AnaisaMemberMarch 9, 2012 at 7:15 amPost count: 2
Dear Dr. corenman;
In 2005 I had surgery removing part of my mandible and reconstructing it w/ my fibula.
I was diagnosed w/ Myofasical Pain Syndrom. Pain radiates from my jaw, down the neck and into my shoulder. I also get many headaches and ear aches.
My fibula was not attached and I have drop foot. Debilitating pain in the knee, opposite side of sugery and ankle, side of the surgery. I now have drop toe. My foot is starting to ‘curl’ and I read that claw foot is inevetable.
Recently I have been having pain between my shoulders in my spine. Thus not only from laying down but sitting I have numbness in my pinky and ring fingers in both hands. (On occation, while laying down on my stomache I have had numbness in the middle, pointer and thumb fingers.)
Also, I started w/ pain in my pelvic on my left side; At first I thought eh, I just turned 42, female…must be hormonal.
Then I remembered that when I had a chiropractor look over my back, he said I had ‘issues’ w/ my c3, t3 and l3, (I always had lower back pain.)
And it dawned on me? Could my surgery which mislined my jaw, (mandible shifted where my bottom teeth no longer aline w/ my top) be effecting my spine? Thus the problems w/ the more recent numbness and pelvic pain?
AnaisaDonald Corenman, MD, DCModeratorMarch 9, 2012 at 10:00 pmPost count: 8465
Removal of the fibula can affect the common peroneal nerve which lies right next to this bone near the knee. If there was struggle with removing the fibular graft, this nerve could have been injured which would lead to foot drop.
A mandibular reconstruction should not cause the pain you are experiencing but stenosis or HNP in the cervical spine can. You need a work-up of your cervical spine.
Dr. CorenmanAnaisaMemberMarch 10, 2012 at 12:53 amPost count: 2
Thank you for your time and response to my question.
The surgery had a number of complications and thus my leg does not have feeling in certain areas near the scar and a bunch of titanium clips; So far just the toe drops and the foot is starting to rollseven years later.
I did have a chiropractor say that my scull kind of scrunches up w/ my spine and he had to ‘pull’ them apart. He said it’s because of the way I sleep.
I thus need to find an orthopedic spine specialist to have a work-up of the spine. Should I ask for the work-up or just explain my symptoms?
Thanks again and much continued success.Donald Corenman, MD, DCModeratorMarch 12, 2012 at 9:42 amPost count: 8465
Any first visit to a spine surgeon should include a complete history where you tell your story with pinpoint directed questions from the examiner. Then a complete physical examination is performed. After that, any diagnostic images are ordered and a differential diagnosis is made. Then, diagnostic tests may be performed (ESI, SNRB, facet blocks etc….) and a definitive diagnosis is made. If surgery is warranted, a discussion of the benefits, success rate and any risks is undertaken. If rehabilitation is needed instead of surgery, that discussion is completed.
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