[David89]

#6504

Hello Everyone,

I have some questions,about my neck. Three months ago i was on neck surgery and here is my description of surgery:

(anterolateral approach,discektomija C3-C4,remove osteofita and CFRP Implant)

My problem before surgery was: pain on the left side of the neck, shoulder pain, burning pain from the shoulder to the fingers on left arm and tingling

The diagnose was: osteid osteom C3 , quite pronounced tightening C3-C4

My questions are:

What to Expect After that kind of surgery?
What about Sport, what is god and what is bad for the neck?(Hiking, Climbing Via Ferrata ,cycling …..)
How to increase the strength of upper limbs?
What physical therapy? (minor burning pain in the left shoulder)

[Donald Corenman, MD, DC]

#6506

Apparently you had cervical stenosis at C3-4 and underwent a fusion (ACDF) with a carbon fiber cage. Your diagnosis of osteoid osteoma is unusual as it doesn’t fit the symptoms you presented with. The “tightening” of the C3-4 level was most likey central stenosis.

What to expect after cervical ACDF is covered in “Recovery information after surgery”- “ACDF” on the website.

Assuming the rest of your neck is normal, the ACDF level is the only problem level and that the fusion was successful, you should be able to go back to doing whatever you want to do.

A physical therapy rehab program is very helpful to increase ROM and strength after ACDF and I recommend therapy for at least 4-6 weeks. Over time, the burning pain in the left shoulder should abate (assuming the origin of the pain was from C3-4).

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.

[David89]

#6516

I have one more question about physical therapy.
Is better to have 5 different therapy in one week or in 5/6 weeks interval?

[Donald Corenman, MD, DC]

#6524

I don’t understand your question. Do you mean are five PT visits in one week better than one visit per week for five weeks? Either case would not be what I would choose. I have my ACDF patients start PT 6 weeks after surgery at two times per week for six weeks. For most, that is all they need.

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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