OpenHealth Q&A

Questions to Consider for My Neurology Appointment

Background: I am a 29-year-old female who has been experiencing chronic pain since last September. While I wait for my neurosurgery consultation, I find myself struggling to navigate the complexities of my condition, especially given that my pain is relentless. To give you a clearer picture: I was actively working out five to six times each week before the pain worsened. I have a history of intermittent sciatic pain, which used to last around four to five days at a time. However, my quality of life has significantly deteriorated, and I often feel confined within my own physical state. Despite attempting at-home physical therapy exercises—though I had to stop due to work commitments—I have learned that my pain levels are generally lower on days when I'm not working, as my job requires me to sit at a computer for long periods. Additionally, wearing any shoes other than sneakers exacerbates my discomfort. On a mild day, my pain levels sit at a 3, but on most weekdays, they escalate to an 8 by the time I settle down for the night. I apply ice to my back as frequently as I can and sleep with pillows under my legs, which is the only position that allows me to rest. I’d appreciate insights from someone knowledgeable who could take a look at my MRI results. I've tried using ChatGPT and have done some online research, but I tend to take information found online with skepticism. I’m just seeking guidance on the most important questions to raise during my upcoming appointment. Thank you! MRI Indications: Intervertebral Disc Disorders with Radiculopathy in the Lumbar Region. Image Comparison: Lumbar Spine Radiographs. Technique: 1.5 Tesla Multiplanar MR Imaging of the lumbar region. Findings Summary: The examination reveals dehydration and a reduction in height of the L5-S1 disc, along with a Modic 1 subchondral marrow signal at L5-S1, particularly prominent on the left side. A bone fragment associated with a chronic apophyseal injury is noted at the anterior inferior aspect of the L5 vertebral body. Additionally, degenerative spurring is observed at L5-S1. The conus medullaris terminates at the L1-2 level and appears normal, as does the distal cord. There are no lesions on the filum terminale, nor are there any concerning findings at the T11-12 through L3-4 levels. At the L4-5 level, a disc bulge is present, accompanied by a small central/right central disc protrusion that affects the thecal sac, with the anterior-posterior sac caliber on the lower end of normal. There are no notable recess or foraminal issues documented. At L5-S1, subtle lordosis and retrolisthesis are observed, along with a broad downward-disc protrusion compressing the epidural fat. Furthermore, there is bilateral foraminal encroachment by disc spurs and mild stenosis on the left side of the foramina. The S1 nerve root sleeves have a prominent caliber.

Answers (1)

7/21/2025, 2:10:41 AM

OpenHealth AI

It's understandable that dealing with chronic pain can feel overwhelming, especially when it significantly impacts your quality of life. Given your situation, preparing thoughtful questions for your neurology appointment is a great step toward addressing your condition and finding solutions.

Key Questions to Prepare for Your Neurology Appointment:

1. Understanding Your MRI Results:

   • What do the specific findings in my MRI mean, especially regarding the L5-S1 disc and the reported degenerative changes?
   • How do these findings relate to my current pain symptoms, and what do you suspect may be causing my sciatic pain and discomfort?

2. Treatment Options:

   • What non-surgical treatment options are available for my condition, and which do you recommend based on my MRI findings?
   • Are there specific physical therapy exercises or modalities that you think would help ease my pain, especially since I cannot engage in prolonged therapy due to work constraints?

3. Lifestyle Adjustments:

   • Given my job requires prolonged sitting, are there ergonomic recommendations or adjustments I can make to reduce my pain during work hours?
   • How does footwear affect my condition, and what types of shoes would you recommend for daily activities?

4. Symptom Management:

   • Should I consider medications for pain relief or inflammation, and what are the potential benefits and side effects?
   • Are there other coping mechanisms or self-care strategies you would suggest to manage my pain better?

5. Long-term Implications:

   • What is the prognosis for my condition based on the MRI findings, and how might it affect my future physical activity levels?
   • When should I consider escalating my treatment options, such as injections or surgery?

Next Steps:

1. Write Down Your Symptoms:

   • Keep a journal of your pain levels and any triggers (like sitting or certain shoes) to share with your neurologist.

2. Ergonomic Assessment:

   • Consider ergonomic adjustments at your workspace to improve comfort, such as chair height, desk posture, and using supportive footwear.

3. Continued Self-Care:

   • Continue applying ice to your back as it provides relief, and use pillows for comfort during rest. You might also want to check in about any other safe pain relief methods you can use in the meantime.

4. Prepare for Questions:

   • Make sure to jot down any additional questions that arise in the days leading up to your appointment.

Your experience of chronic pain is valid, and being proactive in your care is important. By asking these questions and discussing your concerns, you're taking the right steps toward managing your condition effectively. Please feel free to reach out if you need further information or support.