[DRAGON]

#5610

I think in the UK there is about 100 neurosurgeons, not many for a population of about 70 million. They do a pretty amazing job but resources are finite.

As regards my predicament, in view of your helpful advice about what my MRI might mean, I shall ask my primary care doctor to perhaps see if he can get the neurosurgery team to look again at my case, or otherwise seek a second opinion. If something was to be done surgically, I’d prefer that discomfort sooner rather than greater disability later, even though I understand there are always risks.

48 is a bit young to surrender to what appears to me (given that MRIscan report) the inevitability of increasing disability, and especially concerned that (as a driver) a minor accident could have catastrophic
implications neurologically.

BTW, your site is amazing.

Thanks
Andrew

[DRAGON]

#5611

I would ask briefly, whether in a case of cord damage such as in flattening of the cord, does this make on more susceptible to infections
and to feeling the cold ? I seem to take forever to overcome colds and also to feeling cold/struggling with hot days

[Donald Corenman, MD, DC]

#5612

There should be no relationship between temperature regulation and cord injury/myelopathy. Also, no relationship between cord injury and infection.

I have been doing spine work for over 30 years and have not seen that type of injury. I think it would be highly unlikely that a motor vehicle accident would cause a further cord injury as long as you had a well fitting headrest and seat belts (catastrophic accidents excepted).

I can understand that a country like England having 100 neurosurgeons would have an extremely long wait time. I think there are 100 neurosurgeons and 100 spine surgeons just in the State of Colorado.

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.

[CSM]

#31793

Over ten years symptoms have gotten more severe deep dull Sharp tightening radiating in my lower back my hips knee’s my calves feet Sharp burning pain follows straight down my lower back butt down the back of my legs to feet both my big toes are completely numb I get numbness in my hands back of my neck and between my shoulder blades awesome cat like sharp burning feeling as well more so when I’m in the same position too long reading a book I can’t lay on my side with my elbow on my mattress my hand on my head I can’t my head sideways on a pillow either side or extend my neck all the way back only goes to a certain point and then it’s like really stiff and sharp pain that I concealed travel into my shoulder blades sometimes I wake up and I guess my neck has been pressed the wrong way too long I get these really bad headaches starts off as a small isolated pain at the bottom back of my head and neck within 24-hours it works its way around the side of my head to my one eye and get so bad I start getting fever sweats chills vomiting takes 3 days for the pain in the head to go away periods what are physic my legs are going to give out when I’m walking like elastic just vacuuming my carpet I start to get dizzy light-headed nauseous a weak feeling and have to lay down to feel better I know my head too fast back I got this huge electric jolt shoots down my arms got my back down my legs guess I’m just going to drop happens in a split second three times now I’ve gotten up to take a pee out of nowhere I feel like this jolt through my body pulling my knees down everything goes black wake up on the floor
MR cervical spine
Multiple acquisition sequences were obtained according to standard protocol.
Neck paln.
Findings: There is a straight appearance of the cervical spine. There is normal
height of the vertebral bodies. The intervertebral foramina are unremarkable.
There are motion artifacts, which degrade the quality of the current exam.
–* A small disc bulge is seen at C2-C3, which impinges on the thecal sac. The
intervertebral foramina are unremarkable.
“There is a medium to large size central disc protrusion at C3-C4, which
compresses on the thecal sac and causos cord deformity. There is mild narrowing
of the right and left intervertebral foramen. A small disc bulge is seen at
C4-C5, which impinges on the thecal sac. There is mild narrowing of the right
intervertebral foramen.
– There is a broad-based disc bulge at C5-C6, which compresses on the thecal sac
and likely causes mild anterior cord flattening. There is moderate narrowing of
the intervertebral foramina. There are signs of bilateral uncovertebral
hypertrophy at this level.
– A small disc bulge is seen at C6-C7, which impinges on the thecal sac and
– contributes to cause mild-narrowing of the intervertebral foramina.-The rest of
the disc spaces and intervertebral foramina of the cervical spine are
unremarkable.
Note is made of the cerebellar tonsils, which are 1.8 mm below the level of the
foramen magnum.
Opinion: disc degenerative disease in the cervical spine, worse from C3-C4 to
C5-C6. There are signs of cord deformity at C3-C4 and C5-C6. The study has been
degraded by motion artifacts. Allowing for this, no signs of cord atrophy or
signal change are visualized. Positives in the neurological exam at the upper extremities include bilateral positive Hoffman’s signs with an abductor twitch at the thumb coming on with deep tendon reflex challenge at the elbow flexors and brachioradialis the formal manual test is positive only on the right at the legs you find very brisk deep tendon reflexes at the knees largely absent ankle jerks and no conus

[CSM]

