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  • kaustin6
    Member
    Post count: 5

    I have been having neck and shoulder pain for about 5-7 yrs. it started with only shoulder and moved into my neck on the left side. Last year I had surgery 2 bone spurs removed from the left side of my shoulder and bursitis also in march 2014 started Pt after a few weeks my neck pain came back. And had a torn disk at c5-c6 ( disk fussion ) Surgery aug 2014. after it was done my neck felt great. Was up walking with no pain. About 3-5 weeks later in PT my neck pain came back real stong on the left side .It has been getting worst each week I am to the point I stay in the house, neck hurts just to sit up and any walking thru the house. I had a MRI done back in 2013 it read – FINDINGS: There is some right forraminal narrowing at C3-C4 due to some spurring seen on the oblique veiw and minimally on the left side. IMPRESSION: Some foraminal narrowing identified at C3-C4 bilaterally, right slightly greater than the left.
    thanks Kevin

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    You had a fusion at C5-6 and had temporary good results. I hope you did not start PT 3-5 weeks later for your neck fusion as this is early for PT.

    You might not have a solid fusion of your C5-6 level. Typically, patients with a pseudoarthrosis (lack of fusion) will feel good initially but will then develop pain as the fusion fails.

    A new X-ray including flexion/extension will be helpful to ascertain if this has occurred.

    Dr. Corenman

    kaustin6
    Member
    Post count: 5

    I had surgery aug 14th 2014 started PT Oct 3rd 2014

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    That in my opinion is a very acceptable period of time between the surgery and the start of PT.

    Dr. Corenman

    kaustin6
    Member
    Post count: 5

    I could not get my doctor to order the x-ray but he did order a C-spine MRI and aMRI of my shoulder. I just hope it shows it.

    thanks

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    I find that no X-rays ordered after your surgery to be remarkable. The X-ray is the basic tool for understanding how the ACDF surgery is progressing. Flexion/extension views are the only way to compare stress films to understand how this action affects the fusion. The MRI is a great tool for looking at nerve or cord compression but will do nothing to help with the understanding of a solid fusion.

    Dr. Corenman

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