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  • meni learn
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    Post count: 236

    i m 30 year old .
    when i 20 i was trauma (head hit in wall )
    i do (xr and CT DAYS AND MOUNTH after injury but nor mr)
    my first mr c is was in 16 (6 year after trauma )
    in my mr (i checked the high of the disc in level (and result is c2-3 not mater so because not could to replace but (2.3 mm in one point (all point i check is in the middle of image) to 4 mm to hight point of c2-3.”(but u see the disc is very change shape and dark (result of the mm change how disc is not healthy .c3-4 (3.5 in high ti collapse in the end (u can see in T 2 IMAGE (IN THIS POINT the ligament flavum is on the csf (not black line between them )(this is indicate of the healthy of the disc also (collapse)
    in c 4-5 the disc is very thin (2.41 mm to 2 mm just )
    FOR COMPARED I TELL ABOUT RANGE SIZE OF C5-6 AND C 6-7 LEVEL
    C5-6 3.81MM TO 4.15 MM HIGH . 6-7 DISC IS TOTAL THE HIGH SIZE 4.22 MM TO 4.31 MM
    WHAT DO U THINK A BOUT THIS DISC HIGH (ITS NORMAL SIZE ?
    AND I CAN TELL U A BOUT CHANGE OF SHAPE OF THE SPINE (IN MR C 2018 )
    ALSO THE SIZE OF CANAL SEE MORE NARROW TO COMPARE IN MR 2016 (THIS HOW DO EFFECT ON SPINE (LIKE WHAT I READING IN YOUR GREAT WEBSITE
    TOPIC (“NECK Mechanically, everything in the cervical spine revolves around the disc”
    how much the disc very important to protect the spinal cord in over age (from narrow )
    i have w a bout replace in to level (uper 3-4 4-5 )if do think its protect spine over age from narrow also if c2-3 its stay not healthy (i tend to think so )?
    thanks dr corenman u have great website.

    Meni

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Not sure what your symptoms are so cannot tell what you need. Please see this to describe symptoms.https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-neck-shoulder-and-arm-pain/

    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.
    meni learn
    Participant
    Post count: 236