#31794

Over ten years symptoms have gotten more severe deep dull Sharp tightening radiating in my lower back my hips knee’s my calves feet Sharp burning pain follows straight down my lower back butt down the back of my legs to feet both my big toes area completely numb I get numbness in my hands back of my neck and between my shoulder blades awesome cat like sharp burning feeling as well more so when I’m in the same position too long reading a book I can’t lay on my side with my elbow on my mattress my hand on my head I can’t my head sideways on a pillow either side or extend my neck all the way back only goes to a certain point and then it’s like really stiff and sharp pain that I concealed travel into my shoulder blades sometimes I wake up and I guess my neck has been pressed the wrong way too long I get these really bad headaches starts off as a small isolated pain at the bottom back of my head and neck within 24-hours it works its way around the side of my head to my one eye and get so bad I start getting fever sweats chills vomiting takes 3 days for the pain in the head to go away periods what are physic my legs are going to give out when I’m walking like elastic just vacuuming my carpet I start to get dizzy light-headed nauseous a weak feeling and have to lay down to feel better I know my head too fast back I got this huge electric jolt shoots down my arms got my back down my legs guess I’m just going to drop happens in a split second three times now I’ve gotten up to take a pee out of nowhere I feel like this jolt through my body pulling my knees down everything goes black wake up on the floor
MR cervical spine
Multiple acquisition sequences were obtained according to standard protocol.
Neck paln.
Findings: There is a straight appearance of the cervical spine. There is normal
height of the vertebral bodies. The intervertebral foramina are unremarkable.
There are motion artifacts, which degrade the quality of the current exam.
–* A small disc bulge is seen at C2-C3, which impinges on the thecal sac. The
intervertebral foramina are unremarkable.
“There is a medium to large size central disc protrusion at C3-C4, which
compresses on the thecal sac and causos cord deformity. There is mild narrowing
of the right and left intervertebral foramen. A small disc bulge is seen at
C4-C5, which impinges on the thecal sac. There is mild narrowing of the right
intervertebral foramen.
– There is a broad-based disc bulge at C5-C6, which compresses on the thecal sac
and likely causes mild anterior cord flattening. There is moderate narrowing of
the intervertebral foramina. There are signs of bilateral uncovertebral
hypertrophy at this level.
– A small disc bulge is seen at C6-C7, which impinges on the thecal sac and
– contributes to cause mild-narrowing of the intervertebral foramina.-The rest of
the disc spaces and intervertebral foramina of the cervical spine are
unremarkable.
Note is made of the cerebellar tonsils, which are 1.8 mm below the level of the
foramen magnum.
Opinion: disc degenerative disease in the cervical spine, worse from C3-C4 to
C5-C6. There are signs of cord deformity at C3-C4 and C5-C6. The study has been
degraded by motion artifacts. Allowing for this, no signs of cord atrophy or
signal change are visualized. Positives in the neurological exam at the upper extremities include bilateral positive Hoffman’s signs with an abductor twitch at the thumb coming on with deep tendon reflex challenge at the elbow flexors and brachioradialis the formal manual test is positive only on the right at the legs you find very brisk deep tendon reflexes at the knees largely absent ankle jerks and no conus

[CSM]

#31795

MRI lumbar findings alignment is normal no compression fractures what aggressive bony lesions conus medullaris terminates at L1. Small disc bulge at t10-11 mild disc bulges at L3-4 and L4-5 no significant spinal canal narrowing bilateral L3-4 nerul foramen are slightly narrowed there is also slight narrowing of the bilateral L5-S1 neural foramen more so on the left no significant faucet OA summary mild degenerative changes. Now it’s lumbar MRI orthopedic surgeon ordered it for me. Because he said a myelopathy patient wake not be complaining about this much low back pain as he is me based off my MRI on my cervical surgeon said I have diffuse cervical spondylosis with neurological symptomatic minder spinal cord compression and based on my MRI my cervical you can likely help me with C3-4 discectomy reconstruction but told me it would be better if I got discectomy with artificial disc replacement. And based on my cervical MRI United States Marines with patience like me after surgery send them back to full active duty in 3 weeks
But I cannot find any MRI results that list entry level cervical spine lumbar spine section of the Thoracic and the sacral that are just 15 disk bulges every level of the 50s some sort of narrowing impacting compressing cord deformity cord flattening bone spurs 23 disc sections in the human spine 15 of mine being affected I’m 32 years old I just read it one up there s48 he’s had cervical spondylosis 6 years and only showes C6-C7 area affected what happens to me in like 20 years I think it’s only been over a year since my cervical MRI the compression only cause more damage the longer left untreated same as orthopedic surgeon I saw can’t tell how strong I am by me squeezing his fingers or sitting on med bench off the ground say lower extremities legs have normal power now do some test from me starting on my knees pushing up or standing lifting from waist high or two hand lifting over my hand people are limited because the pain

[Author]

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