Chronic pain for months and neck spasms w/back pain numbness etc.

Tagged: Looking at having surgical procedure (C4-7 ACDF with a C5 corpectomy)

Viewing 4 posts - 7 through 10 (of 10 total)

Previous 1 2

Author

Posts
SLW
Participant

August 10, 2022 at 5:16 pm

Post count: 6

#35226

Thank you, seemed somewhat manageable over the years, I had previously had chiropractic adjustments a few years back for spurs in neck and did get an adjustment late last year. I had bought tens and even got a cervical collar to wear at times. (not at work). I work at correcting my head position due to tilting upward and out abit to bring it back to some alignment. I sleep with a heating wrap for shoulders neck and arms and legs propped up. I wanted to step down latter part of the year and was asked to hang in there and some changes would be made at work for me, made it thru, no help but at a cost. Employees kept telling me I could’nt keep doing what I was doing. always fast paced. Last time I had to leave I hurt so bad and bent over that one of the ladies called home to let my son know I was not doing well. Got in the door and literally got sick on top the pain. 2nd worst flair up stayed in bed and went back to Dr. 3 days later. From 1st go around knew I would have to get thru it anyway. They are kind enough to hold my position open, appears no one wants it. I am thankful to you for taking the time. I had left out the on/off pelvic pain, crease of legs and the inner thigh pain, he did say that was from my back. I can not lift, push and shove no more, I pay for it when I do. looking up, bending down and laying back always thankful not having the full blown vertigo. I expected to go back to work and now in process of possibly getting disability. My family Dr. had already said that a while back. Would a back brace help? I did wear one for 6 months years ago after surgery. Personally I feel a neck brace from shoulders up would be beneficial. Thank you so much and wish you continued success. we need more Dr’s like yourself, I have visited your site many times, but never reached out. I appreciate you very much. Take care.

Donald Corenman, MD, DC
Moderator

August 11, 2022 at 8:44 am

Post count: 8660

#35228

Braces are helpful for flair-ups but should not be used constantly for protection. Keep us informed here as to your progress, please.

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.

SLW
Participant

August 11, 2022 at 11:32 am

Post count: 6

#35231

Thank you, Dr. Corenman, your expertise has helped me better understand. I have pain centralized in my lower area of lumbar with pains across top of both legs, Focus has been more on the sciatica pain. Injections that I had received did help for the traveling pain down the legs. Heel to toe walk can not do, I still work at balance and did get a massage table to excercise at home. I do feel that therapy aggravated with the tilts, but the leg stretches helped reduce the leg spasms with less tension on my spine. Are there good excercises at this level that would be better? I do know now that when you go to physical therapy, all seems to be the same therapy for lumbar. When it came to neck therapy and discussion of vertigo, seemed hesitant and gave me excercises I could do at home to help. Would I be safe for neck therapy are would it be possible to cause harm? This is a natural process and I had already come to terms of not having surgery, but taking better care of myself by eating right and focusing more on posture and working with levels of how far I can walk. The only true regret I have was being given the choice of which one was to be addressed first. When a person has painful areas of concern, both were not accessed to determine what the best approach would be first. This is 8 months in now, not including time before the realization break down. I again thank you.

Donald Corenman, MD, DC
Moderator

August 11, 2022 at 12:18 pm

Post count: 8660

#35232

Vertigo is not commonly a problem related to the cervical spine so I understand the reluctance to treat that surgically. Physical therapy of the neck can be effective if not too aggressive in your case. Don’t overload your lower back as flair-ups will be hard to handle.

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.
Author

Posts

Viewing 4 posts - 7 through 10 (of 10 total)

Previous 1 2

You must be logged in to reply to this topic.

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.

Submit your review
First Name, Last Initial:
Email:
Review Title:
Rating:	1 2 3 4 5
Review:

Check this box to confirm you are human.
Submit Cancel