    dr coernman
    its the second time i contact with u . the neck pain start by trauma (after hit head on wall ) in 20 year old
    after trauma head was pain day after day (more 20 days hard pain after its less pain (in this stage i was doing xr 3 time after injury and ct scan ) the dr not find nothing in the image (emg not test in this stage )
    after this then pain less and i forget from injury (less pain but very often i feel pain in my uper neck (behind neck)
    some years after (4 i feel the pain more in my neck and in 2016 dr send me to mri c .
    todays my symptoms include :neck pain chronic (every days and hours in days ) the pain feel in my uper neck : aching stabbing burning sometimes electrical
    in activity the quality pain change (with some action and good movement the pain less (but not very much and pain return very faster
    the skin not pain more in touch
    percentage of #pain# (neck 90% shoulder 10% or 85-15 ).
    in my both arm not pain feel but feel some numbness (emg test i do in 2016 and 2021 conclusion (2016- ncs waves latencies of rt and lt median and rt ulnar nerves were prolonged
    needle emg in selected muscles show signs of chronic denervation in muscles innervated bt C3-4 5-6 6-7 7-8 (THE 2-3 NOT CHECK )
    INTENSITY OF PAIN
    IIN MY NECK (THE PAIN GOES FROM 3-4 TO 7, 8, 9, (IN LAST THO MOUNT ITS LIKE 7 8 OFTEN
    SHOLDER 2 TO 4
    HAND NO PAIN
    I HAVE WEAKNES BUT NOT SEVERE (I USE MY BOTH HAND BUT SOMTIMES DROPE OBJECTS(ITS HAPPEN seldom
    onset and length of time symptoms have been present and how did pain start when i 20 years old i have trau,a in the pool
    when i swimming backstroke in the pool i hit my head on a wall
    and after this the pain start (its happen in 2010)(trauma (after hit head on wall ) in 20 year old
    after trauma head was pain day after day (more 20 days hard pain after its less pain (in this stage i was doing xr 3 time after injury and ct scan ) the dr not find nothing in the image (emg not test in this stage )
    activities reduce pain :(strech, shoulder rotations , activity in water (freestyle with mask )
    i can sit 15 minute (but hour its make more pain and i come and stand and strech some minute
    yes if i sit too much the pain more but also with stand its pain but less
    the neck hurt in sitting
    with walk is better ,with other activity
    (i m not jump a lot times ,not bike on
    computer work (from more 30 minute sit its pain (not looking down often )
    with backwards pain more neck
    my daily function not easy with my pain (i m very be a ware to my posture and not looking down and i m be a ware from some actions .
    then pain change my life (and i m very a ware from things that before i do like (running and some things that like lookin down i m very a ware ,not lifting (before i can lift easy like 80-100 lbs and now its hard 20 lbs
    i m not work physically
    Liability the lifeguard of the pool (in 2010 ) come to me and offer me to learn me the the technique of swimming (freestyle, backstroke mainly )
    he tell me after he learn me i can swimming more fast and easy (he told me I have good data for swimming (i was 6’4′ high was 200 lbs in the injury )
    in freestyle the swimmer can see the T IN THE end of the pool (but in backstroke u can see when wall come (and in one side of the pool(on shallow water ) there are flags that symbolize deep and shallow water but not have flags in other side (deep the pool is 25 m long and from 1 m deep to 2 m ) and the man who learn me ( swimming teacher ) not tell me how to be a ware from this danger (not give me other advise like calculate the the steps or looking to side (from example in freestyle he tell me after i see the T one steps and do kipper)
    and this accident happen 3 week after i learn the technique. **(In fact to this day there is no flag in this pool and I swim in it)
    Previous Consultations or Treatment
    i work some stretces and strange
    Flexion Stretch , Levator Scapula Stretch ,Corner Stretch
    Prone Cobra Stretch ,chin tuck ,back burn
    i try Acupuncture and goes start Osteopathic care not very help
    i seen 3 chiro (not start treatment in one of them (the last one tell me he didnt can help me (and send me to spine surgeon
    i see spine surgeon in 2016 2018 2019 2020(in last 3 its the same surgeon and he tell Conservative treatment (he my mr 2016 and check
    Walks on his own on a narrow base without lameness, normal heel to toe walking
    Romburg test negative.
    Normal returns c5- t1
    Hoffman and Berchiordials are opposite negative
    He wrote about mri mild dehydration of c2-3-4 without pressure on nerve structures ( for example my nerve c3-4 left side was herniated i see this by my self)
    There is no room for surgical intervention
    dr corenamn I thank you for your reference, yours
    You have a great website and I know I may have written a lot but I tried to refer to the page you referred me to

    Meni

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Based upon your history, you mainly have neck pain (“90%”), You could have had onset from hitting the side of a pool with your head. Your surgeon reviewed your MRI found degenerative discs and did not feel you were a candidate for surgery, You have failed chiropractic and osteopathic care as well as PT.

    Neck pain can be generated by the discs and the facets. Find an interventional pain specialist who has experience in radio-frequency ablations and see if you are a candidate for diagnostic facet blocks. See
    https://neckandback.com/treatments/facet-blocks-and-rhizotomies-neck/

    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.
    meni learn
    Participant
    Post count: 236

    I know you are a very busy person and you have a job and here it is just a forum and I did not come to you and I thank you for answering me with great professionalism (according to what is given here)

    Meni

    meni learn
    Participant
    Post count: 236

    u mean i m suffer from djd (joint pain i know they have 3 cartilage disc and to joint between have to cartilage (and ddd very effect on joint cartilage (its very sense ) i think u right and i think my d dd (that my spine surgeon and radilogy not looks good enough to my disc (the radilolgy says disc high normal in all level (and dr check say little dehydration (level 2-4 not looks for example 4-5 level ) i says this because on mr in 2018 if u look a little (every on can see the change of the shape of the spine (and its from ddd almost certainly)
    pt u mean (physice terapy ?(its help me in past (not very help but less pain )

    Meni

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