poellMemberNovember 20, 2011 at 4:13 amPost count: 3
Hello Doctor, In doing some research online I came across your website among others dealing with cervical instability. I am nearly certain that this is the case for me. My neck is constantly tight, clicks and grinds when I make a slight adjustment, and feels like certain vertebrae overcompensate. Also related I have been seeing an increased amount of movings “specks” of light in my vision when I look at a bright/ or white surface. I have seen a chiropractor but this did not help anything. I wanted to know your opinion on where I should go to diagnose (ortho or neuro). I am based in Chicago Illinois and would appreciate any referral/ recommendation that you could give me. Best, Matt.Donald Corenman, MD, DCModeratorNovember 23, 2011 at 2:11 amPost count: 8436
Instability may or may not be your problem. Tightness, clicking and grinding of the neck could point to facet disease. The facets are joints in the neck similar to joints in the shoulder and knee. When the cartilage wears down irregularly as it does with most people, these unusual noises occur. Tightness could result from degenerative disc disease or from facet disease.
Specks of light in your visual fields would not originate from the neck.
Any good spine surgeon should be able to diagnose you. Either a well qualified ortho or neuro specialist would do. Look for one with some years of experience.
Dr. CorenmanpoellMemberDecember 11, 2011 at 3:35 pmPost count: 3
Thank you much for your opinion. After doing much research I have never found such a good correlation to my symptoms as I have while looking at those of facets.
Now I have a question for you, which I know may be tough for you as a medical professional to give me a definate answer for. I am involved in boxing, am I prone to any certain risks if I get hard enough? And is my neck too unstable to endure the blows? Please do let me know your opinion if whether or not I am unfit due to my conditions.
MattpoellMemberDecember 11, 2011 at 3:40 pmPost count: 3
Also, I forgot to ask, I am having trouble finding a spine surgeon/ neuro specialist to diagnose what it is that is going on. I am from the Chicago area, more specifically the city of Naperville in the western suburbs.
I would greatly appreciate a recommendation for a specialist I can see in the area.
MattDonald Corenman, MD, DCModeratorDecember 12, 2011 at 4:13 amPost count: 8436
Without a personal office visit and work-up, there is no way to answer your question. There are many specialists in the Chicago area but I cannot recommend one in particular. Do your research with word of mouth, internet searches, research undertaken and possible testimonials (be careful with these).
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