Guest guest Posted March 27, 2008 Report Share Posted March 27, 2008 Hi again...sorry that it has been so long...our connection here is sooo bad. I try to read as many of the postings as I can before I get cut off. Anyway I saw Jaclyn at the Hey Clinic (she is very nice, I think she kinda looks like Bridget Fonda) anyway the good news is that they do not think I need revision surgery...at least not now. I will quote some of their technical findings: Harrington rod in place to L3. Some asymmetric collapse at L3-4 and L4-5. Degeneration of both the neck and low back. 60 degrees lumbar lordosis. MRI LS Spine: L34, L45 L5S1 facet arthritis/spondylosis with L45 disc degeneration. She said that the pain in my mid back is likely coming from the hardware but wouldn't recommend removing it because the fusion mass could break down. For now she gave me a corset type brace to help support my lumbar spine and recommended PT and cervical traction, and if that does not help we can explore facet blocks or nerve cauterization. If over time the lumbar spine continues to collapse then I may need an extension fusion. I could be in the early stages of flatback (naturally I was standing very straight at the exam as I do when I am conscious of my posture). She asked Greg if he has noticed me walking bent and he hasn't noticed, so I think she has taken me at my word. I only just started noticing it myself over the summer when I catch my reflection in a store window...I think I look kinda " ape-like " and have to make a conscious effort to straighten up. So it was inconclusive as to whether or not I will develop flatback, if I understood her correctly I am not at a high risk because the rod does not go all the way down, but the risk is there. It was also inconclusive as to whether or not I have marphan syndrome. Cam thank you for the article, I will print it out and bring it with me to my next visit with my primary care doctor, she is the one that is concerned about my heart. I can explore the marphan web page better when I'm back home on roadrunner. I want to take this time to thank you all again for your warm welcome, advice and directing me to the Hey Clinic which was a positive experience ...I was asked if I could give the names of the people who recommended the Hey Clinic so they can thank you...Peggy and I gave them your names. Special thanks to Cam, Sharon, , Peggy, Bonnie, , Kathy & . I hope I didn't leave anybody out. , Kathy & ...thanks for relating to my pelvis issues, my clothes twist on me too...but it happens both top and bottom and dresses are the worst...and as for the coming apart feeling, I get that too also sometimes I move funny and I will get a pain in my pubic bone that is hard to describe...it's like it almost split apart on me...split right down the middle! As for the bone widening question...I do not know the answer, we did not get very much into my pelvis issues during the exam, there was just so much to discuss about my spine. Also I did not have any of my past x-rays with me. At present I weigh the most I've ever weighed (around 137) and most of that is carried in my hips, but about six years ago I went through a rough time and weighed around 108 and I still felt that my pelvis has changed a lot since I weighed about 105 when I had my surgery at 17. We all know our bodies and I felt a difference after surgery and I felt my hips gradually widening over the years before weight changes came into play. I have never had children, so I guess I was just curious as to whether this is related to Scoliosis and being fused or just something that happens to all women or maybe all tall women (bone settling etc.) It's just that I walked sooo different after my surgery that I always theorized that the changes in my gait have changed my shape (I've had a lot of theories over the years because of my isolation with this disease). I know at least from reading postings that I'm not alone with the hip pain, I feel like my hip joints have to work so hard when walking, I also still have pain where they took bone and sometimes it still itches. But anyway to move this along...we are on our way back to NY April 1st. where I will establish myself with a physical therapist and hopefully get set up with the cervical traction (my insurance is being difficult on that). For most of the month of April I will be on a farm in Schenectady with no internet connection...and no cable...I wish I could be using that time to explore this forum more. In May we will be getting settled in for the summer in Old Forge with our Roadrunner connection and a much more comfortable chair. I shutter to think about how much I will have to catch up on in postings by then but it will be such a relief not to constantly lose my connection. So in conclusion I have had to finally give up on my unrealistic fantasies of having my rod taken out and somehow magically feeling like I have my old body back the way it was...it's sooo hard to remember what it felt like to arch my back. I want to stretch and twist and bend...I can imagine my