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Hi Dr Corenman
I live in Yorkshire, England. I am a 73 year old male.
In Feb 2019 I fell 30feet from a ladder. I landed on my left side. In hospital I was diagnosed with a dissected aorta.I had an emergency operation to insert a TEVAR stent. Unfortunately this procedure dislodged a blood clot which passed to my brain causing a stroke which caused temporary paralysis of my left arm and leg.
I also had a very badly broken pelvis.I had an “open book break” at my pubis bone which required a plate and several screws to stabilise. The rectus abdominus muscle was detached on the left side of the pubis bone and was reattached. (It has subsequently become detached again ).
I also had a fracture of the left ilium which was stabilised with a screw.
I also suffered fractures of the spine ,T11 and L1. I had no treatment for these but the spinal consultant assured me , no treatment was necessary.
I was 10 weeks in hospital , in which time the physio team taught me to walk again with a frame.
After discharge I had physiotherapy twice a week and exercised daily on my own. In the following months I regained a significant level of strength, walking several miles without a stick , learning to swim again. Life was good!!!!!!
I used to experience upper leg weakness in a morning but after exercise this disappeared. I also experienced chronic lower back pain whilst sitting in a low back chair. My physiotherapist suggested my core was weak. When we were assured by the Spinal Consultant ,in October 2019 ,that everything was OK with the spinal fractures she had me do a “side plank” exercise. I found this extremely difficult. I repeated it the next day on my own. The upper leg weakness had returned and was no longer relieved by exercise.
I have seen numerous specialists but to date no-one has been able to give me an explanation why I deteriorated in October 2019 when I did the plank exercise.
I’ve had several MRI scans of my lumbar spine. None have shown any evidence of central canal stenosis or disc damage. I’ve had nerve conduction studies which have not shown any problems with the muscles and nerves of my legs.
I am totally at a loss what to do next. I am unable to stand for more than a few minutes and have to spend most of the day lying down to be relatively pain free.
I am more than willing to pay you for your professional opinion.The two potential problems that come to mind are missed upper lumbar foraminal stenosis and alignment issues. Do you have normal sensation in your groin and thighs or diminished? Do you have standing full spine x-rays (scoliograms)? I assume your MRIs covered the thoraco-lumbar spine.
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.Hi Dr Corenman
Thank you for your reply. I have normal sensation in my groin and thighs. I have had an MRI scan of my thoracic and lumbar spine at (least 2years ago). I was told there were no areas of concern. All the subsequent MRI scans were only of my lumbar spine.
I have never had a full standing spine Xray. I have never heard of a scoliogram ?
What is the normal method of sending MRI scans to you?If you want me to provide to you a full accounting of your condition (sans physical examination) including personally reviewing your images, you would have to evaluate the “long distance consultation” found on the home page.
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.Dr Corenman
I have looked at the “long distance consultation “. No problem with the questionnaire. I have to investigate accessing the MRI scans which are on our national NHS system. I have no means of downloading them onto a disc. Do you not use a USB memory sticks?
You mentioned a full standing Spinal xray. Would it be advisable to have this done in the UK before submitting the “consultation “I have used USB memory sticks before. I have also gained direct access to the NHS system with your user name and password in the past. I don’t know if it works every time. Yes, a full standing x-ray would be helpful too.
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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