Pins and needles Also in the front of the neck also in the trunk

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meni learn
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February 20, 2022 at 12:51 pm

Post count: 236

#34844

In the last 10 days ,i started to feel needles also in the trunk and on the front of the neck,in inside of the mouth ,also blood pressure up and down , purse hard also up to average 110 before one week (for 3 days and) blood pressure up to 170-190 sys and DIA 105-125 for 4-5 days them very change very fast from high to normal in few minutes in rest .
ALSo more often started to feel tingling in lower extremity Very more often ,and also more weakness in lower extremity, even i can walk 2-3 km also walking with no wide base , but legs are week ,and impossible to go fast (what i can normally in past before 4 months )
This all symptoms cam be caused by hypertrophy ligament flavum of c3-4 mostly
See please MRI before 3 weeks show compress on the (cord of left center posterior https://youtu.be/qDlsWaqQP0o

Meni

Donald Corenman, MD, DC
Moderator

February 21, 2022 at 12:03 pm

Post count: 8660

#34845

I discussed your films with a neuroradiologist. He agrees that the ligamentum flavum was disrupted and “bunched” but that it is not causing cord compression. That is also my opinion. Surgical decompression of this problem it not advised as the risks of surgery outweigh the potential benefits. There has to be another undiagnosed cause of your current symptoms.

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.

meni learn
Participant

February 21, 2022 at 2:13 pm

Post count: 236

#34847

Thanks dr corenman
This is not called compression
This is from November middle MRI
SEE please i do measurements of the cord https://youtu.be/qDlsWaqQP0o
?
This is very important to know if this causes my symptoms before the option to treat.
U can call me i m available if this not called compression
And also thoracic Spine i send to you also not evidence of compression.

Meni

meni learn
Participant

February 21, 2022 at 2:27 pm

Post count: 236

#34848

So all of symptoms that progress over stages in last 3 months : the tingling , needles ,the harder to go fast for free months,2 times falling , needles also in last 10 days also on the trunk
Checked be nerologicst : before 5 days
Hyperreflexia in 2 legs easy clonuse in legs ,hyper in right hand, Hoffman right side, termner r .
With the MRI u don’t see contacted to my symptoms , reflex , image .

Meni

meni learn
Participant

February 21, 2022 at 2:59 pm

Post count: 236

#34849

Very important not to do any surgery if this not contact to the problem
Also by remove the ligament flavum one are very important to stability of cervical spine structure
Can causes instability of verterbral colom
If not needed ,also other risk of the surgery.
But to protect the spinal cord it is very important not matter what !
If It is causes the problem what is the best treatment for this .
physical Therapy in this stage if ligament causes problems i can reverse the process ,or stopped him for advanced
?https://www.mychiro.com.my/articles/ligamentum-flavum-hypertrophy/
Them say what are the symptoms of hypertrophy ligament flavum in the neck ,and think that surgery it is the last option and says that most hospital in the world recommended laminectomy because them don’t know how to treat this conservative
U r also have D.C in your early career
u treated people with ligament flavum hypertrophy in the neck region the are symptomatic (and also very important them have degeneration of the disc on the front related to cumulative disc )?
Thanks

Meni

Donald Corenman, MD, DC
Moderator

February 21, 2022 at 3:03 pm

Post count: 8660

#34850

You do have upper motor neuron symptoms which can be caused by many neurological conditions including MS and Lyme disease. I measured your canal and it measures between 1.2 to 1.4 cm (Normal) and there is no signal changes in the cord. I understand your concern but my opinion and the radiologist’s too is that surgery would not help.

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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Donald Corenman, MD, DC

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81 reviews

Eric S

Sep 26, 2021

by Eric S on Donald Corenman, MD, DC

Successful pars repair at 46 years old

Back in November of 2018 (at 46 years old) I came from Vancouver BC to have a pars repair done with Dr. Donald Corenman at the Steadman Clinic in Vail Colorado. I'm finally posting this review nearly three years later in late 2021. The reason I waited so long was I wanted to know the final result before I posted my review. Unfortunately in that time Dr. Corenman has retired. Nevertheless, I want to post this review of Dr. Corenman and his staff at the Steadman Clinic in their excellent treatment of my L5 pars interarticularis.

