Question
At the end of April 09 had total hysterectomy, all went well.  Three days later fever, extreme lower and abdominal pain.  Results abscess.  Interventionist Radiologist put in a drain in buttocks. Had for 2 weeks.  Ever since that I have abdominal pain predominately on right side of lower back down thru where drain was put in and up the front groin/abdomen. Headaches, stiffness, nausea, and sitting, standing, walking with pain intensity.  MRI of Thoracic, Cervical & Lumbar spine done non-contrast.Evaluation of soft tissues in Thoracic demonstrates innumerable cysts in both kidney.  Also T2 hyperintense foci with right lobe of liver.  Cervical Spine straightening of normal cervical spine lordosis is noted. No evidence of subluxation.  No fracture, cervical cord and brain stem normal caliber without myelomalacia.  Normal flow void is present within right vertebral artery.  Left vertebral flow void is present but diminutive compare to right.At C3-4 minimal annular bulging and endplate spurring causing left foraminal narrowing.  C4-5 minimal loss of height with intervertebral disc.  Early disc osteophyte complex greater on left with mild effacement of anterior CSF space and left foraming narrowing.
C5-6 loss of height and signal is present in intervertebral disc.  A diffuse disc osteophyte complex present and more prominent on right of central canal, causing effacement of anterior CSF space with flattening along ventral aspect of cord on right.  Foraminal narrowing also suspected.  C6-7 moderate loss of height and signal present.  Endplate spurring is noted.  Diffused disc osteophyte complex is noted causing moderate effacement of anterior CSF with left foraminal narrowing as well.

MRI Lumbar: The tip of the conus at T12-L1 with distal cord and cauda grossly unremarkable.  Innumerable cysts are present in both kidneys.  At L1-2 mild loss of height and signal present with disc.  A mild diffuse annular bulge is present.  No stenosis or foraminal stenosis identified.  At L3-4 loss of signal is present in disc.  An early annular bulge is present  Moderate facet joint arthrosis and mild ligamentumflavum hypertrophy present.  At L4-5 loss of signal is present.  Minimal diffuse annular bulge.  Also facet joint arthrosis and ligamentumflavum flavum hypertrophy also present contributing to mild central canal and bilateral foraminal narrowing.  Same for L5-S1.

CT Abdomen & Pelvis:  A 2mm micronodule is present in right lower lobe otherwise clear.  There are multiple subcentimeter foci with right and left lobes of liver.  A faint, ill defined area of low density in right lobe near liver dome may correspond to the cavernous hemangioma mention on prior CT.  Kidney are markedly enlarged and have innumerable cysts which is compatible with polycystic kidney disease.  Several foci in right kidney with increased density with cysts.  A 5mm focu from the posterior aspect of right kidney demonstrates increased density.  This may represent a small hemmorrhagic syst.  Additional foci of suspected early peripheral calcification within cyst walls is noted on left.  Pancreas, spleen and adrenal glands have unremarkable, unenhanced CT appearance.  Diverticulosis is present with the sigmoid colon without evidence of diverticulitis.  A small fat containing umbilical hernia is noted.
Facet arthrosis is noted within lumbar spine.  

I am aware of the Polycystic kidney diease, its hereditary.  Mother died of it, brother had transplant 6 yrs ago.  What I would like to know is what all this means in a language I can understand and what type of Doctor/Doctors do I see?

Thank you in advance for your time!

Answer
Hello, Gail.

The part of the question I can address has to do with annular bulges of the discs and arthrosis.

Both of those point to heightened tension of the back muscles which, through their tension, squeeze the vertebrae together, compressing discs and cause friction on the joint surfaces of neighboring vertebrae.

The readings on organ condition are outside my scope of practice.

The drain placed in your buttock would, by itself, trigger protective muscular contractions, which would likely cause part of your pain.

The kind of practitioner to see for that is a clinical somatic educator, who takes you through a process through which you correct your own muscular tensions patterns, allowing muscles to relax and pain to decrease.

May I suggest you read:

http://www.somatics.com/recovery_from_injury.htm

which explains more and gives access to practitioners.