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  • jameskim27
    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,

    Donald Corenman, MD, DC
    Post count: 8455

    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

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