Severe Coccyx pain that is affecting rectal area

Tagged: Newest MRI report

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Donald Corenman, MD, DC
Moderator

June 12, 2020 at 12:12 pm

Post count: 8660

#32623

Unfortunately, you will have to cancel your vacation.

Do not be intimidated by your surgeon. Simply ask him direct questions regarding how he specifically plans to take care of the disc herniation, the ganglion cyst and the foraminal stenosis. He should be able to easily do that.

Good luck and keep the forum posted please.

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

June 14, 2020 at 8:53 am

Post count: 8660

#32649

You will need to cancel your vacation most likely.

The reason you are here on this forum is to gain more knowledge to ask the appropriate questions. You cannot be afraid of your surgeon. He needs to be gentile and helpful so you can understand what the problem is and what he plans to do about it.

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.

Cjdegood
Participant

June 15, 2020 at 8:09 am

Post count: 26

#32659

Thank you very much. I hope to be able to talk with him today. I have had many surgeries.. but this one for some reason.. I am nervous about.It may be that i am used to having things removed, but never had anything put in?? I truly appreciate your words of wisdom. Hopefully this is the fix of all fixes lol. Have a wonderful week.

Cjdegood
Participant

July 8, 2020 at 10:50 am

Post count: 26

#32728

Good morning
I am now home and still recovering from the 360 Fusion on the 23rd. I did end up staying in hospital for 6 days due to complications with my bladder. This was awful. I could not release and if i tried it was extremely painful and nearly passed out from it. So they had to put catheter in 3 different times. They did a CT and said i had an ileus?? not sure what that is but they kept me over the weekend with the catheter in. the following Monday morning they removed it, but i wanted to go home so bad they released me since i could release a little bit..not completely pain free but not extreme either. I got home and that night i had to go to emergency room at St. Josephs in downtown Houston. They did put a catheter in and it released 1400ml. I went home with it and still have it today until i go back to the urologist on monday for a test. I had no idea that this could happen! i am still very tired and cannot stand or sit for very long. Laying flat feels the best. I hope things are healing properly and i can be rid of this thing and start trying to be normal again. I do think my back will be better.. not as achey. Thanks so much for all of your help i truly appreciate it. Heres to hoping i can get this cath out next Monday!

Donald Corenman, MD, DC
Moderator

July 8, 2020 at 12:29 pm

Post count: 8660

#32729

With an ileus (your intestines are on strike) and significant bladder malfunction, this might be the typical repercussions from an anterior approach but also might be neurogenic bladder. Do you have increased numbness in and around your penis and rectum and in your legs? Did your canal get decompressed?

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.

Cjdegood
Participant

July 8, 2020 at 1:33 pm

Post count: 26

#32730

Dr. Corenman
The only thing I know right now is that I had a cage put in through the front (L4L5) and screws through my back (small incisions on each side) i am assuming that they decompressed. I will go see the orthopedic on the 15th. As for feeling or numbness, I am pretty sure i can feel, I was finally able to have a BM 9 days after surgery. They did give me a suppository along with 2 enemas.. which only made me release water and did not count as a BM. I did not feel like i needed to release urine, only could tell when my bladder was extremely full and i would try and release but could only provide a tiny dribble and then the pain in or near my bladder was so bad that like i said earlier i could pass out. i could not stand and walk with this pain! My husband had to drag me back to the bed and then they would give me something for pain. The doctor said that my bladder was asleep and that we needed to leave the catheter in to give it time to heal. I know nothing.. I am left to just trust them and pray on Monday when they take this out.. that i can go on my own. If i cannot then i have to stay and take a course on how to insert a straight cath?? i think i some feeling in my bladder because at some point yesterday i thought it was leaking? i hope to gain more information at my appointments next week. I am taking my husband with me so he can also ask questions. He is not as timid as i am when talking to the doctor. All I know is that the surgery to me was brutal and recovery is longer than I anticipated. Thank you again.. i will see what i can find on neurogenic bladder.
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Donald Corenman, MD, DC

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81 reviews

Eric S

Sep 26, 2021

by Eric S on Donald Corenman, MD, DC

Successful pars repair at 46 years old

Back in November of 2018 (at 46 years old) I came from Vancouver BC to have a pars repair done with Dr. Donald Corenman at the Steadman Clinic in Vail Colorado. I'm finally posting this review nearly three years later in late 2021. The reason I waited so long was I wanted to know the final result before I posted my review. Unfortunately in that time Dr. Corenman has retired. Nevertheless, I want to post this review of Dr. Corenman and his staff at the Steadman Clinic in their excellent treatment of my L5 pars interarticularis.

