Cervical stenosis and losses dysfunction ( my symptoms are very worsen in short

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meni learn
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January 8, 2022 at 10:52 am

Post count: 236

#34708

my symptoms are very worsen by two months (impossible to go fast,fall,and losses muscle weakness more in the legs and hands. (The next step arrived before one day)
The next step includes more weaknesses in mussels in hand (also with pins and needles spread in the hand )
The mussels more thin .
I send to you all my IMAGES (but them not arrived to your office them arrived to steadman clinic before month.
I m in big problem with symptoms worsen
After the pinch the cord from posterior (like i am writing before )
I have losses over time the mussels (the biceps in to hand more small (weakness mussels worsen in legs and in the hand (not very very severe but i
M absolutely worsen and time go on i losses more and more cells in spinal cord and more losses dysfunction .
In 31 years old just i. M arrived to this hard problem (with my cumulative TRAUMA in the pool in 20 years old )
I m worsen my symptoms absolutely worsen (i feel that and know i m in problem and if not find good spine surgeon can help me quickly its possible (
If your office can contact me and tell me when to send the MRI CERVICAL AND thoracic (i m also want arrived to u maybe u can help me to prevent more worsen dysfunction.

Meni

meni learn
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January 9, 2022 at 10:25 am

Post count: 236

#34709

I FIND ONE SPINE SURGEON DIAGNOSTIC ME with probably cervical myelopathy (he write posterior stenosis with ?( i know that(you can see all my post I write early in this forum ) but not just now find the surgeon who confirms what i m say for two months probable myelopathy (after seeing my MRI and some physicals emanation
he recommended surgery (laminectomy)
but i needed to decide what to do (i hear of the significant problem with this surgery (post laminectomy kyphosis ) and significant pain after the operation, loss of life style
but i not have some more option ( probably it is goping to injured the cord more and more losses dysfunction.

Meni

meni learn
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January 10, 2022 at 4:45 am

Post count: 236

#34710

.

Meni

meni learn
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January 12, 2022 at 5:14 am

Post count: 236

#34731

i dont know why ,but i was send you all my image them arrive to the address you office give me
but them arrived to the steadman clinic .
i wait more than two months with all symptoms (just before 3 days i m finally find surgeon gave me correct opinion (what i m understand very well before more than months
the let me to smash the spine cord more
https://www.youtube.com/watch?v=ox7Feci0B1g

Meni

meni learn
Participant

January 13, 2022 at 6:30 am

Post count: 236

#34732

I m send u all my images from MRI (just last one not arrived i doing in last days MRI NEW.
we discussed here a lot (from July to October )just in November i send you my images that sylvina gave me .
Them arrived to steadman clinic (your clinic for 25 years).(this address office gave me)
Not matter (i started the topic with degenerative disc diesase in the upper neck ,we discussed if u want to see this video on my channel YouTube i m
This MRI 2016 MY FIRST.https://youtu.be/jgcf-1Er_Fw
I HAVE MYELOPATHY IN CERVICAL SPINE AND I M GOING WORSEN AND WORSEN WITH OUT SURGICAL OPTION.

Meni

meni learn
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January 13, 2022 at 7:20 am

Post count: 236

#34733

https://www.youtube.com/watch?v=I_Vlv-1nrx4

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Donald Corenman, MD, DC

Average rating:

81 reviews

Eric S

Sep 26, 2021

by Eric S on Donald Corenman, MD, DC

Successful pars repair at 46 years old

Back in November of 2018 (at 46 years old) I came from Vancouver BC to have a pars repair done with Dr. Donald Corenman at the Steadman Clinic in Vail Colorado. I'm finally posting this review nearly three years later in late 2021. The reason I waited so long was I wanted to know the final result before I posted my review. Unfortunately in that time Dr. Corenman has retired. Nevertheless, I want to post this review of Dr. Corenman and his staff at the Steadman Clinic in their excellent treatment of my L5 pars interarticularis.

