Viewing 6 posts - 43 through 48 (of 54 total)
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  • AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7794

    I’m happy to hear you have had the debridement and fusion with identification of the bacteria. How you have the correct antibiotic and your lab numbers are surprisingly descending quickly.

    I wonder if you had a dural tear prior to this surgery as most patients will have significant positional headaches in the presence of a chronic dural tear.

    Your nerve was adhered due to fibrosis so it is good that it was freed but doing that con come at a price of further nerve irritation due to root manipulation.

    Progressive symptoms can be from inflammation, root damage from manipulation or the possible onset of CRPS due to the burning quality of the pain(see https://www.neckandback.com/conditions/complex-regional-pain-syndrome-crps-reflex-sympathetic-dystrophy-rsd-causalgia/). Don’t worry too much about the latter but keep it in mind. You might as them about using gabapentin for nerve pain.

    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.
    AvatarSailormoon
    Participant
    Post count: 28

    Hi Dr Corenman,

    Thank you for your explanation.

    In term of pain, right now i dont have severe pain. I do have pain in certain position, but all of them is tolerable but very uncomfortable. The soles of my foot is tingling all the time. When walking it feels like i have much small stone at the soles. Not to mention mild burning at my calf, tightness of calf. Very2 uncomfortable.

    I able to walk but my legs become weaker. Is there possibility i will end up paralyzed?

    The doctor give me pregabalin, i took them one day and then it makes me like a zombie, no balance when walking. It only help me to fall asleep.

    Is there anything i can do to stop the symptoms progressing? From inflammation, root damage or CRPS.
    Maybe i still at early stage and might be can stop the symptom progressing?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7794

    It sounds like you are being treated (finally) appropriately. I think if you carefully watch your symptoms, you will find that you are probably not progressing symptom wise. Keep a watch on your symptoms but don’t use anxiety to misinterpret your symptoms as progressing. Nonetheless, if you are truly worse (progressive weakness), contact your surgeon immediately.

    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.
    AvatarSailormoon
    Participant
    Post count: 28

    Hi Dr Corenman,

    I really hope that it is something that i dont need to worry about.

    Thank you so much for your detail information and response. It really help me a lot.

    AvatarSailormoon
    Participant
    Post count: 28

    Hi Dr Corenman,

    My nerve deterioration still going on. Burning sensation, reduce skin sensory, and pin and needle at the bottom of my feet become wider. Lately i also have deterioration on bowel movement. And its hard for me to stand on tiptoe now. I’m 100% sure that its not only in my head.

    MRI non contrast had already performed and showing black shadow similar with herniation on central of the canal. The black shadow wider compared to previous MRI. I saw some of the black dot inside the canal start to covered by the black shadow. I compared the MRI image with the one on your youtube channel with title how to read MRI.

    I dont know whether the black shadow is pus, scar tissue or else. The disc already empty so i think its not herniation. I ask the surgeon about this, but he said nothing wrong with the MRI. He said that we have to ensure the infection fully healed.

    While i think the infection is already healed. Because the ESR reduced again to 40 and CRP is 1.4 and the most important thing i no longer have back pain and i able to sit now. My doctor said because my ESR still high then i still have infection, while all i know it should be combination CRP + WBC just like you said. ESR high have many factors, right?

    I running out of idea to whom i should asked about this. I came to neurolog to read the MRI but she said only the surgeon who performed the surgery who know what it is. She offered me to have EMG.

    If the black shadow inside the canal is pus, can it absorped by body? Can scar tissue grows so fast and made symptom like i have? Do you have any advise for me?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7794

    Normally, when you obtain a post-infection MRI, the images include a gadolinium set of images. Gadolinium (Gad) in injected into your vein before the images are obtained. The Gad “lights up” on certain sequences to determine if the “black shadow” is inflammatory tissue or some type of mass. Your symptoms seem to be progressing so that is not a good sign but your lab numbers are improving which is better.

    If the black shadow is pus, it will be hard to cure the infection as this “pus pocket” can be walled off and unreachable by the antibiotic. However, if it is phlegmon, a mass of healing inflammatory tissue, the results could be much better. The Gad would help determine the difference.

    I’m not sure what to do here as my experience is different than what you have been going through. Here in the USA, I would consult as many experts as I could get my hands on to gain more wisdom but it seems that where you live, that is a difficult task.

    Please stay in touch.

    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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