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  • Avatarjameskim27
    Participant
    Post count: 1

    Hi Dr.Corenman,

    I hope you are safe and well in the midst of all this.

    I have been battling chronic neck and back pain for a decade now (wow I can’t believe its been that long!) and needing your input.

    Here is my brief story so far:
    I injured my neck during wrestling practice in 2009 when I was 19 years. I was thrown and landed hyperflexion on my neck. The only diagnoses I have received so far are: neck strain, myofascial pain syndrome, and clay shoveler’s fracture (avulsion fracture at C7/T1 bone not healed). There is no instability found according to x-rays. I have completed physical therapy, massage, trigger point injections, chiropractic, and upper-specific cervical chiropractic treatments (NUCCA/Blair) throughout the years.

    My neck is constantly tight and I feel the need to constantly crack my lower neck/upper back. Sub-occiptal headaches that refers to the top of my head on occasion. I believe I may have made my neck condition worse from self-manipulations and chiropractic high velocity manipulations (which I have stopped since I thought it was making my neck worse and more instable). My body is now having muscle spasms in the C7/T1 region.

    What should I be doing now since my condition is chronic. Should I revisit wearing a cervical collar? This is a step I have skipped throughout my injury.

    I am at my wits end with this injury and desperately need some advice. I appreciate your time and all that you do.

    Take care,
    James

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7523

    You need a meticulous history and physical examination with imaging by an experienced spine surgeon. These hyperflexion injuries can tear facet capsules, cause annular tears and disrupt ligaments. There sounds to be a pain generator or two and you need the right specialist to drill down and find it.

    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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