A member asked:

Insurance denied my spinal cord stimulator cus they said it was experimental. i need help appealing. if i had surgery on neck & lumbar, would i need revision surgeries later in life? i'm 24 yrs old.

14 doctors weighed in across 6 answers

Yes: Simple answers are not common in many spine problems. The quality of spine surgery has increased but in a 24 year old with a need for surgery in both the neck and lower spine, revision would be likely.

Answered 3/29/2014

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Consider Second op.: You need to be working with your own doctor, neurologist or neuro or orthopedic surgeon who is in the best position to properly evaluate the specifics of your condition. They are in the best position to make a case for appeal. If for some reason they fall short, consider a second opinion consultation. Good luck.

Answered 9/5/2013

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Dr. Soren Singel answered

Specializes in Neurosurgery

Diagnosis?: What was the diagnosis and indication for your back surgery? What was the diagnosis and indication for your neck surgery? What is the diagnosis and indication for the spinal cord stimulator? I wish insurance had been stringent on the initial surgical indications. You may want to run this by a reputable senior spine surgeon prior to any further surgeries.

Answered 11/24/2014

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Consider this: As mentioned, surgery is not in your best interest unless you have very clearcut indications, and sounds like you have had 2 procedures. Am likewise concerned about your mentioning injections, which must be closely monitored. Sounds like you may be heading to a lifetime of disability, and, at your age, this needs a different direction. See an experienced neurosurgeon at a medical school, asap.

Answered 9/28/2016

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Good: Except for a very few conditions in a 24 year old, someone putting a spinal cord stimulator for any reason is likely way overdoing things -- and then after you can't even get an mri, etc. And will most likely not have any lasting change in your symptoms. What is the diagnosis for this? I see you have fatigue, anxiety, and back pain -- but those are absolutely not reason for scs, be very careful!

Answered 12/14/2013

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Cautious: Scs is a great modality for resilient pain in appropriately selected patients. When indicated properly, insurance often covers the procedure. Prior to such procedures, it is important to treat true pathologic anatomic problems before a trial, snce scs only treats symptoms. You seem quite young to have scs, and i would be cautious to think this would give long term relief. Second opinion?

Answered 9/7/2013

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