In regards to lumbar back and/or pelvis, my chronological medical imaging and treatment history is documented here for the Sacroiliac Joint Surgery Blogs:
Jan. 2002
Back pain over lower back/sacrum, x-rays normal with only slight degeneration of L5-/S1, foot drop started, MRI ordered
Feb. 28, 2002
MRI-Lumbar w/o contrast
April 2002
L5-S1 Micro-disectomy
From 2002 to present
I have done a lot of conventional physical therapy for various symptoms related to lower back, hips or leg and for neck. The conclusion was S-I joint dysfunction/ pelvic instability
Feb. 2007
While in regular physical therapy, I woke up one morning with severe lumbar pain/SI pain which took the next month to get somewhat back to normal. First time this bad since 2002.
Mar. 9, 2007
MRI – Lumbar spine Impression:
- L5-S1 left lateral protrusion into an area of epidural enhancement which partly encases the left S1 nerve root. The protrusion contributes to moderate to severe left foraminal narrowing.
- Mild L3-L4 and L4-L5 mild disc bulges.
April 2010
Started P/T again because my left knee was getting painful while exercising on my own in Jan/Feb of this year and would continue in pain after I stopped exercise
June 28th, 2010
I came off of my horse and landed in my arena on my sacrum pretty hard and whiplashed my neck again. This set me back for several weeks and during this time I was desperate to try other alternative therapies, hence my chiropractor suggested prolotherapy. At time of accident, I had x-rays taken of neck and sacrum. Nothing too abnormal, cervical curve needed help from whiplash.
July 2010-July 2011
During this year, many appointments for prolotherapy in lower back/sacrum, left knee and inner calf, left ankle, and cervical neck areas
April 3rd, 2011
Left Leg NCV
March 2011– July 2012
Physical Therapy with Pinnacle Physical Therapy, Post Falls, Id This clinic has additional training in the practices of the Postural Restoration Institute. We incorporated the use of the patented Protonics Neuromuscular Rehabilitation Device/brace for left leg rehab which was invented by the founder of the Institute. Excercises included work for sacrum and both hips and rehabilitation for Patella-Femoral Syndrome. Pictured here with my up and coming show mare” SRO Joya Preciosa” while wearing the Protonics Brace.
Oct. 4th, 2011
Cervical Bone Scan with SPECT Cervical Bone Scan 10-4-11
Nov. 18-12/13/2011
7 appts for IMS (Intramuscular Stimulation) for myofascial pain/cervical and lower back/hip
December 27th, 2011
MRI Left Knee Left Knee MRI 12-27-11
January 9th, 2012
EMG study left leg
Electrodiagnostic Findings: Needle electromyography of the Left Lumbar paraspinal and lower extremity muscles revealed normal insertional activity, no denervation potentials and motor units that appeared with normal amplitude and configuration on voluntary recruitment which was in a normal pattern with full interference. Left peroneal motor disal latency, conduction velocities below and across the fibular head, and amplitudes normal. Left superficial peroneal distal latency normal with diminished amplitude.
Diagnostic Impression: This is an essentially normal study without evidence of Left lumbar radiculopathy or peroneal nerve entrapment at the fibular head; the diminished superficial peroneal sensory amplitude is of doubtful clinical significance, possibly related to local injury.
Mar. 6th, 2012
Prolotherapy of lumbar/sacral back area
Apr. 15, 2012
Sports Medicine doctor continued diagnoses: Left Sacroiliac sprain 846.1
Apr. 25th, 2012
Emergency appt with Pain Management doctor for new additional nerve pain that increased to major flareup of burning sensations down both medial legs, and sciatica
May 16th, 2012
MRI for Lumbar
Findings:
May 16th, 2012
MRI Pelvis w/o contrast Impression:
- Moderate spondylosis L5-S1
- Mild to moderate bilateral hip osteoarthrosis
- No acute processes within or about the pelvis
June 20th, 2012
L5 left transforaminal Epidural Steroid Injection
Aug. 8th, 2012
Prolotherapy to lumbar/sacrum, left leg IT band area, rt ankle
Aug. 30th 2012
Neurosurgeon Spokane initial consultation, no lumbar surgery needed at this time
9/6/2012
Bone Scan with SPECT, lumbar/pelvis Lumbar bone scan 9-6-12
9/6/2012
Pd Phone consultation with Vicki Vicki Sims, PT, CHT Gainesville Physical Therapy of www.sidysfunction.com author/expert manual therapist on Sacroiliac Joint Dysfunction
10/1/2012
Prof/Chairmen Dept of Orthopedics at University of Toledo, 2nd opinion with Spine/Sacroiliac Joint Dysfunction specialist, refer to Atlanta SI specialists
10/3/2012
Spinal/Sports Medicine consultation Precision Orthopedics Chardon, OH
Assessment: SI joint dysfunction refer to Atlanta SI specialists
10/5/2012
Positive Left SI joint injection, Toledo, Ohio SI Injection Procedure Rep pg 1 and SI Injection Procedure Rep pg 2
10/23/2012
Neurosurgeon, Spokane post bone scan consultation and discussion on SI procedures in Atlanta, nothing further for Neurosurgeon to offer at this time
Nov. 12th-14th diagnosis 724.6 Disorders of sacrum
Atlanta, Gainesville, pre-surgical evaluations by Vicki Sims PT Gainesville, Georgia PT , Dr. Howard (EMG/NCV studies), Dr. Weiss, Orthopedic Surgeon
Recommendations: Bilateral SI joint fixation with left piriformis release
11/15/12
Pre-surgical CT Scan Pelvis, SI Joint
- Findings: All normal, mild bilateral SI joint DJD without evidence of sacroletis
- Mild to moderate bilateral hip DJD and mild DJD at the symphysis pubis.
11/27/12
Family doctor review and concur for SI Surgery in Atlanta fixation only w/o piriformis release at this time
11/28/12
Spokane Pain and Sports Doctors review and concur for SI Surgery in Atlanta fixation only w/o release at this time. Follow up with further conservative measures on the piriformis muscle before releasing if needed in future
12/17/12
Sports Chiropractor, Spokane final appt for chiropractic care before SI Surgery in Atlanta which he recommends. Conservative care will not fix this problem
12/17/12
Pinnacle Physical Therapy, Post Falls, ID, concurs and recommends the SI fixation surgery w/o fusion. Finished with 1 ½ years of physical therapy for SI and related biomechanics.
1/17/13
IT’S A MIRACLE DAY
Bi-Lateral Percutaneous Fixation w/o Fusion Surgery, Gainesville, Ga by Surgeon – Dr. Weiss.
I am pictured here in room a few hours after surgery. A beautiful private room at the Northeast Georgia Medical Center, Gainesville.
For my other blogs on the Proximal Tib-Fib Joint Instability, Subtalar Joint Instability, and Peripheral Nerve Surgery, the medical imaging and treatment history is well documented chronologically in their perspective blog posts. Please see my home page for the tabs and/or links to all my instability and surgical stories.