Viewing 6 posts - 1 through 6 (of 12 total)
  • Author
    Posts
  • Rivervadas
    Participant
    Post count: 26

    Hello Dr.
    I had disc replacement at c6-7 4 months ago and have been experiencing terrible pain over the last couple of weeks. Pain is at the surgery site. It seems to be getting worse. I cannot perform any of my daily activities with my two little kids. The disc used was a prodisc-c. X-rays look fine according to the surgeon. I am mri done last week and can’t see much due to artifact. My question is, might a benefit from a revision to fusion? Prior to surgery I had no neck pain but bilateral arm pain focused at the elbows and forearms. This pain did resolve about 2 months after surgery. But now my neck pain is worse than the arm pain I was experiencing. My surgeon says that it’s just the healing process, but I’ve heard from others that I shouldn’t be in this much pain at the 4 month mark. Could a revision fusion help? Thank you

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Unfortunately, MRIs are unhelpful for interpreting ADRs (artificial disc replacements) due to the large metal mass. The way to interpret ADR dysfunction is with flexion-extension X-rays and a CT scan. I would assume that if the other non-operated levels look “normal” that your problem is with the ADR.

    Flexion-extension X-rays are a key piece of information. Does the disc move appropriately and are the endplates intact or had the disc eroded into the endplates or migrated? Most likely, a revision to a fusion will help but more information is needed.

    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.
    Rivervadas
    Participant
    Post count: 26

    Thanks for the response Dr. Coranman.

    My surgeon requested an mri and X-rays with no flexion-extension imaging, which doesn’t make much sense. There is some degeneration at other levels but the pain I’m experiencing seems to be coming from the surgery sight at c6-7. Feels like a pinched nerve and it extends down into my shoulder and upper arm.
    I asked him about revision to fusion and he said threat he’s only done two of those and it didn’t resolve the patient’s pain. He also said that he is in contact with surgeons at the Texas back center and they have also been unsuccessful with the revision. This is some what contrary to what I have read elsewhere. Do you have experience with these revisions and if so have you seen good results?

    Rivervadas
    Participant
    Post count: 26

    Another question I have is if oks to get chiropractic adjustments 4 months out after a disc replacement surgery.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    If there is no implant problems, the patient is 4 months out, the x-rays demonstrate a stable construct and the chiropractor is very good, then gentile manipulation should be OK.

    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.
    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    I have personally revised over 20 malfunctioning ADRs with good results. Why your surgeon did not use flexion-extension films is a mystery I can’t solve. A simple way to determine is this level is causing pain is to perform bilateral TFESI/SNRBs and keep a pain diary. If your pain resolves temporarily, this level is causing the pain.

    See:
    https://neckandback.com/treatments/epidural-injections-and-selective-nerve-root-blocks-diagnostic-and-therapeutic-neck/
    https://neckandback.com/treatments/pain-diary-instructions-for-spinal-injections-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.
Viewing 6 posts - 1 through 6 (of 12 total)
  • You must be logged in to reply to this topic.