Viewing 6 posts - 7 through 12 (of 14 total)
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  • shirley j
    Member
    Post count: 4

    Scoliotic spines can become unbalanced after acdf- espcially multiple level fusions. I have this unfortunate complication after 4 level acdf. I have not found a fully effective treatment. Chiropractic is helpful on unfused areas along with adunctive therapies like electrostim, ultra sound, massage. The t-spine pain after the surgery was extremely intense. This could be contributing to your pain.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8339

    It is true that balancing a scoliotic spine with a fusion above the scoliosis can be difficult and if fused in an unbalance position, can cause pain.

    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.
    blakedfw5050
    Member
    Post count: 2

    Hello – This post is very similar to my conditions.

    ACDF c7-t1 Dec 2014, 3 weeks after surgery, I sat up and within 15-30 mins and my left should, rib cage, neck, jaw tightned up, its like it shifted. I thought I was having a heart attack and went to ER, still in neck brace.

    Let surgeon know asap and I have seen numerous docs since then, nobody can help. Surgeon says fusion okay, get checked out for TOS and Pain Mgmt. – I am waiting on appts for that.

    With that said, still today, I have spasms in back, the left shoulder is elevated, pectorial tight, shoulder blade pain, in my neck, jaw and even feel TMJ setting in. I get headaches too. Sometimes the anxiety is incredible. Also, cold and and burning sensations in hand.

    It feels as the fusion has significantly changed the mechanics of my shoulder and back and neck – but I cant get answers where or how to try to manage.

    Ive had one MRI since surgery and just says okay, but one doc says it was a poor quality MRI.

    Any thoughts on how to figure out why so much discomfort?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8339

    You have symptoms that could originate from any number of problems. The C3 or C4 nerves could cause these symptoms. There is a disorder called “cervical angina” which is a C4 nerve involvement that “feels” like a heart attack.

    Unusual but TOS can cause this too.

    A new better quality MRI with attention to the foramen at C3-4 and C4-5 would be called for in my opinion.

    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.
    blakedfw5050
    Member
    Post count: 2

    Dr. Corenman,
    Thank you for the quick reply.

    I may have some minor issues the the other c levels, but what is very concerning is the tightness of my left pectorial, the elevated left shoulder and the spasms in the back of my neck on each side of the t1 area. My shoulders now have the pointed side of the collar bone sticking out – I did not have any shoulder issues prior to surgery and they sometimes hurt pretty bad, both sides.

    I may have some should tendinitis, but again, I never injured shoulders and it would be bc of the shift of my body when I sat up. I made a big mistake by obviously pushing up too hard when sitting and that has damaged something in the surgical area of my back to cause pain, spasms and now un-alignment of my shoulders. Other interesting note is that when I lengthen my neck my head shifts to the right, and the left scalene muscle is much tighter than the right.

    Also, the MRI does say the fusion is sublexed, which is concerning – but don’t understand what that means.

    Would your practice try to help me understand, as I live in Texas, so a trip for a week would be possible in the future.

    Next week I see sports med DR at UCSD and a Physiatrist for answers. The doctor at UCSD for TOS said he can tell something is wrong, but its “Fuzzy.”

    I do test positive for the Adson’s sign, left side only.

    Do you know if the original “poster” of the question get her answers? I seem to read a lot about should pain after ACDF, but not much on answers.

    Many thanks,
    blake

    Donald Corenman, MD, DC
    Moderator
    Post count: 8339

    A good physical examination might help to ahead some light on these symptoms. You might find an orthopedist who can examine your shoulders to see if there are internal disorders that might mimic these symptoms. There is a disorder called Polymyalgia Rheumatica that can also mimic your symptoms. I have not written about this yet but you can Google this disorder to see if it fits your symptoms.

    This forum is anonymous so I cannot track any participants to find out what has happened to them.

    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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