nick1981ParticipantJanuary 12, 2019 at 7:56 pmPost count: 4
hi dr, I had a recent c6/7 acdf, ive got lingering issues with nerve pain in my left arm so my surgeon is getting me to have a emg study done and also a nerve block injection, there is still a bone spur at the back that is pushing on the c7 nerve root on the left side, my recent mri also brought up another issue,
c3/4 : disc desiccation with shallow broadbased posterior disc bulge causing mild ventral impression on the theca, there is moderate left and moderate right foramen narrowing , there is contact on the left and likely contact on the right c4 nerve roots, mild facet joint hypertrophic change,
at the last mri in july c3/4 had nothing wrong with it, I have been getting some back left neck pain and headaches at the base of my head, I see the surgeon again in a couple of weeks , just looking for advice on what I should do, the surgeon did mention he could go in from the back to get the bone spur, , what options would I have with c3/4 given that they have deteriorated in only 4 .5 months
nicknick1981ParticipantFebruary 8, 2019 at 8:20 pmPost count: 4
the emg study came back with , moderate chronic c7 radiculopathy, I see my surgeon again on Monday to see where to from here, the nerve root sleeve injection only brought minor relief for a few daysDonald Corenman, MD, DCModeratorFebruary 9, 2019 at 9:03 pmPost count: 6578
Multiple questions. Was there residual spur at the operated C6-7 level or??? how much better (or not) were you after the ACDF surgery? Have your symptoms changed since surgery? What was the previous work-up that led to surgery? Did the nerve root block give great relief for the first three hours (see pain diary on this website)? The C4 roots do not radiate pain below the base of the neck (except for the anterior chest wall) so the C3-4 level may not be causing your symptoms except for headaches.
If the SNRB (nerve root block) gave you great temporary relief, then you can assume that the C7 nerve is causing your pain. If there is a demonstrated continued compression of this root and the graft appears to be solidly fused, a posterior laminotomy/foraminotomy would be the indicated surgery.
Dr. CorenmanPLEASE 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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