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  • Donald Corenman, MD, DC
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    Post count: 8409

    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
    Post count: 205

    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
    Post count: 205

    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
    Post count: 8409

    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
    Post count: 205

    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
    Post count: 205

    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 >?

    Meni

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