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  • acura234
    Member
    Post count: 2

    Back in Nov. 2008 in over the course of less than one week i developed severe numbness & tingling in my legs from my groin area down to my toes. Shortly after i had little to no control of my legs so my GP sent me to a neurology specialist. After a short exam he called a neurosurgeon at the University Hospital here in London Ont. Canada. The surgeon Dr. Neil Duggal said i must get to the hospital immediately or i would loose my bowel & bladder control.

    FF to hospital after several x-rays & MRI’s i was told my spinal cord was being pinched in my lower back, somewhere up from my waist. However he couldn’t tell from the tests exactly the spot, nothing stood out in the MRI’s so he would have to go in the most likely spot based on my symptoms. He said he would know more once he opened me up. This is all based on what i remember being told. Surgery done said he scraped some fatty deposits off a few spots & bone spurs he would be running tests on what he found. Seemed like legs were better but not perfect. Was discharged & incision was healing ok.
    FF about a week, numbness & tingling returns & moves up to my chest. More MRI’s but still nothing stands out, he says that’s very unusual once again will have to go in to see. He goes in from between my shoulder blades up to C2 if i remember correctly. Note, before all this i was diagnosed with Ancylosing Spondalitus several yrs. before in my neck, limited mobility. Surgeon does a cervical laminectomy to relieve pressure on spinal cord. After it seems to have corrected problem only now the incision will not stop draining. It continues for about 2 days draining so he says he must open it up to see why. After he can’t find the problem & was no infection. By this time it’s no longer going to close up so they start packing it off & then must start using Vac Unit.
    I went home with Vac & had PSW come in 3x week to clean & re-pack. The hole between shoulder blades just bellow my neck was 3cm. deep 4cm. wide.
    to start off, took about 5 months to heal as far as it would. My biggest issue has been since about one month after discharge until now 2yrs later present day, no proper feeling from bottom of shoulder blades up to shoulders & back of neck. Also severe throbbing pain like pressure never stops & now numbness going down R. arm to elbow. I take 6 Oxycodone 10mg. per day & an anti-inflammatory. No one can explain this pain i have, has destroyed my quality of life. Sorry for length of message.
    Steve

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    I am sure that there was more said than what you understood. With ankylosing spondylitis, this disease process creates an auto fusion of the spine and can fuse the spine all the way up to the head in some cases. The spine can fuse in a deformed position and cause pressure on the cord or can occasionally fracture with the resulting hematoma (blood pooling) causing cord compression.

    The inability of the incision to heal could be from an infection or from the body’s inability to mount a thorough healing response. The vac unit is the appropriate way to induce a wound like this to heal. The numbness in the shoulder and the pain in the arm can be from residual symptoms from the previous cord compression or symptoms from a compressed nerve in the neck.

    A new MRI of the neck may help spot if a cervical nerve is compressed. A selective nerve root block may then diagnose what nerve is involved. Temporary relief of the arm pain may indicate that decompression of the nerve may give relief. Understand however that relief only identifies the nerve involved and does not rule out chronic radiculopathy (see website for that description).

    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.
    acura234
    Member
    Post count: 2

    So your opinion is the ankylosing spondylitis is what caused all my problems & there’s still a nerve being pinched in my neck which is causing all my pain.
    Thank you very much for your time & advice

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    You have misunderstood me. I can tell you what disorders ankylosing spondylosis can cause but not in your particular case what happened. I have seen other individuals with AS have the problems I have mentioned but it may or may not apply in your case.

    The pain in your arm may be from a compressed nerve in your neck as one of the potential causes. You need a skilled spine surgeon to make any diagnosis and determine treatment.

    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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