I fractured my pars at age 42 back in 2014 when rolling on the gym floor, and was denied treatment by the Canadian healthcare system, probably due to my age. First my GP told me there was no surgical option for a pars defect, which was quite incorrect! I tried to live with it, but the symptoms worsened (periodic random spine slippage and weeks of resultant pain after just bending over to tie my shoe, so I eventually learned to mostly squat and hardly bend). When I finally consulted with Canadian spine surgeons, I was told they believed my pars defect had been congenital (since birth). This was absurd, considering I had done extreme martial arts (including jiu jitsu) for years prior, as well as 5 years of reinforcing steel full time in my 20s, probably the hardest job on the back you can find. No pars defect like mine would possibly have allowed this--ergo it was impossible that I had had the defect since birth. I did however have an asymptomatic congenital spina bifida occulta that made me more susceptible to a pars fracture. In 2014 in one instant, I went from having the strongest back people I knew said they'd ever seen, to being unable to safely bend over and tie my shoe without a non-negligible risk of my spine slipping randomly (which would lead to weeks of pain after each occurrence). This was due to the unilateral L5 pars defect, otherwise known as spondylolysis. It was when lying in pain on the floor 4 years later after maybe the 6th spine slippage event post injury, that I had had enough, and resolved to have surgery. If Canada's "universal health care" said no, I would make lemonade from lemons, and find the very best surgeon in the world at pars repairs. That was Dr. Donald Corenman. Dr. Corenman back in 2018 ran a website https://neckandback.com/ that dedicated many pages to the science of every aspect of pars repairs, from eligibility (good discs on MRI), to best surgical techniques (minimal open compared to minimally invasive), best imaging to use (i.e., O-Arm with Stealth imaging vs. older fluoroscopy), the ideal amount of BMP to use and why not use too much or too little, and much more, all to do with pars repairs, pages upon pages of his site just on the pars, with scientific references and his own extensive expert opinion. As a health research statistician, I was very impressed with this. It was in stark contrast to the websites of other spine surgeons which barely gave the pars a word or two, focusing almost exclusively on fusions. I had found the best surgeon in the world for pars repairs, and so after Dr. Corenman personally screened my MRI to ensure my discs were healthy, I booked the surgery.

Being 46 years old at the time of surgery in 2018, with a 4-year-old pars fracture from 2014 combined with a congenital SBO meant my pars fragment was somewhat atrophied, but it was "very solid", said Dr. Corenman in the operative report. Nevertheless, it was challenging with two things to fix, the pars and SBO, and OR time was around 4 hours. Recovery over the following months was guided by a very clear "Spine binder" from the Steadman Clinic with strict rules of "no BLT" (no bending, lifting or twisting), and illustrated physiotherapy guidelines. They even warned patients to avoid fish oil supplements, which could excessively dampen inflammation and hence slow bone healing. They answered many questions I had during months of recovery, with responses coming from the very supportive Lori Fugate (then director of Dr. Corenman's practice), and Ehrich Bean (then physician's assistant at the practice), as well as a couple calls with Dr. Corenman himself after two of the CT scans. Ehrich Bean offered great advice for taking the spine binder conservatively due to the nature of pars repairs vs. fusions. The final post-op CT scan I had was a couple weeks ago at 34 months post-op, and Dr. Corenman had retired, but I got a very positive and informative call from Eric Strauch (current PA at the Steadman Clinic under Dr. Corenman's replacement there, and who had also worked with Dr. Corenman previously). The staff at the Steadman Clinic were extremely supportive all the way through the process. I should mention, the local Canadian spine surgeon did offer me very good post-operative support including antibiotics as needed to deal with a mild surface incision-site infection early on, booking numerous x-rays when I felt something was amiss, as well as booking all four of my post-op CT scans. I am very grateful for that support also.

My final result shows plenty of solid bone across the pars and a healed SBO, with my vertebral body now a solid bone ring instead of being broken at two places as it was pre-op. Does my spine hold up in the real world? You bet! I have recently dug and moved several yards of dirt and sand and gravel by myself (shovel and wheelbarrow!) to fix our water main, pulled roots from the yard, moved several "portable" (these are HUGE) air conditioners up several flights of stairs my myself, and lifted weights. I now run 2 miles (3.2 KM) several times weekly with a hard 100 meter dash in the middle. I bend deeply before each run I go on, with no spine slippage. My spine feels amazing. I can bend over to do exercise, or real word tasks, with no risk of spine slippage.

My sincere thanks to God, Dr. Donald Corenman, Lori Fugate, Ehrich Bean, Eric Strauch, and the Steadman Clinic, as well as the Canadian spine surgeon who offered me excellent post-operative care back in Canada. You have all given me a new lease on life.

Sincerely,
Eric S

Robert S

May 11, 2021

by Robert S on Donald Corenman, MD, DC

Back Fusion Surgery

I had my entire lumbar spine fused in November of 2018. I had scoliosis , with pinched nerves that were so painful I could hardly walk - and standing for more than a few minutes was impossible. Even sitting was painful.
The fusion surgery produced immediate relief! And the recovery was much easier than I expected.
To this day I can do all the activities I love from hiking, to standing in a stream fly fishing to riding my bike long distances - or just walking down the street with my wife.
Kudos to Dr. Corenman and his staff, (including the two Erics) for taking such good care of me!

Leslie R

Jul 9, 2020

by Leslie R on Donald Corenman, MD, DC

TLIF

I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. I highly recommend Dr. Corenman and the Steadman Clinic.

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