chronic neck pain

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saa74
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January 27, 2013 at 4:32 am

Post count: 2

#7824

2 yrs ago had severe neck pain, vertigo, vision distortion,severe headaches..xrays showed 4 displaced disc..c4-7… Cause unknown…theory is a friend tried to pop my back by placing hands behind head and lifted me…popping neck and caused pain, symptoms appeared after that..had spinal decompression, helped w vertigo and vision..but developed severe pain and couldn’t move my neck..found minor bulged disc and had injections which took time to recover from sourness of injections, but pain went away for a month..joints would stiffen and neck felt weak, chiropractor adjusted my 3 x s a week for months ..went to ER for severe pain at the base of skull, was told stop seeing chiropractor and get therapy..therapy helped but still had neck pain..Mri recently showed reversal of curve, c3-c4 and c5-c6 bulge that mildly impresses thecal sac…get severe base of skull pain sometimes, have good mobility, jus chronic pain…the c1-c2 area feels tender and when I rub it to massage, it feel lumpy..ice helps, heat sometimes..neurologist says its muscular, chiropractor says he can’t help me anymore because ultra sound and electro stimulation only last for that day..I re ently started feeling a vibrating it flutter up near base of skull with a burning feeling that went down to my neck, shoulders and back of arms..it went away after a week, still have vibration feeling when I lay down at base of skull, can’t pin point origin and down to back of shoulders…is this a pinched nerve?.. I’m not a surgical candidate, says 2 surgeons..should I see an osteopath or what…no one seems to know why I have chronic pain for 2 yrs because my mri aren’t bad, but theses pain literally keeps my limited in my daily routines…

Donald Corenman, MD, DC
Moderator

January 27, 2013 at 9:26 am

Post count: 8660

#7825

Your symptoms are diffuse and not all related to your cervical spine. There is a chance that some of the symptoms are related to your facets at C2-3 and C3-4. You might find an interventionist injectionist who would consider injecting those facets. You would need to follow the instructions under “Pain diary” to determine diagnostic value of these injections. A rhizotomy procedure (radio frequency ablation) might then be helpful.

I would avoid further manipulation at this time.

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.

saa74
Member

January 27, 2013 at 9:48 am

Post count: 2

#7827

Orthopedic surgeon said facet injections wouldn’t work since the prior injections didn’t last linger than a month..I’m not goin to get adjustments if not recommended but this chronic pain is horrible…feels like c1-c2 are tender now…like I said drs aren’t wanting to treat me anymore..seen neuro surgeon, 2 orthopedic surgeons,chiropractor…jus wonder who to see next…thanks for the suggestions…

Donald Corenman, MD, DC
Moderator

January 27, 2013 at 8:10 pm

Post count: 8660

#7830

The comment that facet injections “wouldn’t work since the prior injections didn’t last linger than a month” is incorrect in my opinion. The whole reason for facet injections is to determine if the facets are the pain generator and which facets are involved. If you had three hours of great relief of your symptoms, this determines that the facets are your pain generator. Please study the section of the website under pain diary to fully understand what I am saying.

Having relief for a day or even a month after the injection is an unexpected bonus but has nothing to do with the diagnosis. This is due to the steroid effect and if you did gain six months to one year of relief, then these injections could be repeated in that interval for treatment purposes.

Again, it is the first three hours that are so important for diagnosis. If you had great relief in that period, you could be a candidate for radio frequency ablation of the small sensory nerve that innervate the painful joints.

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.
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Donald Corenman, MD, DC

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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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