shrikant_touchMemberJune 14, 2012 at 1:09 pmPost count: 6
can you Please explain “long tract signs” once again ,further please also tell whether posterior decompression involves full/partly disk removal?
shrikantDonald Corenman, MD, DCModeratorJune 14, 2012 at 9:39 pmPost count: 8508
Long tract signs are a physical examination finding. This is why you need a good spine surgeon for a consultation. These signs include hyperreflexia, Hoffman’s sign, clonus, positive Rhomberg’s test, adiadokokinesis, balance and walking challenge tests and L’hermittes sign. The history can also yield significant clues if correct inquiry is taken.
Posterior decompression could include laminectomy or laminoplasty (see website) and does not include surgery on the discs.
Dr. Corenmanshrikant_touchMemberJune 17, 2012 at 1:11 amPost count: 6
Thanks for helping us, I’ll get my father examined by a good spine surgeon to avoid further damage.
Thank you very much
ShrikantDonald Corenman, MD, DCModeratorJune 19, 2012 at 5:19 amPost count: 8508
Without seeing him for examination, it is hard to determine if his bowel and bladder difficulties are from his cord compression. I cannot tell you how long to wait before he needs surgery.
Dr. Corenmanshrikant_touchMemberJune 24, 2012 at 12:33 amPost count: 6
It is a good news that he is regaining bowel control since last four days.
Last 8 days He has been taking
2.Tablets for mythylcobalamin (however the B12 deficiency test yet to be done)
3.Doing Yoga for cervical.
4.taking daily ayurvedic oil massage.
Now I ‘ve no idea what worked .He is still on catheter that will be removed (as per doctor) once his bowel functioning is normal.
Spine specialist asked us to keep the option for surgery open in case of relapse.
ShrikantDonald Corenman, MD, DCModeratorJune 24, 2012 at 4:38 amPost count: 8508
It is still difficult to determine what caused the bowel and bladder dysfunction. If your father had a cord injury such as central cord syndrome (see website), it is possible to recover over time and that may be what is occurring. Make sure you keep your father from extension of his neck (bending backwards) to prevent further pinching of the cord.
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