pain problem

pain problem
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  • Avatargerrard87
    Participant
    Post count: 13

    I also forgot to tell you that most of the times when I bend my head toward my chest i feel some mild stabbing pain in the right subclavicle area.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    Your symptoms are diffuse and incorporate both the head (cranial nerves that are not affected by the spine) and neck (which obviously can be spine generated).

    “my right himeface became numb. Everything down the right eye was numb. The symptom dissapeared after 2 hours. After a couple of days I had a pain feeling in my neck and almost all my right arm was numb”

    “in a few days I felt more severe symptoms like a stabbing pain in my right chest, pain at the shoulder and neck including both ears. This time the symptoms were bilateral, but more severe in the right part of the body”

    “Right now I have daily pain that is moving from the right shoulder and neck to the left one, some other time I just have diffuse pain to the back of the head that goes down to trapezium muscle, sometimes feeling some kind of pressure and in the back of my neck, ears pain a little bit of nose and eyes pain”‘

    Your MRI notes degenerative disc disease at C5-7 which is quite common. “the discs c5-c6, c6-c7 with annular tear and small posterior protusions without root conflicts”.

    The question is what can cause all of your diffuse symptoms? I would think about disorders that can “cross boundaries” such as Lyme disease or an inflammatory disorder such as SLE or something like this. There might be referral from the lower discs but that is very uncommon and I would look for other sources first,

    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.
    Avatargerrard87
    Participant
    Post count: 13

    Thank you for your response. I’m going to see a neurologist tomorrow. I had a lot of blood tests done, and the majority of them were good. I was thinking that the cervical spine is the problem because most of the pain is around the neck and somehow connected to the neck region. I was thinking at Lyme disease, but have seen that there wasn’t any demyelination process on mri, so I was thinking this is not the case.
    I made an appointment with a neurosurgeon maybe I was thinking that I can get some epidural injections to see if i;m getting some pain relief. do you think it;s a good idea?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    Demyelination does not show up on MRI with typical Lyme disease, only with MS.

    Epidurals that give you good temporary relief certainly may point to the levels you have that are degenerative, See pain diary on the website.

    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.
    Avatargerrard87
    Participant
    Post count: 13

    So i’ve been to neurologist and even if he is not a specialist looking at the MRI, she told me that the problem is that I have an inflammation that is starting from cervical area. She gave some treatment to try for a month like gabapentin and some muscle relaxant. looking at these 2 abnormalities on the images, do you think it’s worth trying the opinion of a neurosurgeon?
    https://i.imgur.com/lSHAWqs.jpg?1
    https://i.imgur.com/pnNNpoc.jpg?3

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    Inflammation is the human condition that predisposes nerves to become sensitive and deliver pain signals so this neurologist is somewhat correct. Inflammation generally is causes by mechanical disorders (facet arthritis, disc tearing or nerve root compression) as well as diseases such as Lyme disease among many others. The key to treating this pain is to discover the source and resolve it, being injections, therapy or even surgery.

    The treatments your neurologist started you on (Gabapentin and muscle relaxants) are medications designed to reduce pain, not inflammation. Nonetheless, if you get relief of your symptoms, that would be beneficial. Relief however would not get to the root of the problem (inflammation).

    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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