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  • appleannie
    Participant
    Post count: 129

    Hello Dr.Corenman, I been having muscle spasms in my neck area ,could it be from my Ligaments that I injured and they healed Crooked and they are weak and do the muscles take over when the Ligaments are weak and damaged ??

    Thank You !!

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    Normally the ligaments are a small part of the problems associated with the neck. Degenerative discs, bone spurs and degenerative facets make up most of the “problem children” in the 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.
    appleannie
    Participant
    Post count: 129

    Hello Dr.Corenman, I just received my last Doctor’s Report from my last Doctor’s appointment I had with my Orthopedic spine specialist, and this is what he said in the Report:

    The patient return. Dr.P declined to perform selective nerve root blocks in the patient’s neck because of concerns about possible instability. EMGs were performed by Dr.S which did not reveal Radiculopathy.

    I had a very long office visit with the patient today carefully detailing again that in fact this patient did have an unstable neck injury in 1988.The patient over time has gone on to fuse at C5-C6 level with an autofusion.The patient has Hypermobility at C4-C5 level,but I would not characterize the patient as being grossly “Unstable”. I”am not sure that the patient symptoms are the result of instability. I think the patient has root irritation. This was not well demonstrated on EMG or M.R.I. I have not ruled out further surgical stabilization of the patient’s neck; but however, it may not be mandated now after living with this condition for more than 16 years.The patient questions were answered to the best of my ability.

    Dr.Corenman I asked him if I was in a car accident if the Auto fusion I have at C5-C6 level would support my C4-C5 level where I have the Hypermobility at and he said yes it would.Dr. Corenman I”m scared to drive or being in a car because of this instability I have at C4-C5 level.Dr. Corenman could you please give me your opinion on this.

    Thank You !!

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    An auto-fusion is improbable but possible. This would not support the C4-5 level. You have a degenerative spondylolisthesis at C4-5. Why the injectionist would not inject this level is beyond me. The EMG normally does not pick up radiculopathy if there is no motor weakness so these results would be expected.

    It sounds like your instability is not too pronounced (“I would not characterize the patient as being grossly “Unstable”). You are probably safe from any day-to-day injury unless there is a significant force on your 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.
    appleannie
    Participant
    Post count: 129

    Dr.Corenman,
    That’s why I wished that you could of reviewed my X-RAYS and M.R.I. for me and gave me your opinion on your findings.Dr.Corenman I wish you had a substitute Email address that you only use for people to email you their X-RAYS so you can comment on them that would be awesome, because you know your sh-t when it comes to Spine problems.

    Thank You !!

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    I have to keep personal patient correspondence separate from the Forum. I spend about 20 hours per week in Forum correspondence and I can’t do private consultations without charging. I would quickly become over-run and not have time to see my own patients.

    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.
Viewing 6 posts - 7 through 12 (of 22 total)
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