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  • DRAGON
    Member
    Post count: 14

    Dear Dr Corenman

    You kindly advised me in respect of a cervical spine concern of mine and you mentioned that some of my symptoms could potentially arise from my lumbar spine.

    I had MRI a year ago on my lumbar spin e and I will email you a link to the images. I’m particularly interested in the very bright spots /flashes on some of the images contained within the screenshot I have numbered 22.

    Also your general impression of the other pictures would be appreciated in so far as is possible given the inherent limitations of looking at them in this way

    As regards my back I have no back pain as such but many years stiffness and in the last year / 189 months or so a sense that my legs haven’t got quite the same power, a definite loss of glute muscle but legs themselves seem the same muscle wise

    BTW in your book is there any sections on the cervical spine ??

    Thank you

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    Stiffness in the lower back is quite common. As we age, the muscles, tendons, discs and ligaments do stiffen and become thixotrophic. This means that the muscles “gel” when stationary and loosen when used.

    If I can view your images, I will give you a report.

    My lumbar books have no cervical spine notations. I am currently writing a cervical book.

    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.
    DRAGON
    Member
    Post count: 14

    thank you Dr Corenman I will email you a better link to my images where they can be seen larger and easier

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    There is nothing on the MRI that I can find concerning. You do have some bright circumscribed areas which look to be hemangiomas but without a complete series, I cannot be sure. These are not infiltrative which is very good.

    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.
    DRAGON
    Member
    Post count: 14

    Many thanks for that. When the scan was reported last year by the radiology doctor was pretty brief, I recall nothing was mentioned about any Hemangioma and it might be that harmless appearing one’s are so common they wouldn’t be mentioned
    What I experience is stiffness (over about the last 10 years) sometimes back pain, but certainly some leg weakness that to me feels to be ‘from the back’ as though the weakness is above the legs
    For as long as anyone can remember my right leg has been a little bigger than the left, and 15 years ago a back X ray was n arranged that was because the dr queried the potential presence of ‘spina bifida occulta’ The only thing that X ray showed was a little scoliosis

    The link I sent by email to my flickr page I supplemented later by a further link to the complete MRI set btw

    Many thanks :)

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    Many radiologists feel that hemangiomas are so common that they are not worth reporting. Weakness in the legs does not have to originate from the back. There are many other sources. Stiffness in the back can come from aging and may not show up on an MRI as I noted earlier.

    If you want to gain more information, a neurological or rheumatological consult would be your next step.

    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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