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Thank you so much for your opinion. Hopefully it won’t be too long before I hear from the neurologist to either have more tests, or to get a diagnosis. I seem to have been waiting for a long time. I think that here in the UK waiting is the norm.
I’ll let you know what I find out.
Good luck and let us know.
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.Dr Corenman,
At last I have received the letter from my neurologist.
His clinical impression is that all my symptoms, except for some temporal and mandibular joint pain, are compatible with a cervical cord lesion. I assume from this he means cord compression.He viewed my cervical MRI scan with a Consultant Neuroradiologist.
At C3/4 and C4/5 there is an element of cord flattening but without evidence of myelopathy. (I assume here they mean high signal on the cord.) There is multiple radicular evolvement extending from C4 bilaterally down to C7, most severe bilaterally at C4.(He doesn’t mention viewing my brain scan, but my GP says we must assume that he did and didn’t find anything abnormal.)
An EMG report showed mild to moderate chronic neurogenic changes in the deltoid and bicep muscles with relatively more prominent changes in the left deltoid. These were consistent with cervical radiculopathy. Triceps muscles showed relatively minor abnormalities. Median and ulnar conduction studies were within normal limits bilaterally.
He agrees with a neurosurgeon registrar’s letter that states that I have significant C3/4 and C4/5 cervical degenerative spinal disease with significant canal stenosis, and that I would eventually require surgery. This canal stenosis was evident on a scan done in October 2010.
Dr Corenman, I have read of other people sending their MRI scans to you for your opinion, and I was wondering if this was possible for me?
There is always a risk of living with significant cord compression. Myelopathy- which you may already have displayed some symptoms and central cord syndrome (see website).
You can send your MRIs to me via a shipping company like FedEx or DHL.
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.Thank you Dr Corenman,
I do have brisk reflexes in my legs and arms, which I believe indicates early myelopathy. I don’t have Hoffman’s, Clonus or Babinski, although one neurosurgeon registrar has said that I had extensor plantar reflex bilaterally. Generally I either have no response at all or very slight flexor when tested.I do have strong, involuntary, stiffening spasms in my legs and feet with my right foot especially turning inwards while my toes stick up. I also get this stiffening around my abdomen causing my back to arch up off the bed if I am lying down, or to cause me to slightly bend forward and make a sound as air is expelled from my lungs, if I am standing up. Recently I have occasionally had a jerking of my right leg early in the morning as I move it.
Other symptoms are very subtle and they come and go. My hand and foot pains are now being quite well controlled by Nortriptyline.
I am correct in thinking that the address on this site (181 West Meadow Drive, Suite 400, Vail, CO 81657) is the correct address to send my MRI scan disc? What is the best way to label it so you know that it is my scan? Title of this thread? My user name? – Perhaps both of those.
You have some classic signs and symptoms of myelopathy. Myelopathy needs to be treated before more damage occurs.
The address you note is correct. I receive many discs without problem. Make sure that the disc is a copy as I do not return these.
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. -
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