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  • carolns
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    Post count: 88

    I have severe arthritis in my neck and was in a car accident about 40 years ago and had whiplash . Of course back then I signed of . For the last year I have been having severe pain in my neck going up my head. Had physio with acupuncture and stretching. They want me to see a surgeon before they will put me in traction. They are scared of it.
    I am to the point that if I need surgery I will do it.

    There is 5mm anterolisthesis of c2 on c3 unchanged. There is multilevel facet oa, with severe facet oa at c2 -c3. Multilevel degenerative disc disease most severly c4-c-5,c6-c7 with maqrked disc space narrowing & marginal osteophytosis. No fracture is seen. moderate neural foramina narrowing of the right c5-c6,& mild neural foramen narrowing of the left c4-c5 and left c6-c7 and right c4-c5. no significent spinal canal stenosis.
    Depending on patient’s condition. patient may require surgical intervention to stabilize the anterolisthesis of c2 on c3
    Do you think surgery would help? Thank you carol

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    For neck pain without shoulder or arm pain, the cause is typically degenerative facet or degenerative disc disease. Unfortunately, you have both and also multiple levels of involvement.

    Before you are convinced that C2-3 is the pain generator, you would need a workup. This might include chiropractic care, facet blocks and possibly rhizotomies (see website for that information) and finally a workup for disc pain which could include discograms.

    Surgery might help but you have much work in front of you before you consider surgery.

    Dr. Corenman

    carolns
    Participant
    Post count: 88

    Dear Doctor Corenman,
    Thank you for your reply. It is good to know there are other ways which may help before surgery is considered. I am to see a neurosurgeon in Halifax Nova Scotia next month. I am not so anxious now, just need this pain to stop so I can get on with my life. I am 72 years old and my husband passed away 2 years ago so I am on my own. Thanks again Carol

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    You might consider a pain management doctor consultation. Unfortunately, the quality of these doctors varies greatly. A good one is worth his or her weight in gold.

    Dr. Corenman

    carolns
    Participant
    Post count: 88

    Dear Dr. Corenman,
    Thank you so much for your suggestions and time as I appreciate them very much. There is a pain clinic in Halifax and I will ask about this. I really would be so happy to get some relief. I will let you know how I make out. Thanks again Carol

    carolns
    Participant
    Post count: 88

    Dear Doctor,
    I am having MRI on May 8 then see the neurosurgeon in Halifax the 13th of May. I will ask for tests like facet and nerve blocks etc like you suggested.
    Wondering if this is something my neck could be causing and once in awhile….I feel a sort of dizziness but not dizzy……like lightheaded at times. A few weeks ago the doctor put me on Ativan but I tried it only for a few days as it didn’t take pain away only made me tired. The physio won’t put me in traction because of what the cat scan shows ….Could a muscle relaxer maybe help to take some of the pain away? Sometimes I feel like a turtle lol
    Would the MRI I an having show if I can have traction for my neck? Thank you for everything.Carol

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