Just a follow on from our conversation regarding my brother in law Brendan and his nerve damage.
Firstly I wanted to thank you for the website recommendations and help, it is fantastic speaking to someone with medical experience.
I just want to ask a couple of more things if that is ok with you?
Since our last mail Brendan has received a second injection which was very effective for approximately 5 days. It included some kind of heat treatment also or was given with a heat treatment.
Unfortunately since then, the pain has returned with a vengeance and obviously we were so hopeful that finally he may have a chance to return to his former life.
Brendan’s doctor called him to say he wouldn’t be performing any more injections on him. The doctor said that usually 3 injections could be given to a patient within a given year but he wants Brendan to work with the pain management team instead of receiving any more injections. Obviously we want to explore every avenue before resigning him to the pain with management and with the short effectiveness of the second injection we were so optimistic of success.
In your experience could Brendan be a good candidate for a third injection in any circumstance or what may be the reason he is not a good candidate for it?
Can I also ask your opinion on the MRI report, it reads as follows:
Disc desiccation at the C5/6 and C6/7 with loss of the intervertebral disc height at C5/6. Normal bone marrow signal.
C5/6: Posterior disc bulge eccentric to the right with moderate narrowing of the right neural exit foramen. No evidence of central canal stenosis.
C6/7: Posterior disc bulge eccentric to the right with mild narrowing of the right neural exit foramen. No evidence of central canal stenosis.
Posterior disc bulge at the C5/6 and C6/7. There is associated stenosis of the exiting neural foramen most pronounced on the right side at C5/6.
Could anything on this report cause the type of severe pain Brendan has or does the report look ok to you? Maybe there is something here we can look further into.
One more question I promise. We received a recommendation for Brendan to see a particular neuro-surgeon but is it a neurologist rather than a neuro surgeon that would potentially be able to help to investigate his case further.
Thank you so very much for all your help. Brendan got a short taste of near normal life and we are hopeful that this dream will happen again for a longer period of time so I am very appreciative of all your help.
All the best,