[Jasper175]

#30510

So many threads but they are old and long.

Simply put – many head injuries, my C0/C1 area clunks.

Click for Physical Exam Demo

Since this video I cannot do this test anymore.
Now:

1. C2 is rotated slightly
2. Neck still clunks if I lay over a pillow arched (no pain)
3. Chronic tightness – all Occipital muscles!
3. Orthostatic hypotension often w/ Occipital Pain / pressure
4. I can’t rotate my head left or right much (feels like muscles holding on for dear life – Pain at tendon level)… mostly Right C1 Side. If I do turn I get loopy.
5. Left eye is degenerating more (not sure if related)
6. I sleep 2 hours tops a night, dozy the rest of the time.
7. Misery, High Anxiety from it

Equilibrium is fine
Thinking ok, not much fog at all

3 surgeons – see no reason. I have bulging C4-6, from both sides in flexion.
2 Neurologist told me to see a psychiatrist

DMX is clear sign of instability but not major except at the end I made them do a new image position with me laying down over a deneroll

Click here to view DMX

In my channel on YouTube I’ll be updating a new demo of all scans.

Treatment
– ever since Epidural I have been on a downhill quickly. I suspected a slow CSF leak maybe?
– but since then I can’t be up a lot. Mostly things changes a bit .. it’s more higher pressure now.

– Prolotherapy last month, and the I read Dr C’s view on a Dextrose injection which makes sense, but I figured since ligaments don’t get much blood flow it would help in proliferation. I read many getting healed well with it. Or is PRP more the way to go?

Thank you

[Donald Corenman, MD, DC]

#30533

Your symptoms match with many disorders including benign inter-cranial hypertension, Chiari syndrome and Wallenberg syndrome. Be very careful using DMX (fluoroscopic video) to allow diagnosis of your disorder as the information has really never been tested in a paper and many wild diagnoses are made without substantial evidence.

The clunking should be able to be discovered as this symptom originates typically from a joint that shifts. Why the source of this clunking has not been discovered is puzzling.

CSF leaks due to a neck injection are not hard to determine. If there is any evidence of leak on the MRI (pseudomeningoceal), a CT with myelogram can be used to determine if any “dye” is found outside the dural sac.

The problem with prolotherapy in the upper neck is not how it works on ligaments but what happens if this toxic liquid bathes structures that it is not designed to come in contact with like the vertebral arteries or nerve root.

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.

[Jasper175]

#30561

Thank you so much for replying
– so far I’m told no Chiari after 3 MRIs. I have retrolesthesis, bulging
But as for CSF Leak – no one will look because I “don’t have THE headache” and I can get up and walk normal but I get orthostatic for a few seconds only.

Clunking only happens when jumping or laying over a rolled towel and C2 is pushed up when I’m relaxed. If I tighten up my neck muscles it clunks. Which is why on DMX I made them do this test at the end. But upright MRI or upright XRay Wint show anything with gravity.

Now I can’t rotate my head at all much but Dr now all say – try PT, Accupuncture, Psychiatry…

[Donald Corenman, MD, DC]

#30576

I’m reasonably confident that you don’t have a dural leak headache. You need a true expert to look at your X-rays, CT scan and MRI to determine what your source of clunking and pain really is.

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.

[Donald Corenman, MD, DC]

#30577

I’m reasonably confident that you don’t have a dural leak headache. You need a true expert to look at your X-rays, CT scan and MRI to determine what your source of clunking and pain really is.

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.

[Donald Corenman, MD, DC]

#30578

I’m reasonably confident that you don’t have a dural leak headache. You need a true expert to look at your X-rays, CT scan and MRI to determine what your source of clunking and pain really is.

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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