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Viewing 6 results - 61 through 66 (of 2,193 total)
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  • dogmom
    Participant
    Post count: 1
    #35058
    Topic: Who to see in forum GENERAL |

    I am not sure who I need to see…
    pain down both thighs – 1/2 way between back and outer side. Seems to start just under the gluteal cheeks. Sometimes if I left the cheeks up – it seems to lessen. That pain is not as bad as the rest of the symptoms. Goes down the outer aspect of calf and it feels like electricity if touched (intensity varies from horrible to noticeable but it is always there to some degree), some tingling over the top of foot closer to ankle at times which seems to make it more difficult to move foot physically like it is stiff. This is not all the time. Symptoms seem to be positional as the symptoms vary in intensity and frequency with positioning. Standing does not aggravate although I do shift my weight from side to side a lot. When sleeping I have to find the right position to sleep. Have been using gabapentin at night and while it is helpful – does not eliminate the discomfort. I would like some guidance on what type of physician I should seek assistance from. Appreciate your guidance.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    Infection from cervical surgery can occur but are exceedingly rare. I am unclear why you would have slight fevers. Frontal headaches can occur from the cervical spine especially if you have degenerative facet disease of the upper 3 vertebra. X-rays including flexion/extension would be my first thought and if suspicious, a CT scan should 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.
    Jellyhall
    Participant
    Post count: 91

    Hi Dr Corenman,

    I had an isthmic spondylolisthesis which led to a fusion and laminectomy of L4/5 12 years ago.
    I am now developing degenerative spondylolistheses, just grade 1 at the moment
    C2/3 anterolisthesis which moves slightly on flexion/extension x-rays
    T12/L1 retrolisthesis
    L2/3 retrolisthesis

    I am interested to know if there is are specific problems that dictate which type of slip people develop?
    Would the symptoms they cause be different?
    Do they need to be treated differently?
    Is one more serious than the other?
    Is one more prone to becoming unstable than the other?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660
    #35045 In reply to: Severe lumbar spasms |

    New X-rays would be helpful to make sure that the fusion is going well and the instrumentation is well placed (no loosening). The radiculopathy increasing is important as at 3 months, the leg pain should be diminishing. If your physical examination is unchanged (no increased sensory or motor weakness and no increased tension signs), then a short course of oral steroids could be helpful. If exam signs increase, a new MRI would be helpful. I assume you have no fevers or chills.

    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.
    SushiCami
    Participant
    Post count: 6

    Hello! Hoping you can help. I am 4 weeks post-op of multi-level Cervical Fusion (C2-C6), with plate and screws. I have some odd complications, including one NO OTHER DOCTOR HAS HEARD OF! When I swallow pills, they often slowly slide back up my throat and into my mouth. This “regurgitation” can happen immediately or 30 minutes after I’ve swallowed the pill. WHAT IS HAPPENING?! What can I do to help?

    Some background…

    Diagnosis: Cervical Spine Disc Degeneration; Cervical Spondylosis with Radiculopathy

    Before surgery, I was told by two spinal surgeons, independently, that my cervical spine looked 80 y old due to severe degeneration. I am 47 y old, female. After 2 yrs of alternative treatments, I had fusion surgery by a neurosurgeon who is well known for his strict procedure and exactness, leading to few to no issues after surgery. After surgery, I immediately felt intense muscle cramping in my shoulders. Four weeks later, the muscle cramping is worse and has spread to my neck, upper back, and upper arms (in addition to shoulders). The cramping is greatly limiting my neck movement (currently surgeon’s orders to only turn head to left and right) and everyday tasks – I cannot sit upright for more than 15 minutes without supporting my shoulders.

    If my initial problem typical occurs to older patients, why am I the only one having post-op issues?

    Lewiswatts
    Participant
    Post count: 5
    #35013
    Topic: L5/S1 Spondlylo in forum BACK PAIN |

    Hello Dr Corenman,

    I have asked a question here previously regarding a TLIF. I have consulted a surgeon back 5 months ago and he didn’t think it was the correct time for surgery as I didn’t seem in a lot of pain and symptoms were intermittent. Although he did express I will likely need it inevitably at some point.

    I have a grade 1-2 spondylo at L5/S1. With moderate/severe exit foramina stenosis. There is also Pffirmans grade 4 degeneration of the L5 disc. I am also 31 years old and fit and healthy. My symptoms have been very intermittent with low grade back ache mainly in the morning. More recently I am experiencing more frequent intermittent altered sensation bilaterally with strange muscle aches is the only way I can explain it. There is also a horrible hamstring tensions on the left side pretty constant which I believe is from nerve irritation I also feel as if I can feel the L5 moving sometimes when I sit up. Also if I wake up on my back after a night sleep it seems to be at it’s worse. My questions for you are:

    1) When do I know it is the right time for surgery, as I don’t want to leave it too late and have lasting nerve damage?

    2) I’m a new grad chiropractor, how long would I expect to be off work from treating patients roughly?

    3) Can I expect to have a long career still as a chiropractor after having a TLIF surgery in your experience?

Viewing 6 results - 61 through 66 (of 2,193 total)