How Can I Tell if I have an Injury or Chronic Condition

///How Can I Tell if I have an Injury or Chronic Condition
How Can I Tell if I have an Injury or Chronic Condition

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  • Avatarcoco21
    Participant
    Post count: 2

    Four years ago I was walking a dog when it yanked my arm.
    I felt a strong sting in my shoulder all the way from my shoulder to my breast muscle.
    I had trouble recovering and I did not go to a doctor and my physical fitness suffered.

    Two years ago I tried to play soccer after not playing for awhile and I felt a strong knee stretching. A few nights later I got up fast after falling asleep on the floor and I had felt my knee somehow had shifted out of place and moved back in very quickly as I got up. After both of these injuries my physical fitness went downhill to almost non existent in terms of recreational fitness. I finally decided to go to a specialist because I was confused as to whether the lack of exercise was causing my pain or my pain was making me not want to exercise. The pain is a lot of neck tightness akin to someone making my neck into a corkscrew. The knee pain is a weakness type of feeling.

    The neck mri came back as normal alignment of cervical spine, no fracture.
    c2-c3 normal
    c3 c4 normal 1 mm midline disc bulge
    c4 c5 mild endlplate degenerative changes
    c5-c6 mild endplate degenerative changes. broad 3 mm midline disc protrusion resulting in abutment/flattening cerivcal cord w moderate degree of central canal stenosis
    c6-c7 2 midline disc bulge w effacement of the anterior thecal sac and milkd central canal narrowing

    c7-t1 normal

    ***note it also said limited evaluation of the cervical cord due to patient motion.**

    My dr put me on Celebrex 400 mg a day. This has really and about 80 percent helped my pain.

    I forgot to mention I have had TMJ for at least 10 years seriously and I do wear protective gear.

    The Celebrex has helped but not eliminated the TMJ.

    The joint specialist told me I could deal with my issue by going to chiro and starting exercise again. He seems to claim that the pulling of the dog has not impacted my shoulder.

    ONe question I have is – what does it mean that there was limited evaluation of the cervical cord due to motion? should I ask for a new mri considering most of my pain is in my neck?

    Other questions – the Celebrex relaxes me and it also makes me feel more calm when I get upset about something. My therapist told me I should go see a rheumatologist as I might have lupus. I can feel when I get upset all of my muscles tightening up. And I can feel the Celebrex loosens them. Before I started taking Celebrex I was suffering from a type of gastritis that I was trying to manage by limiting stress which was impossible to eliminate when I became upset emotionally. I find the Celebrex helps me from getting emotionally too upset about things.

    I am also considering a psychiatrist as I am possibly having a untreated case of PTSD from an incident four years ago.

    I have treated TMJ w physical therapy and I can relax it to some extent on my own and I have never taken pain meds for it.

    Also the MRI came back saying I had thickening of the sphenoid sinuses. NOt sure how much this contributes to all the pain I get in my ears and my face and my jaw. I see an Ear NOse and Throat DR because I was getting sinus infections all the time and I also was being treated for one when I got the MRI. He has me on Mucinex d and a nasal spray daily.

    I would like to start exercising again and see if I can limit the Celebrex to at least one a day as I am concerned if it has side effects but I like its calming impact. I briefly went to the chiropractor when I first started seeing the joint dr but chiropractor was very time consuming and I noticed if I missed it my condition went back to where it started. I got a lot of benefit and body relaxation out of the cooling packs the electronic stimulus and the adjustment.

    I am 37 year old female, was always active prior to the incident 4 years ago. Got a lot of benefit out of making sure my muscles were strong helped w my posture and not sure now I like to run not sure if running is okay for my spine.

    Avatarcoco21
    Participant
    Post count: 2

    im sorry I meant to say I might have fibromyalgia not lupus

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7005

    Your MRI report notes “c5-c6 mild endplate degenerative changes. broad 3 mm midline disc protrusion resulting in abutment/flattening cerivcal cord w moderate degree of central canal stenosis
    c6-c7 2 midline disc bulge w effacement of the anterior thecal sac and milkd central canal narrowing”.

    “Two years ago I tried to play soccer after not playing for awhile and I felt a strong knee stretching. A few nights later I got up fast after falling asleep on the floor and I had felt my knee somehow had shifted out of place and moved back in very quickly as I got up”. This sounds like a knee problem such as an ACL tear or a subluxed patella, not a spine disorder.

    “what does it mean that there was limited evaluation of the cervical cord due to motion?” The MRI requires you to stay perfectly still as motion will blur images like an old time civil war picture will blur the individual that moves (like a ghost).

    “I am also considering a psychiatrist as I am possibly having a untreated case of PTSD from an incident four years ago”. I cannot comment but an evaluation could be helpful.

    I cannot comment on your sinus findings.

    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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