told im fine but don't feel it, am i mad ?

Viewing 5 posts - 1 through 5 (of 5 total)

Author

Posts
Wizardca
Participant

August 8, 2019 at 11:40 pm

Post count: 3

#30825

seen a specialist and got told my pain and tingling in my arms and legs are all in my head, and the stone brous feeling in the palm of my right hand. this has all came on sundently after a fall. im a 36year old male.

MRI CERVICAL SPINE

Technique: Sagittal Tl, sagittal T2, sagittal STIR, coronal 3D T2 with foraminal
reconstructions, axial T2.

Findings:
Loss of the normal cervical lordosis. Alignment otherwise normal. Preservation of vertebral
body heights. Mild loss of disc space height generally. Early desiccation at C2/3, C3/4 and

C4/5 discs. Remaining disc signal is normal. Hae.mangioma within the T2 vertebral body.
Remaining marrow signal is normal. Cervical cord has normal signal throughout. The central
canal of the cord is mildly prominent throughout at L2 mm in diameter.

C2/3: No abnormality.

C3/4: Shallow right paracentral disc protrusion. The disc abuts and flattens the anterior
surface of the cord on the right. No cord myelomalacia. Facets have a normal appearance.
C4/5: Shallow broad based disc protrusion. No neural compression as a result. Facets have
a normal appearance.

C5/6: Broad based central and right paracentral disc protrusion. The disc abuts and
markedly flattens the anterior aspect of the cervical cord. No cord rnyelomalacia. Central
canal narrowed to 7 mm in AP diameter. Facet joints have a normal appearance.

C6/7: Shallow disc osteophyte complex. Disc abuts the anterior surface of the cervical
cord without compressing it. Facets are normal.

C7 /Tl: Minor degenerative change in the facets.
Prevertebral and paraspinal soft tissues have a normal appearance.

Comment:
CERVICAL SPINE:
At C3/4 and CS/6, there are central and right paracentral disc protrusions. These
abut and flatten the anterior surface of the cervical cord on the right. No cord
myelomalacia. No further area of neural compression throughout the cervical spine.
Facet joints well preserved.

THORACIC SPINE:
Technique: Sagittal T 1, T2 and STIR.
Findings:
Vertebral body alignment is normal. Preservation of vertebral body heights. Mild narrowing
of the T5/6 disc. Remaining disc space heights are preserved. Early desiccation of the
T5/6 discs. Remaining disc signal is normal. Haemangioma within the T2 vertebral body.
Remaining marrow signal is normal. No evidence of a recent compression fracture. No disc
bulge or protrusion. No central canal or foraminal stenosis. Thoracic cord is of normal size
and signal throughout.

Thanks for your time.

Donald Corenman, MD, DC
Moderator

August 10, 2019 at 4:58 pm

Post count: 8660

#30839

Your complaints: “pain and tingling in my arms and legs” and “stone brous feeling in the palm of my right hand”. Did not ever learn what “stone browse” means so you will have to clarify this term for me. See https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-neck-shoulder-and-arm-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.

Wizardca
Participant

August 11, 2019 at 3:01 pm

Post count: 3

#30855

i am sorry, i miss typed my spelling is not strong, it was ment to be stone bruise, it is there all of the time. my pins and needles come and goes, and my neck painful and feels weak. i also have lower back pain but no muscles are sore, hurts more sitting or laying down. i’ve noticed that i’ve been more clumsy and go off balance now and then and trip now and then.

thanks again for your time doctor.

Donald Corenman, MD, DC
Moderator

August 11, 2019 at 5:59 pm

Post count: 8660

#30859

See the section https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-neck-shoulder-and-arm-pain/ and https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-lower-back-and-leg-pain/ to understand how to describe symptoms.

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.

Wizardca
Participant

September 9, 2019 at 6:51 pm

Post count: 3

#31071

Hi Dr Corenman,

ill give this my best, im not the best wrighter other wise i wouldnt be a trench digger.

I have dull, aching pain in the base of neck and my head feels heavy this is there 100% of the time 4-VSA, only laying down or chin tucks makes this feel better.

I have the feeling of a knife stuck between my sholder blades its is there 80% of the time 4-VSA, i cant really get this to go away.

My lower back just above my hips has a burning aching pain its there 80% of the time 6-VSA, this does go away after doing dubble knee tucks or sitting ford and a really short walk.

my calfs feel reealy tight and are sore to massage 70% of the time. massage helps out but need to do it once every two days to keeep it away. also have pain that gose deep from my butt down to my leg 20% of the time 8-VSA.

stone bruise in right palm, its ony there if i am gripping things 100% of the time 3-VSA

i all so get random tingels in my arms and legs. and standing i get pins and niddles in arms and legs 30% of the time. when i lay down i get p&n in my hand and feet 20% of the time.

I have noticed that trying to work with real figgity things like little screws or electronics has gotten really frustrating as i drop or cant minulate things well. my keyborad skills have gotten worse miss clicking and hitting wrong keys. my walking i been cliping my toes on the ground about 15% of the time i was volunteering at a animal shelter walking dogs, max 5 hrs a day and would walk 2 to 3 kms through out a day would also sit alot this was ok, but then when i started doing 7hrs and walking 12kms and less sitting i would hurt a lot and just pass out when i went to bed though this was from not doing any thing for 7 months. but after doing this for 3 weeks it got worrse and ened up in bed for 3 weeks.

and for 9 months when ever i need to use the bathroom its a urgent feeling expecerly for bowl movments. and the other day the wife asked if i deffacated my self becase there was a brown stain on the out side of my shorst and sure engough there was. so now i wonty trust gas, intsted of once a day down i go up to 3 times ive had a colonoscopy and it was clear. i sometimes chock on my saliver and stumble on my words. i thing that most things and i realy hope t his is what you wanted .

specealest comments:

DR.A dont go riding your bike or loaders as it will make this worse dont get in to any acerdents or you will could end up in a wheelchair.

Dr.B you where born like this and there is nothing to worry about it will get better with P.T.

Dr.C its all in your head and you will have to see a psychologist.

Dr.D your making this all up and nothing wrong with you at all.

thanks for your help
Author

Posts

Viewing 5 posts - 1 through 5 (of 5 total)

You must be logged in to reply to this topic.

Donald Corenman, MD, DC

Average rating:

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.

Submit your review
First Name, Last Initial:
Email:
Review Title:
Rating:	1 2 3 4 5
Review:

Check this box to confirm you are human.
Submit Cancel