Viewing 6 posts - 13 through 18 (of 26 total)
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  • Lovelife
    Member
    Post count: 16

    Just contacted Dr. Kaiser’s office in Marin. She’s going to give him the message and see what he says about doing a read of my MRIs. I don’t live very far from his practice so hopefully I can have him take a look.
    Thank you Dr. Corenman

    Lovelife
    Member
    Post count: 16

    Dear Dr. Corenman,
    I never heard back from Dr. Kaiser’s office, so it looks like he’s not interested in doing 2nd reads on an MRI. That’s fine, I will keep plugging away and trying to resolve this myself. Hopefully by August so I can get back into grad school.
    I appreciate your kind and generous time and the suggestions you have given.
    Thanks so much for everything.

    Lovelife
    Member
    Post count: 16

    Dr. Corenman,
    I did work with another radiologist (remote) on my issues and the MRIs.
    The enhancement of the paravertebral vessels in particular at T5 (seen on Water:SAG T2 IDEAL, SAG T2, Post Contrast images) he indicates to be flow artifacts.
    He said the thickness of enhancement (and thru the foramen) wasn’t something he’d seen before (It’s about 1 inch thick across the vertebrae) but did not believe it to be pathology nor a causative factor.
    I hope I can keep working hard to resolve this on my own. If not, maybe a chiropractor will have an answer. I’m not ready for that yet since my MRIs at the T4/T5 level seem to not explain the stabbing pain and radiation down my spine.

    Thank you again for this website and your kind advice.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    If there is no significant pathological process in the spine, a chiropractor would be a good choice along with a strengthening program.

    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.
    Lovelife
    Member
    Post count: 16

    I did end up seeing a chiropractor. He said my spine is indeed very painful upon touch/palpation from T4-thru probably T-6 right down the midline.
    Attempted to read my MRI’s and Bone scan but didn’t feel much info could be obtained other than he was curious about the level of uptake on the bone scan in my T-Spine. Was told by radiologist it was a homogenous uptake of no concern. Have to trust in that.

    The chiro took one x-ray (machine was SUPER old… like from the 50s) and
    indicated my spinous processes in my T-Spine were misaligned indicating misaligned vertebrae. I had an x-ray at the beginning of all this and the orthopedic surgeon did not mention misalignment. The chiropractor performed several rapid thrust adjustments of neck, t-spine and lumbar. I was a bit scared with that, especially the neck, which I did not know he was going to do. Was told most chiropractors believe in adjusting the entire spine. Care needs to be taken in my T-Spine because I have had a median sternotomy to repair an Atrial Septal Defect. I do not know how many adjustments are typically needed to get vertebrae back into alignment, if they are indeed out of alignment.

    In your experience as a chiropractor Dr. Corenman, did you generally take a whole spine approach when trying to alleviate pain in one region of the spine? This mid back pain is coming up on a year so chiropractic might not be the right solution.

    The Radiologist I consulted originally did not feel my spine was out of alignment, so was uncertain what the chiropractor saw that he did not. I will continue on with stretching, the foam roller, tennis balls, etc. I am a runner and cyclist and will continue these activities as much as possible as well. hope to feel better soon so I can get back into grad school.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    I know that chiropractors use the X-ray as a tool to determine if the vertebra are “out of alignment” but the findings on X-ray indicating alignment issues are really not accurate. It is the palpation of the vertebra that really indicates restriction of motion. Using palpation skills, a chiropractor can “feel” restrictions in movement of one vertebra to the next and then deliver a thrust (adjustment) to mobilize that motion segment.

    Many chiropractors manipulate the entire spine as they believe that a spine without restrictions of movement, even in non-painful regions, will allow the painful segments to function better.

    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 - 13 through 18 (of 26 total)
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