Donald CorenmanKeymasterJune 28, 2011 at 5:46 amPost count: 52
5 years ago I had an accident at work, where I had a horrendously nasty fall. I slipped on a pool of water on a polished floor, I started to fall backwards, I somehow managed to pull myself forward but ended up twisting my left ankle and crashing onto my knees sending me sliding head first into a metal stand. I ended up with a badly twisted left ankle,severe bruising to both knees, over balanced on to my right hip, continued to sliding hitting my back and right shoulder on the metal framework, finally coming to rest with my head and neck burried against the metal stand. The water on a polished floor was equivalent to falling on ice. My GP refered me 9 months after the accident during this time I was taking strong painkillers.The consultant asked where most of my pain was,I told him it was my ankle and right hip, but I also had a great deal of pain in several areas of my back. The consultant decided to concentrate only on my ankle and pelvis. I also had an MRI scan of my right hip at around the same time, apparently there were no signs of a Laberal tear. Four years later and still suffering debilitating chronic back pain,from the neck, down to my coccyx, my GP arranged a full spinal MRI,his request was lost in the British health system files, but I eventualy had my scan 5 years after my accident. I was told that I have a few bulges in my spine, the quality of the images were poor, made worse by the fact I moved and blurred some of the images. I thought it would be a good idea to have a second MRI scan done privately, this I arranged to have done in Norway, as it was considerable cheaper, again the results are inconclusive, having watched several of your lectures on the internet I was very impressed with your info vidios. If you feel that you could help me and study both my scans, plus a spinal mouse report from my osteopath, showing several areas of concern, the areas that were highlighted in the report corresponded exactly where my pain is. A general outline of my pain started off mainly from my hip, it is now radiating from my Lumbar spine,to my right buttock, and down my leg. I walk with a perminant limp. I have pain in my Thoracic spine mainly from inside my chest, also my neck is extreamly painful with limited movement, I am also unable to lift my left arm fully, I feel sure that in the begining I may have fractured a vertebrae,do you feel that after five years you would still be able to spot any fractures or scaring within my scans.Ive always felt I have a trapped nerve somewhere as it makes me shout out in pain. Five years on, its at a point now that I can not do periods of anymore than 15 minutes standing without suffering horrendous pain, if I miss step for any reason my back can be audiblely heard by others to make a loud crack, which sends me crashing to the floor where my legs just give way under me, getting in and out of my car ( volvo XC90 auto ) I often have to physically lift my legs in and over the door sill and thats the same for any car.I am still on a constant stream of painkillers I would dearly love to know whats wrong with my spine and eventually be able to lead a normal healthy life like I used to prior to my accident. Could you please help me to find out whats wrong with my spine. if you are able to help I will send copies of my scans, x-rays, and spinal mouse report to you by post..Donald Corenman, MD, DCModeratorJune 28, 2011 at 5:47 amPost count: 8459
By your symptoms of right back, buttocks and leg pain that becomes worse with prolonged standing and an “instability pain” in your back (a popping noise with debilitating pain), you could have several specific problems. More likely, you have lateral recess or foraminal stenosis (see web site for description). You may even have facet dysfunction or a degenerative spondylolysthesis. Standing x-rays including flexion and extension x-rays and an MRI may help diagnose the pathology.
Thoracic pain can sometime be difficult to diagnose but again, x-rays and an MRI can be quite helpful.
Inability to raise your right arm could be from a rotator cuff tear (do web search for this), an injury of the C5 nerve (originates from the C4-5 level in the neck) or from arthritis of the shoulder joint. A good examination can reveal the origin of this problem along with x-rays and of course an MRI.
Most fractures leave a bone deformity that can be seen on x-ray or occasionally a CT scan.
I can’t promise anything but I would be happy to look at your images for you.
If you wouldn’t mind- I would like to have your permission to make your letter anonymous so that I can put it in the forum as the forum is designed for patient education and every little piece makes a good teaching point.
Dr. CorenmanDonald CorenmanKeymasterJune 28, 2011 at 5:47 amPost count: 52
Dear Dr Corenman
Thank you so much for your reply, I would like to send you both copies of my MRI scans that are on CD. Unfortunately they are both different operating systems, but both are Windows based.
The first CD containing my MRI scan was done in the United Kingdom, they use a system called Centricity Dicom Viewer.
The second CD containing my MRI scan, plus a series of X-rays of my neck, was carried out in Norway, I think the MRI equipment they used was a Mitsubishi scanner, they use a Sectra Viewer to access the images, quite hard to operate on my PC as it is in Norwegian language.
Do you want the Disks in their original format, or would you prefer ISO mounted Disks that you can copy and paste, or I can send you both.
All I can say reading directly from the CD is painfully slow, images take for ever and a day to change from one to the next.
The Spinal Mouse Report is paper based, and prevents no problems reading it.
Yes by all means you are more than welcome to use any of the images or information you consider beneficial to the educational forum.
I did notice in your reply that you mentioned it was my right arm that I could not raise, I actually took the impact on the right side of my neck and shoulder, but it is in my left arm that I am unable to raise fully, it goes to approximately to 90 degrees, I am also unable to undo or do up my bra.
There seems to be conflicting reports between the Spinal Mouse report, this was done whist standing in three different positions, whereas the MRI scans were done horizontally, could this be the reason as to why there was nothing conclusive in the MRI scans ?
There are a number of images that I have saved to memory on my PC, which seem to me to be abnormal. I was personally shocked at what I saw within the images, that have been omitted from respective reports, I do hope you can spot what they have missed.
Many thanksDonald Corenman, MD, DCModeratorJune 28, 2011 at 5:48 amPost count: 8459
If you would convert both images to ISO and send both formats, that might yield the best viewing results.
Sorry about mixing right and left regarding your shoulder.
The x-ray images taken when standing in three different positions is encouraging. Make sure those images are included.
Call my office at (970) 476-1100 (USA) and talk to either of my nurses- Diana or Sarah for mailing directions.
Dr. CorenmankikiMemberJuly 20, 2011 at 6:25 amPost count: 2
Hi Dr Corenman
As requested I telephoned your office regarding the address to send my MRI scans to you. Oops Im so sorry I got the time difference wrong I phoned in the middle of the night, somewhere about 3 a.m.needless to say switchboard was not impressed.
I posted the MRI scans to the address given in Vail, approximately 2weeks ago, although I have a tracking number, I have no idea if you have actually received them yet.
Hopefully they have arrived safely, so that you may study them, and hopefully give me some idea of what is causing my debilating pain.
Kind regardskikiMemberSeptember 21, 2011 at 8:28 amPost count: 2
Hi Dr Corenman, I sent Sarah an email on the 19th September 2011 for your attention, as I have not had a reply I have resent the same message today.
I have also enclosed a Zip file of my hip X-ray, that was taken about 8 months after my fall, to me it looks pretty crook, but I think your expert opinion is called for.
I look forward to hearing from you soon.
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