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

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Donald Corenman, MD, DC
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February 22, 2022 at 3:19 pm

Post count: 8660

#34857

As I noted before, I am sure you can find surgeons who will operate. I am not one of those. I reserve surgery for patients who would I think would benefit and I think you would not. This “compression” only looks like compression when you are lying down. It really is not compression or stenosis at all.

I understand your anxiety but I don’t think this is the origin of your problem.

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 23, 2022 at 5:31 am

Post count: 236

#34861

Yes ,dr corenman i don’t want to do any surgery if it is not unnecessary .
I know if the stenosis it is mild and not progression quick (not need any operation ,in other words you can have stenosis all life and u didn’t needed surgery.
If ligament flavum not dangerous for the spinal cord ,or the symptoms not come from this area,and also if symptoms mild and not progress ,PT it is better option.
**Ligament flavum Also very important to stability of cervical spine ,so if u remove and after some years this causes instability (and u need fusion to fix the New problem ) it is bad operation to do.
This is why i m do consultation with u you ,for u Gave me honestly opinion based on your experience,what is better to my neck (you are very Expert to the spine how this complex work(i read topic on this website)

Meni

meni learn
Participant

February 23, 2022 at 7:20 am

Post count: 236

#34862

So u offer me to do also MRI cervical spine on the stomach”
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 ”
AND what a bout a MRI on the back ,he needed to do by normal (witt out MRI cervical in flexion and extension also )?
Because 2 nerosurgeon dr recommended me to do the new MRI also with extension and flexion
(But i m going to do regular c MRI )
in this case it is important that the
NEW MRI do also with this position?
And also what a bout the slices of axial t 2(3.3 mm it is big slices and can miss the correct diagnosis in this case ?i need to get at least 2 mm axial MRI C ?
BECAUSE in the image of November when the slices was smaller it see the area that involved more good .
What u recommended me in this point
To do ?
(also brain MRI I will do by the next 2 weeks.

Meni

Donald Corenman, MD, DC
Moderator

February 23, 2022 at 8:38 am

Post count: 8660

#34863

You don’t need an MRI on your stomach as it would appear as I described which would be no surprise. I understand that you are fixated on the ligamentum “mound” but in my opinion, it is a “false flag” and not what is causing your symptoms. You can get flex/ext MRI but it would not be helpful.

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 23, 2022 at 9:34 am

Post count: 236

#34864

I understand that you are fixated on the ligamentum
this because
I don’t see any OTHER issue in the cervical region .
and I see a neurologist and they don’t think I have any neurologic disease ONE neurologist say me before 2 months I need to be followed after the cervical spine and do MRI in the few next months
he don’t tell me why I feel the symptoms and (also say he didn’t know if this come from the ligamentum (locked area stenosis he write )
but he say :there is no doubt at all that you don’t have any neurologic disease!(i pay him 500$ for the meeting with him )
the last one neurologist dr I see before week send me to do also brain MRI .
*and in the thoracic spine don’t see any problem (u take a look on the thoracic spine my 2021/12
it does not see any compression (and my symptoms it is also in the neck , more weakness in the lower limbs (very more to compare the upper limbs but (when the compress started from the posterior cervical what is the started losses function(i read in your website it is legs (because legs it is more out side of the fiber in the spinal cord ?this correct ?
“. You can get flex/ext MRI”( so he does important i can do regular MRI of c spine and ig the compression advantage this will see also in the regular MRI supine ?)(because my next MRI will be NOT with flex/ext ?

Meni

meni learn
Participant

February 23, 2022 at 9:37 am

Post count: 236

#34866

dr corenamn u see also the XR flex/ex send to you ?
And also what a bout the slices of axial t 2(3.3 mm it is big slices and can miss the correct diagnosis in this case ?i need to get at least 2 mm axial MRI C ?
AND WHAT about the ligamentum flavum line (in the MRI of January 2022 U don’t answer to this question ?
them not see in correct line >?

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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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