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Q&A: Following second MRI physician says back is fine?

December 4th, 2013

Query by crljeff: After 2nd MRI physician says back is fine?

I have been going to Kaiser for in excess of a yr and a half for my reduce back. I completed the pain management course for a poor reduce back and ache. They gave me a MRI final yr and said I had mild spinosis secondary to congentical canal stenosis, arthritis, bulging disk amongst other factors. I was in pain, and my discomfort would keep with me in which I could not rest at night since my legs would have shooting cramp like pains. I also have warm sensations going down my legs. Following going above a yr to Kaiser for this. I commenced to get the impression they had been exhausted of treating me. A number of months in the past they gave me six steroid shots all in the identical day. The next morning when I was about to get up, I had this horrible pain, and I was doubled over and had chills. It would happen for a handful of weeks. I referred to as Kaiser and spoke with the medical doctor who gave me the shots and she told me this was not from the shots, and probably some other back concerns I had that I can come to feel now, due to the fact the other difficulties had been taken care of from the shots. I informed her I had pain, but in no way like that prior to. The shooting pains let up some following the shots, so I was in a position to rest a tiny better, but I nevertheless have pain in my lower back and hips when I lift something that has weight. I just received an additional MRI final week. They did dye this time. My doctor informed me my mri was “much better” than the initial one, and the disc bulge is far better, and I need to go on and and do my standard program and go back to operate. I told her my back is even now agonizing(ache fee is often 7-8) and if I lift one thing heavy, it goes to ten and stays theres until I rest it and allow time go by. She informed me she does not know why my back is even now hurting and my “discomfort level” might be minimal. I could not think she said that. I bear in mind my pain therapist telling me that Kaiser had altered their policies regarding the doctor and their ability to deal with SDI (short phrase), after dealing with me. My medical professional at Kaiser was extending my brief phrase disability advantages until they ended. I never know what the situation was, if it had something to do with employees comp,or the state or what. But anyways, I had been possessing neck “aches” and pain from my neck and I asked for a x-ray. I know I had arthrithis and a undesirable disc in my neck but I did not tell the doctor. She gave me a x-ray, and sent me a letter saying almost everything was standard and very good. A red flag went up in my head. Then, Following this MRI, the doctor calls me and says my MRI on my back is better and my bulging disc has mysteriously gotten far better and I ought to not be possessing any back soreness, and I may possibly have ” chronic pain”. But now they say I have epidural lipomatosis. I do not believe in Kaiser and I was considering about taking copies of my X-rays and MRI’s and getting another view. I would detest to believe that Kaiser would not inform the reality and lie rearding a individuals well being concerns just to appease some other entity that is on them concerning SDI or other problems. Is there a word for this kind of conduct?

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Reply by David B
Wow, you are a really hard situation.

Every person has disc bulges and some arthritis. You look to genuinely dwell on the findings that actually are not too substantial.
You seem to have what is called “symptom magnification”.
The healthcare individuals sense that no matter what they do or say…you are not going to ever get far better, for you have been on disability and perform comp. and odds are…you will never get off of it.
Please don’t forget…the final point you want is a surgery you do not need.
I have seen this variety of situation above and above yet again.
It is like viewing an previous film..you know what is going to occur up coming but there is not a thing you can do about it.

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  1. Cindy in Texas
    December 4th, 2013 at 05:58 | #1

    83% of people with low back pain were vitamin D deficient
    95% of people with chronic pain had the pain go away with vitamin D

    I suggest you have your vitD levels tested.

    Symptoms of acute vitD deficiency can include –

    Weakness, Sadness, Listlessness, Tiredness, Muscle-Pain,
    Cramps, Cramps at Night,
    Circulation problems,
    Twitching, (Eyelid, Arm, or Legs)
    fingernails have small white spots,
    Dizzyness, Dizziness that disappears when lie down
    Headache, Headache – Standing up, Headache – Sport, Headache – disappears, when laying down
    Standing causes backpain, hip-pain, groin-pain, and/or leg-pain. Standing for a long time causes pain in legs

    Vitamin D3 deficiency has become an epidemic, probably because people are washing daily. If you wash skin exposed to the sun within 48 hours, you wash off the oils where the vitamin D production starts. In northern latitudes (above that of Atlanta, Georgia) the sun is at too low an angle for half the year to provide sufficient UV radiation. If even available, UVB rays are only accessible while the sun is directly overhead. Most people need to take vitamin D, especially seniors, as the ability to synthesize vitamin D in the skin declines with age.

    With exposure to sunlight in the summer, the body can generate up to 20,000iu of vitamin D per hour with no ill effects. In addition, no adverse effects have been seen with supplemental vitamin D intakes up to 10,000 IU daily.

    Vitamin D3 is not a vitamin at all but a necessary hormone that effects the immune system, bones & nearly every aspect of health. Having low Vitamin D levels greatly increases risk of cancer, heart disease, diabetes, MS & being deficient can create or greatly exacerbate health problems. Many researchers claim that optimized vitamin D levels are more effective than a flu shot in preventing viral infections.

    Always take your vitamin D with a fat-containing meal to ensure absorption.

    http://www.drweil.com/drw/u/QAA400676/More-Vitamin-D.html

    The prescription vitamin D supplements are the wrong type (ergocalciferol – vitamin D2). As warned by the National Institute of Health –

    http://www.ncbi.nlm.nih.gov/pubmed/17023693

    Luckily you can buy vitamin D3 (cholecalciferol) over the counter and the upper limits are extremely high. U.S. RDA are much too low. Current recommendations from researchers are for 35iu per pound – a 150# person needs minimum of 5250iu per day (which is for minimal needs and does not replenish depleted stores) & the rda is 400iu.

    Research published by Grassroots Health from the D*Action study shows that 97.5% of the adult population needs to take 9,600 IU’s of vitamin D per day in order to elevate their levels above 40ng/ml, which they believe is the absolute minimum for disease prevention. Need 14,100 IU/d to get 97.5% of the population above 50 ng/ml Universal intake of up to 40,000 IU vitamin D per day is unlikely to result in vitamin D toxicity.

    I also highly recommend a low carb way of eating for optimal health.

    http://curezone.com/forums/fm.asp?i=1560518#i
    http://articles.mercola.com/sites/articles/archive/2009/10/10/Vitamin-D-Experts-Reveal-the-Truth.aspx

    Your vitamin D level should never be below 32 ng/ml, and any levels below 20 ng/ml are considered serious deficiency states, increasing your risk of as many as 16 different cancers and autoimmune diseases like multiple sclerosis and rheumatoid arthritis, just to name a few.

    They found that the body does not reliably begin storing cholecalciferol in fat and muscle tissue until 25(OH)D levels get above 50 ng/ml (125 nmol/L). That is, at levels below 50 ng/ml (125 nmol/L), the body uses up vitamin D as fast as you can make it, or take it, indicating chronic substrate starvation—not a good thing. 25(OH)D levels should be between 50–80 ng/ml (125–200 nmol/L), year-round.

    http://www.vitamindcouncil.org/health/deficiency/am-i-vitamin-d-deficient.shtml

    http://www.womentowomen.com/healthynutrition/vitamind.aspx

    http://enews.endocrinemetabolic.com/2008/05/vitamin-dthe-cure-for-many-diseases.html

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