Hi again Folks,
Well, since so many of you were kind enough to enquire about my "discitis" problems, I thought I'd post an update.....
I had an appt with my rheumy yesterday. After examining me and my latest x-rays and the bone scan, he seems to think surgery (another fusion, I'm assuming - I was a bit shell-shocked at the time, and forgot to ask!)is my only option

He wants me to have an MRI, a gallium scan, and possibly (I'm desperately hoping NOT, as the thought terrifies me - UGH! I HATE needles!!!) a needle biopsy into the almost non-existant disc (L3/4), if there's any lingering doubt that it might be infected, rather than sterile, (even though he's almost 100% sure it's not), first though. So, rather than me having to keep going backwards and forwards having all these tests done whenever I can be "fitted in", and then going back to his surgery for the results each time, he's booked me into hospital on Monday afternoon for a few days, so we can get everything done in one go. (YAY!) Seeing as my life is now reduced to doing nothing more than lying around the house watching TV, (I'm sooo bored and fed-up!), it seemed to make sense, but I'm NOT looking forward to it, as I'm sure you can imagine!?

I had spinal surgery in 1991 (discectomy, laminectomy and fusion) at L4/5/S1, after 2 years of being totally bombed-out on painkillers, unable to do anything at all - much like now. I know it was absolutely necessary - it wasn't going to get better by itself, only worse. It didn't get rid of all the pain, but it kept me on my own 2 feet (most of the time) and out of a wheelchair. It was a horrendous experience, (for me personally, anyway,) and one I honestly never dreamt I'd ever have to go through again. I thought it was "fixed"! I had nightmares about it for years afterwards, and I'm now scared to death at the prospect of a repeat procedure. (I know what to expect this time! Back then I was just scared of the "unknown"! I think this is worse!!) That was several years b4 my AS dx too. For some reason I thought being on mtx, and knowing what I was battling against, would somehow stop me needing anything like that ever done again..........
It took me months and months of exhausting and painful hard work to get mobile again (3 x a week when I could manage it, swimming 30 laps or more, plus all the daily stretching, pilates-type exercises and weekly hydrotherapy........), and it's been an ongoing, uphill battle ever since, just to try and stay mobile - as you all know only too well for yourselves...... I honestly don't know if I can face it all again.

Rheumy reckons the extra stress put on L3/4 after the previous op has caused, or speeded-up, the degeneration of the disc, and the "subluxation" of the vertebrae, but says that, if I don't have this 2nd fusion, things will only get worse. (Talk about being stuck between a rock and a hard place!! Sheesh!) I haven't dared to ask about the prognosis, or if he can even give me one.....
(I feel like saying "just fuse them all together now, and get it over and done with"......)
Am I going to have to go through this every few years from now on?
Why has this happened? I've done everything they've told me to; kept my weight (reasonably!) under control, done my exercises (nearly!) every day, tried not to do anything stupid, like heavy lifting, vacuuming, etc., and taken all my meds, and yet here I am agin, back in the same dreaded place I was 14 years ago......

I know many of you have been through multiple surgeries, most of them far worse than this, and many of them life-threatening, so I should stop being such a self-pitying wimp, but right now I'd like to crawl under my duvet and stay there until it all goes away!!

I'm not expecting anyone to try and reply to this monologue, BTW, but thanks for putting up with my "venting"!
Sue
