Devastating Spinal Injury

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bangus
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May 19, 2013 at 9:23 pm

Post count: 5

#8711

Hi Dr Corenman, I was involved in a side impact rta in 1998 and have been severely crippled with neurological pains which are likening to the pain of a very bad tootache and at times an abcess only they affect my entire nervous system and and much more excruciating down my entire left hand side. They are tripled with weakness of that side in addition to being accompanied with major sensory impairment which has caused me quite a lot of function loss in my internal body parts and organs. I feel nausiatingly sick the whole time and am laid up on my couch almost 24/7 with any of the time that I am up and about to perhaps make myself a cup of tea, being extremely unbearable. My feet always feel like they are going to burst and the apprentice specialists we have here in Northern Ireland have been putting the whole thing down to minor whiplash. The ligaments snap or else the bones crunch in the centre of my chest and go right through to my back in between my shoulderblades where I feel like there is a very large knife blade lodged. When these snaps or cracks happen, the pain eases for a little while but begins to build up again. I got a bang on my left temple and got my pelvis badly twisted and my hip joints crack and click on movement. I may have sustained a mild TBI as a result. If You Wish I will send images of my spine for you to tell me what you see. Yours Sincerely, Crawford Baird.

Donald Corenman, MD, DC
Moderator

May 19, 2013 at 11:17 pm

Post count: 8660

#8712

The differential diagnosis of your pain is a long list. Spinal cord injury is one possibility. What work-up have you undergone and what preliminary diagnoses have you had?

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.

bangus
Member

May 20, 2013 at 12:38 am

Post count: 5

#8718

Over the years the diagnosis’s have been nothing more than lame excuses like mild degenerative changes, minor whiplash, wear and tear and more recently oesteophytes. This is Northern Ireland where specialists will not commit themselves to diagnosing because they’re all in the pockets of the big insurers so people like me get to suffer and don’t get the treatment we need and far less the compensation we deserve. The corruption here is rife and it is impossible to get the truth. I have to be careful when turning to either side because when I do my whole abdomen stays in the turned out position after I have turned back to being straight again. I have to physically lift and turn or manually manoeuvre my abdomen back into it’s proper position. Please have a look at my twitter account where I have uploaded images from my scans and I know I’m no expert, but these do not look right to me at all. Twitter address is : @crawfordbaird … For work-up I have had 2 years of physio to no avail, 6 months of attending a Chiropractor, again no avail, Several Cervical Nerve Root Injections and no avail but the birth if a Tic, any exertion even slight just causes all of the symptoms to really flare up. I need opiate based medication 4 to 6 times daily to bring the pain levels down to being bearable. Even if I say so myself, there is something quite sinister going on.

bangus
Member

May 23, 2013 at 1:39 am

Post count: 5

#8734

Over the years the diagnosis’s have been nothing more than lame excuses like mild degenerative changes, minor whiplash, wear and tear and more recently oesteophytes. This is Northern Ireland where specialists will not commit themselves to diagnosing because they’re all in the pockets of the big insurers so people like me get to suffer and don’t get the treatment we need and far less the compensation we deserve. The corruption here is rife and it is impossible to get the truth. I have to be careful when turning to either side because when I do my whole abdomen stays in the turned out position after I have turned back to being straight again. I have to physically lift and turn or manually manoeuvre my abdomen back into it’s proper position. Please have a look at my twitter account where I have uploaded images from my scans and I know I’m no expert, but these do not look right to me at all. Twitter address is : @crawfordbaird … For work-up I have had 2 years of physio to no avail, 6 months of attending a Chiropractor, again no avail, Several Cervical Nerve Root Injections and no avail but the birth if a Tic, any exertion even slight just causes all of the symptoms to really flare up. I need opiate based medication 4 to 6 times daily to bring the pain levels down to being bearable. Even if I say so myself, there is something quite sinister going on.

Donald Corenman, MD, DC
Moderator

May 23, 2013 at 4:59 am

Post count: 8660

#8735

You need to send the radiologists report of X-rays, MRI and/or CT scan, all suspected diagnoses by all consultants and your symptoms based upon the section “How to describe symptoms”. If you have had neurologists with EMGs- send those results too. What specific blocks you have undergone and the results from the first three hours (see pain diary)?

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.

bangus
Member

July 9, 2013 at 6:56 am

Post count: 5

#9024

Hello Dr Corenman, Sorry I took so long to come back to you, I had asked my GP for a second time to do another referral to another Hospital away a long time before I had first contacted you and he hadn’t done anything about it, until now, so I will send you copies of everything that is in this package, cds, reports, etc and although the referral letter is made out to The Royal National Orthopaedic Hospital, hopefully this won’t matter. Have you got a chance to look at my images which are among my photographs on my twitter account yet ? the contact is @crawfordbaird

Kindest Regards, Crawford
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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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