Neck & Heel Pain Questions

///Neck & Heel Pain Questions
Neck & Heel Pain Questions
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  • AvatarKimberlyG
    Participant
    Post count: 1

    Hi,

    I have some questions regarding my health and am hoping you could share some wisdom.

    In 2000, at the age of 14, I received a major concussion 1/2″ above my left temple when a large metal & wood awning fell down from a window on a building several feet above me. I was knocked unconscious and went through months of pain, balance issues, partial vision loss, etc. (All the classic symptoms of a major concussion basically.) Though I mostly recovered, I no longer could do things like gymnastics or trampoline jumping without instant migraines stemming from my neck. Other than that, I adjusted back into “normal” life.

    In 2006, when I was 20, we were hit head on by a drunk driver (who did a dead stop in our lane) on the highway. The impact was so hard that not only did it total both vehicles, but our impact pushed the 1-ton utility truck of the drunk driver into the vehicle 50 feet behind him. We were all blessed to have had minimal physical damage overall, however; I had immediate neck pain from whiplash, only it didn’t ever go back to normal. It was hard to breathe, swallow, support my head, etc. I had x-rays of the neck which didn’t show anything abnormal. I went into PT….off and on for years….without great improvement. I tried massage, chiropractors, neurologists, etc. because the symptoms had progressed into my arms and legs. Despite all this, insurance always denied an MRI.

    8 months after that wreck, we were rear-ended by somebody who wasn’t paying attention. It was a slow-speed impact, but my neck felt it horribly. PT just continued on at that point….

    Fast forward 13 years and I have finally found almost complete relief in the arms & chest from a manual ortho PT (who specializes in this area) over the past 6 weeks. I am so thankful. However; my neck pain (and thoracic spine pain) is constant. Rest helps slightly, but it hurts 24/7. It now affects my heels and legs as well. I get tingling, burning & a deep aching pain in my heels and occasionally in my legs as well. I went from walking 5 miles a day to now having a lot of pain when just walking a mile or even standing. I am not overweight, and have always been active despite the pain, but the pain & areas affected just keep progressing. 4 years ago my heels started bothering me, but it was occasional. Now it has progressed to basically 24/7. When I hike minor hills, my lower legs will experience slight shaking as well. My PT has checked my reflexes and they are good. My neck ROM has greatly improved over the past 6 weeks as well. I just want to be able to have less pain so I can be active again and spend time playing with my kids!

    Due to my PT’s advice, I will be scheduling an MRI today to help narrow down what is going on. Obviously that will give the most clarity, but in the meantime, I was wondering if you could give me an idea of what could be going on-especially with the heels, or which direction I should go in regards to which type of specialist would be best to see? I’m assuming this sounds like a spine issue… so seeing you after I get my MRI would probably be the right direction?

    Any ideas/thoughts you could share would be appreciated!

    Thank you for your time!
    Kimberly

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6845

    “I get tingling, burning & a deep aching pain in my heels and occasionally in my legs as well”. “4 years ago my heels started bothering me, but it was occasional. Now it has progressed to basically 24/7. When I hike minor hills, my lower legs will experience slight shaking as well”.

    This set of symptoms sounds more like peripheral neuropathy but possibly could be from spinal cord compression. See https://neckandback.com/conditions/peripheral-neuropathy/ and “https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/. Your examination is important here but the two things that come to mind are a consultation with a neurologist with an EMG/NCV test and a cervical MRI to look for cord compression.

    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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