I fractured my pars at age 42 back in 2014 when rolling on the gym floor, and was denied treatment by the Canadian healthcare system, probably due to my age. First my GP told me there was no surgical option for a pars defect, which was quite incorrect! I tried to live with it, but the symptoms worsened (periodic random spine slippage and weeks of resultant pain after just bending over to tie my shoe, so I eventually learned to mostly squat and hardly bend). When I finally consulted with Canadian spine surgeons, I was told they believed my pars defect had been congenital (since birth). This was absurd, considering I had done extreme martial arts (including jiu jitsu) for years prior, as well as 5 years of reinforcing steel full time in my 20s, probably the hardest job on the back you can find. No pars defect like mine would possibly have allowed this--ergo it was impossible that I had had the defect since birth. I did however have an asymptomatic congenital spina bifida occulta that made me more susceptible to a pars fracture. In 2014 in one instant, I went from having the strongest back people I knew said they'd ever seen, to being unable to safely bend over and tie my shoe without a non-negligible risk of my spine slipping randomly (which would lead to weeks of pain after each occurrence). This was due to the unilateral L5 pars defect, otherwise known as spondylolysis. It was when lying in pain on the floor 4 years later after maybe the 6th spine slippage event post injury, that I had had enough, and resolved to have surgery. If Canada's "universal health care" said no, I would make lemonade from lemons, and find the very best surgeon in the world at pars repairs. That was Dr. Donald Corenman. Dr. Corenman back in 2018 ran a website https://neckandback.com/ that dedicated many pages to the science of every aspect of pars repairs, from eligibility (good discs on MRI), to best surgical techniques (minimal open compared to minimally invasive), best imaging to use (i.e., O-Arm with Stealth imaging vs. older fluoroscopy), the ideal amount of BMP to use and why not use too much or too little, and much more, all to do with pars repairs, pages upon pages of his site just on the pars, with scientific references and his own extensive expert opinion. As a health research statistician, I was very impressed with this. It was in stark contrast to the websites of other spine surgeons which barely gave the pars a word or two, focusing almost exclusively on fusions. I had found the best surgeon in the world for pars repairs, and so after Dr. Corenman personally screened my MRI to ensure my discs were healthy, I booked the surgery.

Being 46 years old at the time of surgery in 2018, with a 4-year-old pars fracture from 2014 combined with a congenital SBO meant my pars fragment was somewhat atrophied, but it was "very solid", said Dr. Corenman in the operative report. Nevertheless, it was challenging with two things to fix, the pars and SBO, and OR time was around 4 hours. Recovery over the following months was guided by a very clear "Spine binder" from the Steadman Clinic with strict rules of "no BLT" (no bending, lifting or twisting), and illustrated physiotherapy guidelines. They even warned patients to avoid fish oil supplements, which could excessively dampen inflammation and hence slow bone healing. They answered many questions I had during months of recovery, with responses coming from the very supportive Lori Fugate (then director of Dr. Corenman's practice), and Ehrich Bean (then physician's assistant at the practice), as well as a couple calls with Dr. Corenman himself after two of the CT scans. Ehrich Bean offered great advice for taking the spine binder conservatively due to the nature of pars repairs vs. fusions. The final post-op CT scan I had was a couple weeks ago at 34 months post-op, and Dr. Corenman had retired, but I got a very positive and informative call from Eric Strauch (current PA at the Steadman Clinic under Dr. Corenman's replacement there, and who had also worked with Dr. Corenman previously). The staff at the Steadman Clinic were extremely supportive all the way through the process. I should mention, the local Canadian spine surgeon did offer me very good post-operative support including antibiotics as needed to deal with a mild surface incision-site infection early on, booking numerous x-rays when I felt something was amiss, as well as booking all four of my post-op CT scans. I am very grateful for that support also.

My final result shows plenty of solid bone across the pars and a healed SBO, with my vertebral body now a solid bone ring instead of being broken at two places as it was pre-op. Does my spine hold up in the real world? You bet! I have recently dug and moved several yards of dirt and sand and gravel by myself (shovel and wheelbarrow!) to fix our water main, pulled roots from the yard, moved several "portable" (these are HUGE) air conditioners up several flights of stairs my myself, and lifted weights. I now run 2 miles (3.2 KM) several times weekly with a hard 100 meter dash in the middle. I bend deeply before each run I go on, with no spine slippage. My spine feels amazing. I can bend over to do exercise, or real word tasks, with no risk of spine slippage.

My sincere thanks to God, Dr. Donald Corenman, Lori Fugate, Ehrich Bean, Eric Strauch, and the Steadman Clinic, as well as the Canadian spine surgeon who offered me excellent post-operative care back in Canada. You have all given me a new lease on life.

Sincerely,
Eric S

Robert S

May 11, 2021

by Robert S on Donald Corenman, MD, DC

Back Fusion Surgery

I had my entire lumbar spine fused in November of 2018. I had scoliosis , with pinched nerves that were so painful I could hardly walk - and standing for more than a few minutes was impossible. Even sitting was painful.
The fusion surgery produced immediate relief! And the recovery was much easier than I expected.
To this day I can do all the activities I love from hiking, to standing in a stream fly fishing to riding my bike long distances - or just walking down the street with my wife.
Kudos to Dr. Corenman and his staff, (including the two Erics) for taking such good care of me!

Leslie R

Jul 9, 2020

by Leslie R on Donald Corenman, MD, DC

TLIF

I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. I highly recommend Dr. Corenman and the Steadman Clinic.

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