Neck and Shoulder Pain

///Neck and Shoulder Pain
Neck and Shoulder Pain
Viewing 6 posts - 55 through 60 (of 74 total)
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  • AvatarBRONCOFAN1
    Participant
    Post count: 41

    Hi Dr. Corenman,

    Another quick update – things have started to settle down quite a bit… for some reason it just seems that it took me a little longer to get the muscles to calm down than most take. I will chalk it up to having severe pain for more than 12 months between the original DDD and then the failed ADRs! Will try to update again in a few months, but right now everything seems to be on the right path.

    One question I do have – prior to my ADR surgery, my flex-ex noted about 2 MM of motion between flexion and extension at both c3-4 and c4-5. Post ACDF C5-7, everything looks good and the report notes “Alignment does not change significantly on dynamic lateral radiographs.” Does that mean they are no longer seeing the movement at these levels? Or is this possibly just a difference between one radiologist calling something out and another not finding the movement significant?

    Thanks!
    Kevin

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6845

    There are differences on radiological reports that could be the “eye” of 2 different radiologists or of an actual change in the motion. If there is a slip of 2mm or less, I sometimes will not “call out” the difference as 2mm is an acceptable slip motion and is considered to be within normal limits. It is unlikely that a fusion below improved the stability of the segments above but stranger things have happened.

    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.
    AvatarBRONCOFAN1
    Participant
    Post count: 41

    Hi Dr. Corenman,

    Just a quick update – I am now ~ 15 months post ACDF at C5-7. My neck pain is much improved and the results have been good.

    One thing I have noticed that may help other patients who have had an ACDF to deal with severe neck pain – it is imperative that I maintain good posture and spend at least a few minutes every day on neck strengthening exercises. With a neck that is susceptible to degenerative pain, it is easy to cause pain now by siting improperly, slouching while driving, etc. I assume this is not uncommon – once you stabilize a portion of the spine it makes sense that mechanically posture and reducing strain are more important than ever. When I take care to avoid forward neck posture, I am essentially symptom free now.

    Thanks again for all you do here on this forum.

    Kevin

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6845

    Thanks for the follow-up.

    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.
    AvatarBRONCOFAN1
    Participant
    Post count: 41

    Hi Dr. Corenman,

    Well, my timing on a follow up post was not amazing. Just this week I have developed some pretty severe pain in the right scapular region – just off center and about midway down the shoulder blade. Sometimes a dull ache and other times a little sharper. I also have some local neck pain, a little higher up than the pain from my previous C5-7 issues and mostly on the right side as well. I find the extending my neck back toward the side of pain recreates or exacerbates it… I will see my spine doc and hopefully get some radiology ordered next week.

    My question is – can this pain be referred from the facet joints? Or is it much more likely to be a nerve impingement? I do feel some slight catching occasionally with certain neck movements as well.. and did have about 2 MM of motion on flex ex before my surgery at both C3-4 and C4-5.

    Thanks!
    Kevin

    • This reply was modified 3 months ago by Avatar BRONCOFAN1.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6845

    This pain could be from C4-5 degeneration, a pseudoarthrosis of C5-6 or C6-7 or a shoulder problem. Next step would be x-rays and a good old-fashioned physical examination.

    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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