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 21, 2022 at 3:21 pm

Post count: 236

#34851

measured your canal and it measures between 1.2 to 1.4 cm
But in the specific area on the MRI
before 3 months (what have slices of 0.8 mm)
U can measure the canal from AP it is 10-11 mm in area of center lef c3-4 level see
Please soo all the long the canal average 12-15 mm but in
The c3-4 central left area of the ligament flavum canal was 10-11 mm
See please (but this from middle November
The next MRI from January very confused because he didn’t show any compress little on axial T 2 but the slices are 3.3 mm
but if we looked to sagittal t 2 wee see that the ligament flavum line it is not normal the c3-4 ligament very non symmetrical line with other flavum very forward located (you see that ?
The last nerologicst recommended new MRI C SPINE and brain MRI also .also thoracic MRI but because i do thoracic before 2 mounts (he say enough to do c and brain more )

Meni

Donald Corenman, MD, DC
Moderator

February 21, 2022 at 3:35 pm

Post count: 8660

#34852

There is at least 4mm of CSF anterior to the cord which give plenty of room and the canal measures 1.4 cm which is normal. Yes, there is a posterior protrusion of ligamentum flavum but the cord lies on this without compression. If the MRI was performed with you lying on your stomach, the cord wound not have contact with that “mound” but lie on the disc spaces without compression. I would not consider you to have stenosis and would not feel compelled to perform a posterior decompression.

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 11:43 pm

Post count: 236

#34853

ן go to some nerologicst and them convenience that i do not have any nerologic diesase (not MS or something like this )
I do MRI C AND T AND L Spine
My walking not looking like someone have MS ,i do not have carnial nervous involved .
Nerologicst testing brain physical examination Normal.
So this not look like MS ,and also not like other .
I know that my last MRI Confused ,but
**What a bout sagittal ligament flavum line ?(you can say something on this )
This if pressure on the spinal cord causes myelopathy (also lead to stroke heart attacks
This not big risk to take by not treatment the ligament flavum posterior .
This very bas if i get stroke or heart attacks because i didn’t get the treatment early .
Because i m see a lot of spine surgeon , nerosurgeon also 2 im USA consultant
and all of the problem causes by pressure of the ligament flavum posterior .

Meni

Donald Corenman, MD, DC
Moderator

February 22, 2022 at 11:06 am

Post count: 8660

#34854

myelopathy does not lead to cardiac disease or stroke (“This if pressure on the spinal cord causes myelopathy (also lead to stroke heart attacks”).

The decompression surgery has some risks that should not be underplayed. It’s not as simple as removing the posterior lamina. I understand your stress and the need to “do something” and you probably will move ahead as you are being driven crazy by your symptoms. The symptoms however do not make sense based upon your pathology but I could be wrong. Surgical decisions are based upon risk of the disorder, what surgery can do to remove the disorder and the risks of surgery.

If you came to my office, I would recommend against surgery but I’m sure there are those who advocate surgery.

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 22, 2022 at 1:06 pm

Post count: 236

#34855

With damage the neroun in the spinal cord ,
(If i do a New MRI and show point signals in the cord ) because i have upper Neron that i didn’t have before the last MRI .
ALSO pain a cross the the spine from neck to thoracic (i read this also could can sign of myeomalcia )
Another next stage on needles in the trunk.also tingling in part of body don’t have before 2 weeks .
Blood pressure was very high (arrived to 190 SYS or DIA 125 ) not happen to me before anytime in my Life.
Purse of heart also up in this day’s to 110 average and arrived to 130 in rest very not normal.
All this last started symptoms of blood pressure high ,pain a cross the spinal cord ,high purse ,come with the physical examination of upper Neron motor!
I will do NEW MRI of cervical spine by two days .(to see if any change of pressure or also any signal in the cord.
MRI brain will be after because the cervical region more important.
Not have carnial nervous involved.

Meni

meni learn
Participant

February 22, 2022 at 1:24 pm

Post count: 236

#34856

One dr from Florida,i do ZOOM consultant with him
Before more one mount .
He gave me price of 80000$ for surgery laminectomy two levels including hospital and all (recommended me to find good spine surgeon in my country and do the surgery in my country .
He says this simple operation (he say this take him 10 minutes to do and he could do this Via 1 inch incision .
I not believe all what he say but the main Idea of to treat this early if this causes symptoms i completely agree with him .
This consultant cost me 750$ with this dr .
He recommended to find surgeon but i didn’t find (most of them not think i need to surgery with the MRI scan
Just
(**1 surgeon in my country recommended laminectomy before one month and after he see the MRI from January
He not convinced that ligament compress on the spinal cord (so he writes report not recommended surgery now )
The dr i do with him zoom meeting is :
He do very famous YouTube video EXPLAINING the topic cervical stenosis
How this happened,what the treat from started of laminectomy via fusion .
He says:”if you started lossing function do it soon ”
He say “i fix that hope this is because if it what is this it simple and the future this could be more complicated .

Meni
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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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