A DickensMemberAugust 22, 2011 at 7:47 amPost count: 3
Dear Dr. Corenman,
I have had some neck pain for perhaps three years, with other symptoms including headaches, nausea, visual disturbance, general slowing of cognitive function and tiredness. I also get pain through my shoulders, occasionally radiating into my arms.
The neck pain wakes me in the night and I cannot ever seem to get comfortable in bed. Recently I have had a reasonable loss of sensation in my whole body, probably 25% of feeling remains. For example, If I touch one hand with the other I can feel that they are touching but have no real sensation of pressure. Do you think this could be related to the neck pain?
I have been seeing a neurologist and he has booked me for an MRI scan of the cervical spine in the next month. I have tried physiotherapy, chiropractic, massage etc to no avail.
Am I on the right track with the neurologist and MRI, and do you have any suggestions for me or any information I can provide to you?
Kind Regards,Donald Corenman, MD, DCModeratorAugust 22, 2011 at 11:25 amPost count: 8436
Your symptoms are difficult to apply just to a neck disorder. Typically, cervical disorders cause mechanical pain and symptoms but with the central nervous system symptoms (nausea, visual disturbance, reduction of cognitive function, sensation loss over the entire body and fatigue), something else is associated. This could be an inflammatory disorder, an infectious disease or an intracranial problem and is beyond my speciality.
A top neurologist would be very helpful. An MRI of the neck may be helpful as well as other tests. Pursue an answer even if you may not find one with the first consultation.
Dr. CorenmanA DickensMemberAugust 22, 2011 at 4:15 pmPost count: 3
Thank you Doctor Corenman, this is good advice, I will follow up on those points.
Thanks again,A DickensMemberOctober 18, 2011 at 7:31 amPost count: 3
Dear Dr. Corenman,
I have had the MRI scan of the head and cervical spine. The head MRI scan was clear. However, the cervical spine scan showed “a moderate to large right lateral disc protusion leading to some significant narrowing of the right C3/4 exit foramen” as quoted from the notes I received in the post.
The neurologist has referred me to a neurosurgeon. What is a neurosurgeon likely to do with this, given my history and the approaches which have been tried in the past? I haven’t received the referral date from the neurosurgeon as of yet. Also if there is anything more you could tell me about this would be great.
Many thanks,Donald Corenman, MD, DCModeratorOctober 18, 2011 at 8:51 pmPost count: 8436
A disc herniation at right C3-4 can lead to right sided headaches with some of the other symptoms you have described. A selective nerve root block (see website) can help to determine if a portion of your symptoms are generated by this herniation. You might be a candidate for an ACDF (see website) if this block gives you short term relief and if you obtain long term relief, an occasional block may be the treatment answer.
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