Please see MRI Report & suggest.

Tagged: Leg pain and weakness of unknown origin.

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msi_g
Participant

July 3, 2019 at 4:56 am

Post count: 6

#30679

My mother is 62yrs female.Who had foot drop and fallen from stairs just one step and then she got pain in the waist. Thinking pain is from gastritis she took some antacid but that pain started to be acute day by day.Day by day she started to fell problem in walking and that walking problems started to increase as the time passes by.Then she consulted an Othopedist who suggested immediate surgery(fusion with pedicle screw) even this doctor did not prescribe a single medicine telling that in such a situation prescribing medicine will be a sin to me.Worth to mention that before going to this orthopedist my mother visited some other doctors who prescribed almost same medicine (e.g. pregablin,omeprazol,several types of vitamin b, Baclofen tablel,aceclofenac etc).
Now my mother facing problem mainly in the left side of the leg as below:
1. Can not easily walk. Left leg is almost non helping while walking
2. Feels weakness in the left knee while walking
3. There prevails a while streak in the toe along thumb finger of the left leg
4. Waist pain
5.Can not stand without support if she sits on leg
6. Can not stand for long
7. Can not walk keeping the spine straight
8.Problem in the left knee, left-leg-fingers and left leg
9.Feels a stress in the ligament/muscle of the back side of left leg while walking
10.Develops a depression like hole in the left thigh while walking.
11.Whizzing sound in the chest
12 No diabetes, creatinin level ~ 0.7, moderate hypertension

Here i have shared the link to the MRI report in pdf format.

Please suggest me if my mother only needs surgery to get cured.What if my mother lingers to operation?

Donald Corenman, MD, DC
Moderator

July 3, 2019 at 7:58 am

Post count: 8660

#30680

I cannot open the MRI report from a hyperlink. Please copy and paste the MRI report here.

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.

msi_g
Participant

July 3, 2019 at 8:48 am

Post count: 6

#30683

MRI report is a pdf file shared via google drive.

I am having problem in adding this pdf file except sharing link even no luck with img option :(

Donald Corenman, MD, DC
Moderator

July 3, 2019 at 10:42 am

Post count: 8660

#30687

Please don’t try to attach images as this does not work well. Simply copy and paste the radiological report and that should suffice.

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.
msi_g
Participant

July 3, 2019 at 9:28 pm

Post count: 6
#30694
My mother is 62yrs female.Who had foot drop and fallen from stairs just one step and then she got pain in the waist. Thinking pain is from gastritis she took some antacid but that pain started to be acute day by day.Day by day she started to fell problem in walking and that walking problems started to increase as the time passes by.Then she consulted an Othopedist who suggested immediate surgery(fusion with pedicle screw) even this doctor did not prescribe a single medicine telling that in such a situation prescribing medicine will be a sin to me.Worth to mention that before going to this orthopedist my mother visited some other doctors who prescribed almost same medicine (e.g. pregablin,omeprazol,several types of vitamin b, Baclofen tablel,aceclofenac etc).
Now my mother facing problem mainly in the left side of the leg as below:
Here i have shared the link to the Clinical report(2Xrays and 1 MRI) as below.

Please suggest me if my mother only needs surgery to get cured.What if my mother lingers to operation?

-----------------------------------------XRAY-1-------------------------------------
Left Knee Joint B/V:
Impression:Mild osteoarthritic change in left knee joint.
-----------------------------------------XRAY-2-------------------------------------
L.S. Spine Both views:
Impression:Degenerative changes in lumbar spine.
L.S. Spine Lateral vies in flexion and extension:
No forward or backward listhesis of vertebrae is seen in flexion/extension view
-----------------------------------------MRI-------------------------------------
Clinical history
Back pain radiating to the leg
Findings:
Pre and paravertebral soft tissue appear unremarkable
Conclusions:
Broad based disc herniation at central-paracentral L3-5 levels causing mild thecal sac indentation.
msi_g
Participant

July 4, 2019 at 8:22 am

Post count: 6

#30695

I have added 2 xray and one mri report findings.
Please have a look if it suffices. I am really having trouble to use this site as newbie! :(
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Donald Corenman, MD, DC

Average rating:

81 reviews

Eric S

Sep 26, 2021

by Eric S on Donald Corenman, MD, DC

Successful pars repair at 46 years old

Back in November of 2018 (at 46 years old) I came from Vancouver BC to have a pars repair done with Dr. Donald Corenman at the Steadman Clinic in Vail Colorado. I'm finally posting this review nearly three years later in late 2021. The reason I waited so long was I wanted to know the final result before I posted my review. Unfortunately in that time Dr. Corenman has retired. Nevertheless, I want to post this review of Dr. Corenman and his staff at the Steadman Clinic in their excellent treatment of my L5 pars interarticularis.

