Tagged: cervical instability
LisaLou08MemberFebruary 22, 2013 at 10:11 amPost count: 3
I was in a car accident about 2 months ago where a car pulled in front of me while I was going about 35-40 mph. I t-boned the car and it drug my car spinning me sideways in the road. I didn’t have much pain at that moment but the next morning I could hardly move my neck.
I have had x-rays and an MRI. The test showed mild central disc bulges from C2 down to C7 with a moderate defuse disc bulge at C5-C6 with no spinal cord compression. My doctor sent me to physical therapy where they found what they believe to be a torn or over stretched transverse ligament. And something going on with my occipital nerve.
I have pain in the base of my skull as well as the center and left side of my neck. If I lean my head back to look at the celing pain shoots down my spine. I have a headache every day and random migraines that send me to the hospital. I have tenderness on the left side just below my skull; my left hand has tingling, mostly in the pinky and ring finger. I am slightly weaker in the left side as well. I get light headed and nauseous and have occasional blurred vision. It feels like my head is heavier than normal.
They say that this may not heal without surgery but that no surgeon wants to do this kind of surgery because it’s too close to the brainstem and more dangerous than the condition. Is this true? If so what are my options? Also my sister recommended something called Carniosacral therapy, it is a cross between massage and physical therapy. It allows your spinal fluid to flow better and helps promote faster healing. Do you think this would benefit me or cause more damage
I need to find something to stop the pain and headaches.
LisaDonald Corenman, MD, DCModeratorFebruary 23, 2013 at 1:53 amPost count: 8465
First of all, I am highly suspicious of the diagnosis of transverse ligament injury. This is very rare and normally, the odontoid process fractures before the ligament tears. You could however have developed injury to the facet capsules of C2-3 and C3-4. This is much more common and much easier to treat.
Craniosacral therapy is a chiropractic term but has now been adopted by the physical therapy as well as massage community. As long as there are no ballistic maneuvers (high-velocity manipulation), if this therapy helps you, wonderful.
If no manual therapies are helpful, you could consider a consultation with an injection interventionist. You might undergo facet blocks at those two levels. You must keep a pain diary (see website). If you obtain great temporary results, you could consider a rhizotomy.
Dr. CorenmanLisaLou08MemberFebruary 23, 2013 at 11:50 amPost count: 3
If this is an injury to the facet capsules, would it feel like a torn ligament to the physical therapist? Because she was trying to release some of the tightness in my neck muscles and all the sudden stopped and said that she wasn’t sure if I was in the right place for treatment and that I should talk to my doctor about a neurologist or a spine specialist. She said I had no ligament support in my C1-2. That’s when we started talking about the different ligaments and the possibility of over stretching or a tare.frog37MemberFebruary 23, 2013 at 1:01 pmPost count: 6
LisaLou08 – Sorry to hear about your pain. Hope you get relief soon.Donald Corenman, MD, DCModeratorFebruary 23, 2013 at 11:54 pmPost count: 8465
Manual palpation of the neck cannot indicate if the transverse ligament of C1 is sprained or ruptured. That is an X-ray and MRI diagnosis.
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