Earaches after acdf surgery

Tagged: earache after ACDF

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Lifesaver7
Participant

December 27, 2019 at 8:52 am

Post count: 3

#31806

Hello how are you? I don’t know if you’ve heard this before but I am 4 weeks post op from ACDF surgery at the C3-C4,C4-C5 levels and after I’ve had an increase and severity in headaches starting at the side of my neck but I’m also having really bad earaches is this common. I have other questions but will go through forum to see if anyone else had them and look for answers. Thank You.

Donald Corenman, MD, DC
Moderator

December 28, 2019 at 4:45 pm

Post count: 8660

#31809

Earaches are distinctly unusual after an ACDF surgery. Headaches can occur, especially if the C3-4 facet has been stretched or there is arthrosis of the C2-3 facet. Check to make sure you don’t have an inner ear infection by your primary care physician.

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.

Lifesaver7
Participant

January 1, 2020 at 10:52 am

Post count: 3

#31842

Hello thank you for your response I had gotten my ear looked at but it was perfectly fine the pain I’m feeling is not exactly in the ear but just behind the ear in that space between neck and ear.
Here is what the MRI said for C2-C3: At C2-C3, there is mild broad-based disk bulging, indenting the ventral thecal sac, without significant spinal or foraminal stenosis.

At C3-C4, there is bilateral uncovertebral joint arthropathy, and a broad-based posterior disk osteophyte complex, producing moderate spinal stenosis, with mild to moderate left and mild right foraminal stenosis.
At C4-C5, there is bilateral uncovertebral joint arthropathy, a broad-based posterior disk osteophyte complex, and mild left-sided facet arthropathy, producing moderately severe spinal stenosis, with mild flattening of the ventral aspect of the cord, with severe bilateral foraminal stenosis.
At C5-C6, there is bilateral uncovertebral joint arthropathy, a broad-based posterior disk osteophyte complex, and mild bilateral facet arthropathy, producing mild to moderate spinal stenosis, with mild to moderate left and mild right foraminal stenosis.
At C6-C7, there is broad-based disk bulging, and mild bilateral facet arthropathy, producing mild spinal stenosis with mild left foraminal stenosis.
At C7-T1, there is no evidence of disk disease, spinal stenosis or foraminal stenosis. IMPRESSION: Study limited by motion artifact.
Moderate to marked multilevel spondylosis, most pronounced at C4-C5, where there is moderately severe spinal stenosis, with mild flattening of the ventral aspect of the cord, and severe bilateral foraminal stenosis

Lifesaver7
Participant

January 1, 2020 at 10:58 am

Post count: 3

#31843

Ive had some relief from my ACDF but I’ve also had new discomforts and some untouched so far. For example I’m still also having numbness in my hand in area of thumb and index finger and top of forearm on both arm’s although I got a little strength back, and also twitches near bicep muscle

Donald Corenman, MD, DC
Moderator

January 1, 2020 at 4:30 pm

Post count: 8660

#31844

C2-3 and C3-4 can cause neck pain behind the ear. Make sure that there is no joint degeneration at occiput-C1 or C1-2 as these joints can also cause the pain you describe. There is no description of degenerative facets (possibly not recognized as is somewhat common with these joints), you may consider diagnostic facet blocks to see if these blocks yield relief. You could also have continuing foraminal stenosis of left C3-4 which can cause posterior auricular pain (ear pain).

See https://neckandback.com/treatments/facet-blocks-and-rhizotomies-neck/ and
https://neckandback.com/treatments/diagnostic-therapeutic-neck/ and
https://neckandback.com/treatments/epidural-injections-and-selective-nerve-root-blocks-diagnostic-and-therapeutic-neck/ and
https://neckandback.com/treatments/pain-diary-instructions-for-spinal-injections-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.

mnjody
Participant

January 11, 2020 at 6:43 am

Post count: 19

#31887

I had my ACDF surgery, and my ears have been full/muffled/painful ever since! No infection in mine either. And my nose won’t quit running. I do not have a cold. Very strange to come across this, I am hoping it’s just some strange occurrence.
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Donald Corenman, MD, DC

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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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