I fractured my pars at age 42 back in 2014 when rolling on the gym floor, and was denied treatment by the Canadian healthcare system, probably due to my age. First my GP told me there was no surgical option for a pars defect, which was quite incorrect! I tried to live with it, but the symptoms worsened (periodic random spine slippage and weeks of resultant pain after just bending over to tie my shoe, so I eventually learned to mostly squat and hardly bend). When I finally consulted with Canadian spine surgeons, I was told they believed my pars defect had been congenital (since birth). This was absurd, considering I had done extreme martial arts (including jiu jitsu) for years prior, as well as 5 years of reinforcing steel full time in my 20s, probably the hardest job on the back you can find. No pars defect like mine would possibly have allowed this--ergo it was impossible that I had had the defect since birth. I did however have an asymptomatic congenital spina bifida occulta that made me more susceptible to a pars fracture. In 2014 in one instant, I went from having the strongest back people I knew said they'd ever seen, to being unable to safely bend over and tie my shoe without a non-negligible risk of my spine slipping randomly (which would lead to weeks of pain after each occurrence). This was due to the unilateral L5 pars defect, otherwise known as spondylolysis. It was when lying in pain on the floor 4 years later after maybe the 6th spine slippage event post injury, that I had had enough, and resolved to have surgery. If Canada's "universal health care" said no, I would make lemonade from lemons, and find the very best surgeon in the world at pars repairs. That was Dr. Donald Corenman. Dr. Corenman back in 2018 ran a website https://neckandback.com/ that dedicated many pages to the science of every aspect of pars repairs, from eligibility (good discs on MRI), to best surgical techniques (minimal open compared to minimally invasive), best imaging to use (i.e., O-Arm with Stealth imaging vs. older fluoroscopy), the ideal amount of BMP to use and why not use too much or too little, and much more, all to do with pars repairs, pages upon pages of his site just on the pars, with scientific references and his own extensive expert opinion. As a health research statistician, I was very impressed with this. It was in stark contrast to the websites of other spine surgeons which barely gave the pars a word or two, focusing almost exclusively on fusions. I had found the best surgeon in the world for pars repairs, and so after Dr. Corenman personally screened my MRI to ensure my discs were healthy, I booked the surgery.

Being 46 years old at the time of surgery in 2018, with a 4-year-old pars fracture from 2014 combined with a congenital SBO meant my pars fragment was somewhat atrophied, but it was "very solid", said Dr. Corenman in the operative report. Nevertheless, it was challenging with two things to fix, the pars and SBO, and OR time was around 4 hours. Recovery over the following months was guided by a very clear "Spine binder" from the Steadman Clinic with strict rules of "no BLT" (no bending, lifting or twisting), and illustrated physiotherapy guidelines. They even warned patients to avoid fish oil supplements, which could excessively dampen inflammation and hence slow bone healing. They answered many questions I had during months of recovery, with responses coming from the very supportive Lori Fugate (then director of Dr. Corenman's practice), and Ehrich Bean (then physician's assistant at the practice), as well as a couple calls with Dr. Corenman himself after two of the CT scans. Ehrich Bean offered great advice for taking the spine binder conservatively due to the nature of pars repairs vs. fusions. The final post-op CT scan I had was a couple weeks ago at 34 months post-op, and Dr. Corenman had retired, but I got a very positive and informative call from Eric Strauch (current PA at the Steadman Clinic under Dr. Corenman's replacement there, and who had also worked with Dr. Corenman previously). The staff at the Steadman Clinic were extremely supportive all the way through the process. I should mention, the local Canadian spine surgeon did offer me very good post-operative support including antibiotics as needed to deal with a mild surface incision-site infection early on, booking numerous x-rays when I felt something was amiss, as well as booking all four of my post-op CT scans. I am very grateful for that support also.

My final result shows plenty of solid bone across the pars and a healed SBO, with my vertebral body now a solid bone ring instead of being broken at two places as it was pre-op. Does my spine hold up in the real world? You bet! I have recently dug and moved several yards of dirt and sand and gravel by myself (shovel and wheelbarrow!) to fix our water main, pulled roots from the yard, moved several "portable" (these are HUGE) air conditioners up several flights of stairs my myself, and lifted weights. I now run 2 miles (3.2 KM) several times weekly with a hard 100 meter dash in the middle. I bend deeply before each run I go on, with no spine slippage. My spine feels amazing. I can bend over to do exercise, or real word tasks, with no risk of spine slippage.

My sincere thanks to God, Dr. Donald Corenman, Lori Fugate, Ehrich Bean, Eric Strauch, and the Steadman Clinic, as well as the Canadian spine surgeon who offered me excellent post-operative care back in Canada. You have all given me a new lease on life.

Sincerely,
Eric S

Robert S

May 11, 2021

by Robert S on Donald Corenman, MD, DC

Back Fusion Surgery

I had my entire lumbar spine fused in November of 2018. I had scoliosis , with pinched nerves that were so painful I could hardly walk - and standing for more than a few minutes was impossible. Even sitting was painful.
The fusion surgery produced immediate relief! And the recovery was much easier than I expected.
To this day I can do all the activities I love from hiking, to standing in a stream fly fishing to riding my bike long distances - or just walking down the street with my wife.
Kudos to Dr. Corenman and his staff, (including the two Erics) for taking such good care of me!

Leslie R

Jul 9, 2020

by Leslie R on Donald Corenman, MD, DC

TLIF

I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. I highly recommend Dr. Corenman and the Steadman Clinic.

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