Five Years after C4-7 ACDF, Radicular pain recurs

///Five Years after C4-7 ACDF, Radicular pain recurs
Five Years after C4-7 ACDF, Radicular pain recurs
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  • AvatarJohn Woods
    Participant
    Post count: 7

    Hello Dr Corenman,
    You helped me immensely, 5 years ago, and led me to get an ACDF for right arm and shoulder profound weakness. Now, nearly 5 years later, I’m experiencing aching pain in right shoulder, deltoids and bicep that appears to be lessened by tilting my head down and away from my injured side. This leads me to believe that the pain is radicular. The 3-level ACDF was successful and fused properly but I suspect the foramen is still a problem. I’ve had a lot of difficulty returning the shoulder and arm to full strength and recently injured my right bicep lifting a dumbbell. What would you do to confirm my suspicions and what procedure would you use to correct it? Are minimally invasive procedures effective? I can easily fly to your location for evaluation!
    Thanks
    John Woods

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    Pain that radiates to the right shoulder, deltoids and bicep that appears to be lessened by tilting your head down and away from my injured side sounds to be radiculopathy. I am not 100% convinced that you have a solid fusion at C4-5 (possibly at C5-6) as this sounds like a C5 radiculopathy and if you had a solid fusion, you should not be able to develop a bone spur to compress the nerve if you had a solid fusion.

    Nonetheless, you could have breakdown above your fusion and this could be a C4 radiculopathy from the C3-4 level. You need new X-rays and a CT to determine this. Don’t forget that nerve blocks can be effective treating this without surgery.

    I do see patients from all over the country so if you want to visit, we have multiple ways to accommodate you. Call the office for further information.

    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.
    AvatarJohn Woods
    Participant
    Post count: 7

    Thank you Dr. Corenman. My concern is that a bone spur was never removed sufficiently in the ACDF procedure or the problem lies in the foramen. My Surgeon x-rayed my neck only 2 months ago and is confident that the 3-levels are fused. I’ll get a new CT and report to you!

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    Looking forward to meeting you.

    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.
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