Can spinal degeneration cause pressure on the sympathetic ganglion ?

///Can spinal degeneration cause pressure on the sympathetic ganglion ?
Can spinal degeneration cause pressure on the sympathetic ganglion ?
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  • AvatarEric
    Participant
    Post count: 2

    Hello doctor

    I am aware from other comments that it is typically the higher Cervical joints (C1-2 and 3-4) which can effect the neck and head. MRI’s show that I have “moderate to severe” bilateral neuroforaminal narrowing and some spinal canal narrowing at at both C5-6 and C6-7.. For about 6 months I have experienced an almost constant feeling of light-headedness (almost hung-over feeling) which I can only alleviated somewhat with celecoxib (200 mgs daily) and Gabapentin. I have also required occipital nerve block injections to treat the headaches, severe neck & shoulder pain and decrease occipital symptoms. No other explanation for these symptoms (sinus and vestibular/balance issues ruled out) have been found and maybe it could somehow be connected to the C5-6-7 damage.

    Can the sympathetic ganglion in the front of the spine be pressured from the degenerated discs, which I believe is otherwise known as Barré–Liéou Syndrome . That seems to be indicated by the MRI images (I have tried to enclose link). Is that a possibility?

    I would appreciate any light you might be able to shed on this. Thanks you in advance.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    It would be very unusual for C5-7 to cause headaches and almost never would cause lightheaded sensations. The upper sympathetic ganglion is supplied by the sympathetic nerves at T1-4 so the cervical vertebra have nothing to do with this.

    Headaches can be caused by upper cervical facet arthrosis (degeneration) and this disorder is not uncommonly missed by some experts. Lightheaded feelings sometimes can be caused by vertebral artery disorders in the upper neck.

    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.
    AvatarEric
    Participant
    Post count: 2

    Thank you for the reply. I appreciate your informative web site and all your efforts to provide public education to people around the world experiencing back/spine problems.

    I have had a facet block injection, which I understand is one diagnostic method for facet degeneration. It had minimal effect on my symptoms and what effect it did have lasted only a few hours. A nerve block injection was administered later to much greater effect, symptoms were improved quite significantly for about three weeks. Because of the short period of relief, the pain specialist has referred me on to other specialists, as it was not a long term solution for a fifty year old.

    I am in Canada and getting to see medical specialists can take a long time. For example, I am scheduled to see a neurosurgeon sometime in 2021! I am genuinely not sure if I can live with these head/neck symptoms symptoms for that long and right now, my medical treatment here is focusing on the degenerative vertebrae as the culprit – which may not even be the cause of my neck/head symptoms.

    I have reviewed your videos on reading MRI’s and my MRI certainly indicates a problem at C5-6 and C6-7 which has also caused rediculopathy in my right arm for may years. Based on your thoughts, I appear to be fighting two different problems at the same time.

    A this point, I need to pay for private medical care to try and speed up resolution of these issues. Would you be able to review some reports and MRI’s results for an out-of-country patient and make a written report/assessment? If so, can we get in touch privately to disclose costs?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    Unfortunately, I do see many patients from Canada as your story is not uncommon. I have a long-distance consultation service where for a fee, I will review your history from my forms you fill out, review your images, any consultations and spend about 30 minutes on the phone with you. Please call my local phone number (970) 476-1100 and ask for Lori Fugate (my office manager) as I am not sure the 888 number works in Canada.

    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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