Viewing 6 posts - 19 through 24 (of 32 total)
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  • Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Yes, there are no other issues than the “bunching” of the ligamentum so with your present symptoms, you then conclude that this must be the cause of your symptoms.

    What I do is to think what symptoms this bunching could cause. I see the possibility of local upper neck pain due to the traumatic forces that tore this ligament but this is not your complaint. I would not consider that this would cause long tract signs (LTS) as I have seen much more severe compression without LTS symptoms. As I noted before, I like doing surgery to help patients as it is very gratifying but resist surgeries that would not be productive.

    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 see the possibility of local upper neck pain ”
    THIS is also one of my symptoms i feel for time to time severe neck pain in the back of the upper neck but this pain stop in the back of the neck ,and sometimes with extremes pain (i thinks this also come from upper facet arthritis.
    u see the XR flex /ext and normal of my C spine ?(the xr was in standing off course )
    u do not say what u thinking a bout the line of the ligament flavum (on MRI January 2022) them not in symmetrical line ?(you do not refer to it ?
    and also some questions: about causes of why this happens (ligament buckling ) but i m read and also listen to lectures why this happen,but I m also ask u as spine surgeon gave me the reason >?
    and also in the past white my specific injury and MRI from the past if any other treatment will prevention this ?

    Meni

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    You told me that your neck pain faded away as the LTS was the primary worry. Torn ligaments will contract and “buckle”. Ligamentum flavum is a vestigial ligament and not too concerning unless it compresses the cord which is does not in your case.

    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

    Ligamentum flavum is a vestigial ligament ? so if the contract what make them to contract
    the main reason (I know the answer ) but want to hear from u
    i listen to lectures from someone very Expert and he say why this happen and also that can lead to “somethings
    call central stenosis “and this is not good things and if its bad enough you can get somethings call myelopathy very series (significant disability in people he say )” (this man he have
    more than 30 years of Experience (he is not a surgeon ) but he D.C and BS.C of DR and is lectures on YouTube very deep to the c spine (he also do lectures very orderly on HOW to read c SPINE MRI .
    he is very Expert.
    so From your Experience this not my Case (when you see THE MRI )
    see the xr ,and here my symptoms :
    * heavy legs before 5 months started
    1.impossible to go fast walking (from middle November 2021 ) like i before 4 months (not have any gait base )
    2.falling 2 times just in last 3 mounts after pins and needles more often in the legs
    3.pins and needles started before 3 months in legs in the begin after also to hands .
    4.bfore 1 months test hyperreflexia in legs .
    5.before one week test by neurologist Hoffman positive in R hand , Tromner R positive ,hyperreflexia
    in two legs , with mild clonus , hyperreflexia in R hand ,
    ,sensitive:poor feeling left arm and leg .
    brain Test normal,carnival nerves normal .
    history :was big trauma in the swimming pool in 2010 this was you can call big trauma(from head to neck in backstroke swimming ) to the cervical spine
    chronic neck pain in last 7 years but more worsen over the last years .
    from all of this information also with history and SCAN u do not think the cervical causes my last symptoms :from middle of november 2021

    Meni

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    “Expert and he say why this happen and also that can lead to “somethings call central stenosis “and this is not good things and if its bad enough you can get somethings call myelopathy”. Can this lead to central stenosis and myelopathy? No.

    I understand that you have symptoms of long tract signs but I don’t believe this is generated by your neck.

    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

    You can refer please to line of posterior ligament flavum line in MRI LAST ONE
    On sagittal t 2 and also t 1 ?
    I know that losses the high of the disc and degeneration causes to the ligament flavum buckling (and i was have degeneration of c2-5 (u can see the MRI OF 2016 )
    SO THIS LEAD to the ligament flavum buckling on the spinal cord (u think this not compress on the spinal cord even not little compress (on the cord by 10-15 % of the cord in the specific slices (area posterior small area)

    ” I understand that you have symptoms of long tract signs but I don’t believe this is generated by your neck.”
    When u take a look properly on the last
    3 MRI IN LAST 6 months .
    YOU convenience this not causes the symptoms of dysfunction in lower extremity ,also started feel needles in the trunk before 2 weeks
    *Also u take a look to first MRI BEFORE 5 YEARS.
    All of the information SCAN i will share with u ,also my symptoms and history here published.

    Meni

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