normal" spine is 20-40 degrees. This refers to the "hump" in the thoracic area of a normal spine. When the...
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    Please check with your surgeon's office before...

    Please check with your surgeon's office before you get into a bathtub. Many surgeons restrict patients from this activity during the early recovery period.
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    There are a lot of different SIJ implant systems....

    There are a lot of different SIJ implant systems. Not all are triangular shaped rods. For example: ...
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    Ask your surgeon's office or your primary care...

    Ask your surgeon's office or your primary care physician for guidance in weaning off meds. For some people, weaning can be incredibly difficult, and sometimes dangerous, so it's not something to be...
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    Congratulations! I hope the experience is...

    Congratulations! I hope the experience is incredibly rewarding.
  22. Just a reminder that we're all very different, so...

    Just a reminder that we're all very different, so everyone's experience may vary.
  23. I suspect she misstated or you misunderstood. IV...

    I suspect she misstated or you misunderstood. IV pain meds are used at least until it's appropriate for the patient to take oral meds (which is typically at least a few days).
  24. If your fusion is solid (and there's no reason to...

    If your fusion is solid (and there's no reason to believe it's not), there's nothing anyone can do to cause harm to the fusion or implants.

    --Linda
  25. Hi Ana... I'm surprised at your surgeon's...

    Hi Ana...

    I'm surprised at your surgeon's opinion. Your fusion stops at L2, and you have herniated discs at L3-4, L4-5, & L5-S1. Your pain could potentially be from the herniated discs. You...
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