saa74MemberJanuary 27, 2013 at 4:32 amPost count: 2
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, DCModeratorJanuary 27, 2013 at 9:26 amPost count: 8459
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. Corenmansaa74MemberJanuary 27, 2013 at 9:48 amPost count: 2
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, DCModeratorJanuary 27, 2013 at 8:10 pmPost count: 8459
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.
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