[Donald Corenman, MD, DC]

#6403

Did this neurosurgeon show you your films to determine how significant the cord compression is? He might have seen the films and not have been concerned but did you ask him about this finding?

Leg tingling and burning could be from a number of sources. Did the neurosurgeon’s examination note any long tract signs? These are findings that go along with cord compression and myelopathy (see section on website).

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.

[Deboras]

#6404

Yes he showed me MRI I did see where it was smaller n th,ere was no white around it as in other images there was. As far long tract findings he didn’t say anything. He had me push up and down on this hands n that was it. I assumed with cord flattening I would need more than pt to help it from getting worse. I’m confused.

[Donald Corenman, MD, DC]

#6406

There are two things that you need to know that might have not been covered during his examination and explanation. The first is that by the sounds of your report, he did not check for long tract signs that could indicate irritability of the spinal cord.

These are Hoffman’s sign (flicking the long finger nail and looking for contraction of the fingers), hyperreflexia (exaggerated deep tendon reflexes elicited by the use of a reflex hammer), clonus (elicited by jerking the foot up quickly in a relaxed patient), Lhermitte’s sign (lightening electrical pain in the spine and extremities when the neck is extended), adiadochokinesis (inability to rapidly supinate and then pronate the hand), failure of the triangle test (inability to rapidly make a triangle on the ground with the toe of the foot while sitting) and positive Rhomberg’s test (inability to stand in one position with the eyes closed).

The second is that with a forced extension movement (bending the head backwards), there is a small chance that you could pinch your cord and develop a central cord syndrome (see website). The risk rises with skiing, mtn biking and other similar activities.

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.

[dawaldren]

#6606

Hello, I was wondering if you could help me out? My husband has been in severe pain for about a year. I’m sure there is probably no correlation but want to give you a full history, he was in the hospital for about a week in May 2011 with MRSA and they ended up opening his arm and removing the infection, but not real sure how he contracted it as he had no open wounds. Then things just kept coming, he has had severe headaches, dizziness, and depth perception issues since at least Jan 2012. He has also had chronic sinus infections since at least Jan 2012 as well. He spent a week in the hospital where the did cat scan of his brain and many different tests but never anything of his spine. They discharged him after 3 days as they found nothing wrong with him. He has since had 3 wisdom teeth pulled as the dentist said there was some pressure on them and one was completely crooked so he thought maybe that was causing the symptoms, and still no relief. 4 weeks ago he had sinus surgery to remove polyps and correct his deviated septum, and still has not fixed the problem. He has been to a pressure point massage therapist, didn’t work, and is going to a chiropractor now, but he hasn’t had much luck yet either. He ordered a MRI and had it done this morning, and the dr called him this afternoon, and said that the radiologist said everything looks normal. However we have the MRI images and I can’t figure out if there is some issues, this is a bad MRI, or if I just can’t read this right. No I do not have any medical background, but I myself have degenerating disc in my lower back and know a little bit about what I am looking at, and I can’t even make out his spinal cord in these images. Can you please take a look for me? He is still in a lot of pain and doesn’t seem to be getting better, every time we go to the dr they tell us he has another sinus infection and put him on more antibiotics, even after his surgery…He has a lot of neck pain and dizziness, I have never heard him complain of any pain down one side or in any of his arms, hands, fingers, etc, the primary complaint is his neck, he cracks it a lot.

Thanks,
Dani

[Donald Corenman, MD, DC]

#6610

I assume that you are a separate individual who joined onto this thread and are not related to the previous questioner.

You relate that your husband has “severe pain” but do not describe specifically where this pain is. Is the pain headaches, neck pain, sinus pain, problems with dizziness or ??????

Do you have a copy of the MRI report from the radiologist? Many times, the report will delineate findings that are not conveyed by a primary care physician.

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.

[dawaldren]

#6619

Yes, I joined this thread and am not related to the previous questioner.

The severe pain is mostly headaches and neck pain but still has some problems with dizziness.

I do not have a copy of the MRI report from the radiologist, just was told that everything looks normal. I do have the MRI images saved on my computer as .jpeg files though as my husband was given a cd of them.

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