I fractured my pars at age 42 back in 2014 when rolling on the gym floor, and was denied treatment by the Canadian healthcare system, probably due to my age. First my GP told me there was no surgical option for a pars defect, which was quite incorrect! I tried to live with it, but the symptoms worsened (periodic random spine slippage and weeks of resultant pain after just bending over to tie my shoe, so I eventually learned to mostly squat and hardly bend). When I finally consulted with Canadian spine surgeons, I was told they believed my pars defect had been congenital (since birth). This was absurd, considering I had done extreme martial arts (including jiu jitsu) for years prior, as well as 5 years of reinforcing steel full time in my 20s, probably the hardest job on the back you can find. No pars defect like mine would possibly have allowed this--ergo it was impossible that I had had the defect since birth. I did however have an asymptomatic congenital spina bifida occulta that made me more susceptible to a pars fracture. In 2014 in one instant, I went from having the strongest back people I knew said they'd ever seen, to being unable to safely bend over and tie my shoe without a non-negligible risk of my spine slipping randomly (which would lead to weeks of pain after each occurrence). This was due to the unilateral L5 pars defect, otherwise known as spondylolysis. It was when lying in pain on the floor 4 years later after maybe the 6th spine slippage event post injury, that I had had enough, and resolved to have surgery. If Canada's "universal health care" said no, I would make lemonade from lemons, and find the very best surgeon in the world at pars repairs. That was Dr. Donald Corenman. Dr. Corenman back in 2018 ran a website https://neckandback.com/ that dedicated many pages to the science of every aspect of pars repairs, from eligibility (good discs on MRI), to best surgical techniques (minimal open compared to minimally invasive), best imaging to use (i.e., O-Arm with Stealth imaging vs. older fluoroscopy), the ideal amount of BMP to use and why not use too much or too little, and much more, all to do with pars repairs, pages upon pages of his site just on the pars, with scientific references and his own extensive expert opinion. As a health research statistician, I was very impressed with this. It was in stark contrast to the websites of other spine surgeons which barely gave the pars a word or two, focusing almost exclusively on fusions. I had found the best surgeon in the world for pars repairs, and so after Dr. Corenman personally screened my MRI to ensure my discs were healthy, I booked the surgery.

Being 46 years old at the time of surgery in 2018, with a 4-year-old pars fracture from 2014 combined with a congenital SBO meant my pars fragment was somewhat atrophied, but it was "very solid", said Dr. Corenman in the operative report. Nevertheless, it was challenging with two things to fix, the pars and SBO, and OR time was around 4 hours. Recovery over the following months was guided by a very clear "Spine binder" from the Steadman Clinic with strict rules of "no BLT" (no bending, lifting or twisting), and illustrated physiotherapy guidelines. They even warned patients to avoid fish oil supplements, which could excessively dampen inflammation and hence slow bone healing. They answered many questions I had during months of recovery, with responses coming from the very supportive Lori Fugate (then director of Dr. Corenman's practice), and Ehrich Bean (then physician's assistant at the practice), as well as a couple calls with Dr. Corenman himself after two of the CT scans. Ehrich Bean offered great advice for taking the spine binder conservatively due to the nature of pars repairs vs. fusions. The final post-op CT scan I had was a couple weeks ago at 34 months post-op, and Dr. Corenman had retired, but I got a very positive and informative call from Eric Strauch (current PA at the Steadman Clinic under Dr. Corenman's replacement there, and who had also worked with Dr. Corenman previously). The staff at the Steadman Clinic were extremely supportive all the way through the process. I should mention, the local Canadian spine surgeon did offer me very good post-operative support including antibiotics as needed to deal with a mild surface incision-site infection early on, booking numerous x-rays when I felt something was amiss, as well as booking all four of my post-op CT scans. I am very grateful for that support also.

My final result shows plenty of solid bone across the pars and a healed SBO, with my vertebral body now a solid bone ring instead of being broken at two places as it was pre-op. Does my spine hold up in the real world? You bet! I have recently dug and moved several yards of dirt and sand and gravel by myself (shovel and wheelbarrow!) to fix our water main, pulled roots from the yard, moved several "portable" (these are HUGE) air conditioners up several flights of stairs my myself, and lifted weights. I now run 2 miles (3.2 KM) several times weekly with a hard 100 meter dash in the middle. I bend deeply before each run I go on, with no spine slippage. My spine feels amazing. I can bend over to do exercise, or real word tasks, with no risk of spine slippage.

My sincere thanks to God, Dr. Donald Corenman, Lori Fugate, Ehrich Bean, Eric Strauch, and the Steadman Clinic, as well as the Canadian spine surgeon who offered me excellent post-operative care back in Canada. You have all given me a new lease on life.

Sincerely,
Eric S

Robert S

May 11, 2021

by Robert S on Donald Corenman, MD, DC

Back Fusion Surgery

I had my entire lumbar spine fused in November of 2018. I had scoliosis , with pinched nerves that were so painful I could hardly walk - and standing for more than a few minutes was impossible. Even sitting was painful.
The fusion surgery produced immediate relief! And the recovery was much easier than I expected.
To this day I can do all the activities I love from hiking, to standing in a stream fly fishing to riding my bike long distances - or just walking down the street with my wife.
Kudos to Dr. Corenman and his staff, (including the two Erics) for taking such good care of me!

Leslie R

Jul 9, 2020

by Leslie R on Donald Corenman, MD, DC

TLIF

I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. I highly recommend Dr. Corenman and the Steadman Clinic.

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