Dear Dr.Corenman need your kind advice.

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abdulhakeem
Member

February 28, 2012 at 2:21 am

Post count: 4

#5675

Hi,
Dear sir my mother can’t move her legs and hands. full story is she seems that her left arm and hand can’t grip anything. we visited hospital after 3 or 4 days when we feel she will not recover herself. the dr recommended us to CT scan so we take CT Scan same day. then they told its normal. and recommended some medicines after one weak she was same or lost her health more. so we go to other dr he recommended some medicines same night she feel much weakness and can’t leave bed now. we take her to dr he told about MRI Scan. she was admitted in hospital that time so took MRI test after MRI test dr said that Inflammation in spine and advice medicines. but she is same as before mri test no changes. sir pleas take a look on my reports and give me advice what should we do? i also can give names of medicines step by steps and other info if needed.

here is reports link if needed please unrar files and give your kind advice after reading.
mediafire.com/?q11hg2j1o7u271b

Thanks in advance

Donald Corenman, MD, DC
Moderator

February 28, 2012 at 2:33 am

Post count: 8660

#5676

Thank you for the link information but I do not download information off the internet because of viruses. You can directly send images to me that I review in my spare time.

You mother cannot move her legs and hands. The differential diagnosis would include two pages of potential problems. The spine would be only one portion of the possibilities. Metabolic, inflammatory, neoplastic and infectious disorders also come to mind as possibilities.

Please be very specific regarding onset of symptoms, how these symptoms evolved, the time periods, what accompanying symptoms occurred, the age of the patient, the past medical history and what has been done to diagnose and treat her.

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.

abdulhakeem
Member

March 2, 2012 at 2:59 am

Post count: 4

#5697

Hello,
dear sir i am very glad to see your reply. thanks so much for giving your time. sir i have sent you images and detail by email at [email protected]. also given this thread link in mail. so please take a look. reply with your kind suggestion.

Thanks again

Donald Corenman
Keymaster

March 2, 2012 at 3:07 am

Post count: 52

#5698

The patient age is 43 years and She was healthy just a 20-25 days ago and the problem was start from pain in left hand and arm after two or three days left arm stop well move and she feel like this organ is sleeping and little pain, so we go to hospital they referred to ct scan so we take ct scan same day ct scan image attached with mail i can give high resolution images if needed. so in a weak she stop leaving bed and can’t move her legs and hands herself. but now we feeling she is recovering.now she feeling cramps in her all body. now she can feel pain in her body. i have attached MRI Scan report also.

Updated by Admin. Please refer to the MRI images in the email sent.

Donald Corenman, MD, DC
Moderator

March 2, 2012 at 8:07 am

Post count: 8660

#5699

The MRI images are basically unreadable but the report is valuable. The radiology report notes a syringomyelia in the cervical cord that extends to the upper thoracic spine. This is a cavitation of the central canal in the cord and the expanding “balloon” in the center of the cord causes neurological injury.

There are many reasons for syringomyelia but one that should be considered is the Arnold Chiari syndrome. This syndrome is caused when the brain descends below the foramen magnum which prevents circulation of the CSF. She needs attention of a neurosurgeon as soon as possible.

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.

abdulhakeem
Member

March 9, 2012 at 9:12 pm

Post count: 4

#5741

Hi dear sir we take my mother to dr, (spine & neurosurgeon) he recommend us to give medicins.for one weak then come again after giving medicines.
but problem is she getting cramps after every 2 to 5 minuts. we contact dr again and told him about it he recommended us one more tablet Bacline (baclofen) 1/2 tab three time a day.
but still getting cramps. we stop madicins for one day she feeling nice and little move in hands and legs.

medicines detail which dr recommended.

Neuromet (Mecobalamin) 1+1+1
Zantac (Ranitidine) 1+0+1
Deltacortil 4+4+4
and Bacline(Baclofen) added one more after one weak. 1/2 three time a day.

sir please guide us witch madicin creatting problem or why she getting cramps after taking these medicins. and this treatment need to continue or need to stop and need to change treatment.

Thanks!
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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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