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  • Lifesaver7
    Participant
    Post count: 3

    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
    Post count: 8459

    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

    Lifesaver7
    Participant
    Post count: 3

    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
    Post count: 3

    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
    Post count: 8459

    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

    mnjody
    Participant
    Post count: 19

    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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