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  • cmpeck77
    Participant
    Post count: 2

    For the last 9 weeks, I have been experiencing the following symptoms (listed in order of most distressing to least and how much they interfere with my daily life):

    -Feeling like I’m being pulled in a particular direction when I walk. Feels like a sensation on the back of my neck and head that is “lifting” me in some way

    -When I turn my head sometimes, I feel as though there is this strange disconnect between my neck and my head. It results in an odd sensation throughout my head, like a strange tightness and fogginess. (I know how crazy this sounds, believe me.)

    -Stiffness in my right arm and feeling clumsy with that hand when doing things like typing or using a fork

    -Feeling like my left foot is not making full contact with the floor, even though I can see that it is

    -Legs feel stiff or clumsy, as if the muscles are just not flexing right when I walk. This is most noticeable when I am taking small steps such as in my kitchen space, not necessarily when I’m walking long distances, say across the house. But most noticeable when I try to stop at the sink, counter, etc. and I’m taking shorter steps. My feet sort of “thud” on the floor at times.

    -When I bend slightly forward (as in brushing my teeth over the sink or trying to wash dishes) it feels like I cannot stop myself from bending forward more. I try to stop and only go as far as I need to, but it’s like my muscles just keep going a bit further. It feels sort of like when you are on a muscle relaxer, but I am not.

    -Feeling a sudden heaviness of my entire body. It’s as if I just became 100 lbs heavier and cannot support myself. A very strange feeling.

    -Early on, I had a few significant episodes of what I will call vertigo, but instead of the room spinning, it was as if I was and couldn’t walk straight. Also, even when laying in my bed, I felt like the bed was rocking a bit. (Inner ear issue has been ruled out.)

    -Early on, I had some excruciating headaches that were new and so bad they sent me to the ER ruling out stroke and tumor via MRIs and MRAs. Recently though, “headaches” have evolved into a strange tightness across the top of my head, sometimes accompanied by face numbness on the right side.

    I saw a neurologist who did all the usual reflex tests, etc and he ordered an MRI of the cervical spine. I have had neck issues in the past, but they always consisted of insanely tight muscles and it would take a few days (and sometimes physical therapy) to work it out and feel better.

    The MRI of the cervical spine showed the following:

    C5-C6: There is a moderate right paracentral disc herniation of the extrusion type causing ventral cord abutment and mild spinal canal stenosis with AP dimension of 7.4mm. Associated right paracentral annular disc tearing. Mild increased cord signal at this level, consistent with a degree of myelomalacia. No evidence of neural foramina narrowing. Scattered subcentimeter cervical lymph nodes are identified, likely reactive.

    In order to be thorough, I had a second radiologist review my images and her findings were:

    C5-C6: There is a disc protrusion with a small central-right paracentral extrusion. This results in mild flattening of the right lateral cord. There is mass effect on the proximal right foramen and ventral nerve root. Left neuro foramen is normal.

    C4-C5: Very mild right disc bulge with no effect on cord or foramina.

    Axial images are otherwise normal. No cord atrophy or edema

    I have no actual neck pain, really. Occasionally, I might feel a twinge of something back there, but nothing I would ever complain about. Could these findings on the MRI be causing any of these symptoms? I am desperate to find some answers as my life has been extremely limited and depressing for the last 9 weeks.

    Thank you.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    You have cord injury that probably caused myelopathy (“C5-C6: There is a moderate right paracentral disc herniation of the extrusion type causing ventral cord abutment and mild spinal canal stenosis with AP dimension of 7.4mm. Associated right paracentral annular disc tearing. Mild increased cord signal at this level, consistent with a degree of myelomalacia”).

    This would explain many of your symptoms (see https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/).

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    cmpeck77
    Participant
    Post count: 2

    Thank you so much for your response. Myelopathy sounds so frightening and very severe. I’m only 40 so thinking it could come from degenerative changes seems unlikely. The only “injury” I’ve ever sustained was having my very first chiropractic adjustment immediately before this started. Would myelopathy symptoms be showing up this quickly? It sounds like it’s basically a disability sentence and that’s really hard to believe considering how healthy I am otherwise.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    You most likely need a decompression and fusion (ACDF). This surgery has a reasonable chance of giving you relief. Possibility that the initial manipulation created a spinal cord injury but that would be unusual. Many patients do gain some symptom recovery after surgery.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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