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  • andy
    Participant
    Post count: 7

    I had numerous rear end collision over the past 20 years with neck pain on and off but never this bad. My last accident was 4 years ago when i was rear ended. Did 4 month treatment with a chiropractor which helped. 6 month later did physical therapy for 3 month that help a year later did chiropractor again for another 3 month. Pain came back unbearable went to physical therapy June of last year for 4 months. First treated for whipped lash than bad posture and tightness/lack of movement in upper vertebrae. It wasn’t working went to another chiropractor who specialize in scoliosis who uses vibration, adjustment and rehab. This last chiropractor is the first one to pinpoint my problem. Everyone else thought i was crazy and treating my symptoms. He took flexion and extension xray which show’s slippage between c4 and c5 2.5mm flexion and 4mm extension with a total of 6.5mm.

    dynamicchiropractic.com/mpacms/dc/article.php?id=54564
    This article sounds like exactly what i have but it doesn’t tell you how to treat. What options do i have and what kind of doctor should i see?

    The pain is aggravated by looking down working on computer or paper work. I’m a product engineer spend most of my time on a computer. it doesn’t hurt when i flex my neck. Over time it cause the muscle to spasm and ache. Recently I’m also getting lots of headaches.
    I’m still not sure if this is the cause of the pain or if their is another problem.

    Thanks
    Andy

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    If the C4-5 level moves a total of 6.5mm, more likely than not, this is a pain generator. This level sounds to be unstable. Could it be that there is a slip of 2.5mm that increases to 4mm which would make a total change of 1.5mm? This could still be the pain generator but would make more sense as a 6.5mm abnormal motion is very unusual.

    With longstanding pain and multiple attempts of failed conservative treatment, you should see a spine surgeon. This individual can perform a complete workup and might be able to recommend a surgery that can relieve your pain.

    Dr. Corenman

    andy
    Participant
    Post count: 7

    Dr, Corenman,

    Thanks for the reply.

    I’m going to see my primary doctor this week. Never review the latest finding with him, the movement between C4 and C5. Will ask for his recommendation and referral to spine surgeon.

    Andy

    andy
    Participant
    Post count: 7

    Dr. Corneman,

    Went and got the x ray from the chiropractor. Yes the total movement is 6.5mm. In flexion the head is In front 2 mm and 4.5mm further back in extension. It is moving in opposite direction.

    Andy

    andy
    Participant
    Post count: 7

    Dr. Corneman,

    This whole neck pain is so frustrating. I guess the pain is in my head. My family doctor doesn’t believe in flexion and extension x ray basically saying it’s a Chiropractic scheme. Won’t give me a referral to NeuroSurgeon stating they can’t and won’t do any thing with out seeing a problem on a MRI. He doesn’t think anything will be seen on MRI. But agree to give me a MRI. I’m schedule for on tomorrow.

    Will this problem show on MRI?

    What is your take on this?

    I don’t think i need a referral to see a specialist.

    Thanks
    Andy

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    Instability is demonstrated on flexion/extension X-rays and will not be demonstrated on an MRI. An MRI will show degenerative changes of the disc and facet. Make sure the surgeon sees both the X-rays and the MRI if you can get an appointment.

    Dr. Corenman

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