spine popping and cracking with small explosions of pleasure...I honestly don't have the words for how I've built that fantasy up in my head. Jaclyn had this life size model of a spine that moves...I picked it up and moved it around and told her this is like one of my fantasies...to step outside of my body and just straighten my spine out. My visit with Jaclyn was very informative and it never really occurred to me that it was not the rod that is keeping me immobile...that the vertebra would still be all fused together even if I had the rod removed...I guess I should have realized that...my surgeon was so cold and impersonal...I have been so uneducated and in the dark. On the flip side as much as I have wanted this rod removed I have been equally terrified of having surgery again and it has been a great weight lifted off my shoulders that I'm not in imminent danger of having to have surgery again...and it is not a " given " that I will have to have revision surgery...only a possibility. I have most of the answers that I was looking for...arthritis and degeneration are not good words to hear for someone who is only just about to turn 40...and this asymmetric collapse business does not sound good...but I knew there had to be an explanation for my pain and at least I have validation...at least there's that...I will never let anyone try to make me feel like it's in my head again. I wish though that I had a clearer understanding of why the pain around the rod hurts so bad though. Jaclyn said that a percentage of patients report pain from the hardware...but I wish I knew why, because that pain is getting worse especially around the top of the rod (I have read some of you describing similar pain), my surgeon always tried to convince me that it was not possible that I was feeling pain from the rod or that I could feel the rod at all, he said I was imagining it. I am confident that the physical therapy will help with my neck and low back issues but nothing ever seems to help with the rod pain (except of course the narcotics but they make me sick)...it's like a toothache thats always there. I know on a certain level it's all moot, because the rod can't come out. Jaclyn said if they were to open my back it would look like the rod was incased in porcelain do to all the bone that has grown around it, that to remove the rod would require chipping away at all that bone and could jeopardize the fusion, and if I am understanding everything correctly the disease could progress...if I understood her correctly it is the diseases progression that is causing the asymmetric collapse, because normally in a case like mine they would have brought the rod down lower but by that time they were aware of the risks of flatback and that's probably why they did not bring the rod down so far. It will never cease to amaze me that I was never warned about these things by my surgeon. Someday I will have to sit down and tell my full story (maybe that is something I can peck away at when I'm on the farm...I don't know how much my whole story could help here since I'm not actually a flatback/revision recoveree...but if somebody wants to hear about what another harrington rod patient went through circa 1986...well maybe that will make someone else feel less alone) But anyhow I would like to get settled in at home and learn how to better navigate the forum and get to know you all better since this is the first I have been able to talk to people like myself. It just seems like there are so many more questions I want to ask and I have to keep stopping myself from writing this book, also I want to be able to just chime- in on some of the postings but I can't seem to reply, I will try to figure all that out when I have a better connection...I'm writing this off-line so I can paste it without losing anything. I just wanted to let you all know how I made out, that I didn't quit and thank you all again for your help. So good bye for a little while...I have to make the most out of this last week of beach-life before heading back to the north-country...driving home every April is like watching spring going in reverse, there will be Daffodils at the first rest-stops...then just buds at the next...leafy trees behind and barren trees ahead...green turns to brown and finally that dreaded white stuff...back on goes the winter coat. Loved ones who are glad to see me tell me how great and tan I look but within a couple of weeks I'm just as pasty as everyone else and in my cold and achy misery it feels like my time here was just a dream. I wish you all better days ahead and a Happy Spring! Warmest Regards, Robin P.S. in regards to celebrities with Scoliosis...I always did think Gellar had it...I noticed someone listed her name. I used to watch Buffy and I could recognize it at certain angles...you know...when ever we look at ourselves in one of those three way mirrors in the dressing room...that's when I see it the most...I think " is it that noticeable? or am I just more aware? " Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.