I've been following this thread since it's inception, a couple of YEARS ago. Soooooo .... what's the deal? I just got through re-reading from beginning to end and haven't heard from one single person verifying the title.
However, I found this response interesting and enlightening:
Re: Hollis Potter Now Giving Great MRI Protocol In Other States
Postby ysabal96 » Sat May 26, 2012 10:58 am
I do know this I recently asked my doc for a scrip 2 see Hollis Potter and was assured we had our own 3T imaging here in CO using Potter's software. We do have such-but they have NO idea what they are doing with it. The reading showed everything on my right side and muscular, missed the surgery I had just months before which removed a large chunk of my ischial tuberosity and had severed all 3 of my hamstrings-there was visable skin and scar deterioation-my left side showed nothing-BUT that's where all my pain is & my surgeries. Besides the other surgeries I had less than a year and a 1/2 earlier which my PT said would have been noted by Potter. I have a July 11th with Potter, but my Ins.won't pay & I paid for the cracker jack one 2. So I'd say just pay for the right one in the first place=).
I had the same type of experience in RI, where I was supposed to be getting a "Potter equivalent 3T MRI". Not so much.
To further support the importance of having a well trained radiologist reading your images, vs. someone having the equipment and a protocol:
Entrapment neuropathies can manifest with confusing clinical features and therefore are often underrecognized and underdiagnosed at clinical examination. Historically, electrophysiologic evaluation has been considered the mainstay of diagnosis. Today, cross-sectional imaging, particularly magnetic resonance (MR) imaging and specifically MR neurography, plays an increasingly important role in the work-up of entrapment neuropathies. MR imaging is a noninvasive operator-independent technique that allows identification of the underlying cause of injury, differentiation between surgically treatable and untreatable causes, and guidance of selective diagnostic anesthetic nerve blocks. Pathologic conditions affecting the lumbosacral plexus and major motor and mixed nerves of the pelvis and hip include neuropathies of the lumbosacral plexus, femoral nerve, lateral femoral cutaneous nerve, obturator nerve, and sciatic nerve; piriformis muscle syndrome; and injury of the gluteal nerves. Diagnosis of entrapment neuropathies of the pelvis and hip with MR imaging requires familiarity with the normal MR imaging anatomy and awareness of the anatomic and pathologic factors that put peripheral nerves at risk for injury.
jaxi123 wrote:When dr hibner saw my results of dr potter's MRI he said it was normal scar tissue. Dr potter sai I am re entrapped at alcocks canal and sciatic nerve is partially entrapped after second surgery. Now who is right?????
How very confusing and upsetting, Jax. I guess what you need to do is ask yourself if your current symptoms correlate with your most recent MRI findings. Hopefully, that will give you your answer as to who is right.