What is an arachnoid diverticulum?

Viewing 5 posts - 7 through 11 (of 11 total)

Previous 1 2

Author

Posts
Heidi
Member

March 6, 2013 at 5:29 am

Post count: 6

#8133

Well, I don’t know what to tell you. All I can say is you get what you pay for here in the “Great White North”.
What a crock! Sorry I am still a little upset. I just have to shake my head.
I’ll give a description of how the appointment went, all 20 min.s including testing.
I went in the room to have the procedure done, lie down and she starts pulling up my right sleeve. Odd, I thought especially when I my LEFT arm is the one that is supposed to be tested. So I ask if they have to do both, she looks at the form that my physician had sent to the neurologists office, and it stated that my right arm is to have the nerve conduction tests. I clarify that. She does the left.
10 mins. go by, I go to the office. He does not ask what my symptoms are, he does not do any kind of physical, then proceeds to tell me that the tests show nothing but a little bit of a problem with my ring and pinkie fingers. Says that it must be muscular. Prescribes me an elbow brace, recommends that I have physiotherapy, not lift anything over 25 lbs and do any kind of activity that I have to raise my head.
“See your family physician, have a nice day, bye.” And out he goes.
I’m at a total loss. I really am.
I have had major surgeries and been up the next day, I have had three children naturally! I am Uber woman! :-) To say that I don’t know what pain is is humiliating and aggravating.
Sorry to dump on you.
You have been very helpful and kind, I appreciate your time.
Thank you very much.

Heidi
Member

March 6, 2013 at 1:45 pm

Post count: 6

#8134

I am so sorry. I have had my rant. I am relieved that there’s no damage to my nerves. Just frustrated that there isn’t a simple explanation as to what is going on. So I will keep plugging away, and try to stay positive and focused on feeling better.

Donald Corenman, MD, DC
Moderator

March 6, 2013 at 7:18 pm

Post count: 8660

#8135

Your visit was to this neurologist was subpar in my opinion. I will say that there are two types of visits to the neurologist. One type is strictly an EMG/NCV test and this appears to be what you had. The neurologist not asking any questions however is unusual and not understanding what they are looking for is not excusable.

Most neurologists will perform a consultation with an EMG/NCV test but it might take two separate days. The consultation includes taking a complete history and then performance of a complete physical examination. After all, that is what you are there for. I could have told you over the internet with a 95% certainty what the results of the EMG/NCV test was going to be.

You need to have a consultation with a good neurologist or spine surgeon to get some answers.

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.

Heidi
Member

April 18, 2013 at 1:36 am

Post count: 6

#8453

Thank you for your advice Dr. Corenman. Much appreciated! I have been diagnosed with ulnar neuropathy, along with the ddd. This diagnosis was made at appointment with neurologist. So, no further action has been taken by physician. I have requested an appointment with my physician, to refer me to a specialist. Since I have not had an Xray or MRI on my arm/shoulder area, I really don’t know why I have Ulnar Neuropathy, maybe something putting pressure on ulnar nerve? I wear my brace continuously, with no relief. Pain isn’t just limited to forearm either. Any recommendations?

P.S.- Sorry for my earlier comments, just very frustrated, and in considerable pain. Sending a smile :-)

Donald Corenman, MD, DC
Moderator

April 20, 2013 at 9:24 pm

Post count: 8660

#8467

Ulnar neuropathy is typically caused by a narrowing of the bony tunnel that the ulnar nerve occupies at the elbow. The nerve swells and then symptoms occur. The nerve can also be trapped in the wrist but that is more uncommon.

Flexion (bending) of the elbow will typically stretch the nerve and cause more symptoms. These symptoms will be numbness and tingling (and occasionally pain) that radiates from the elbow into the small fingers of the hand (the side opposite the thumb).

Initial treatment is a night splint to keep the nerve from becoming stretched and injections of steroid into the cubital tunnel. There are times a surgical release of the nerve needs to be considered.

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.
Author

Posts

Viewing 5 posts - 7 through 11 (of 11 total)

Previous 1 2

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