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dr coernman
its the second time i contact with u . the neck pain start by trauma (after hit head on wall ) in 20 year old
after trauma head was pain day after day (more 20 days hard pain after its less pain (in this stage i was doing xr 3 time after injury and ct scan ) the dr not find nothing in the image (emg not test in this stage )
after this then pain less and i forget from injury (less pain but very often i feel pain in my uper neck (behind neck)
some years after (4 i feel the pain more in my neck and in 2016 dr send me to mri c .
todays my symptoms include :neck pain chronic (every days and hours in days ) the pain feel in my uper neck : aching stabbing burning sometimes electrical
in activity the quality pain change (with some action and good movement the pain less (but not very much and pain return very faster
the skin not pain more in touch
percentage of #pain# (neck 90% shoulder 10% or 85-15 ).
in my both arm not pain feel but feel some numbness (emg test i do in 2016 and 2021 conclusion (2016- ncs waves latencies of rt and lt median and rt ulnar nerves were prolonged
needle emg in selected muscles show signs of chronic denervation in muscles innervated bt C3-4 5-6 6-7 7-8 (THE 2-3 NOT CHECK )
INTENSITY OF PAIN
IIN MY NECK (THE PAIN GOES FROM 3-4 TO 7, 8, 9, (IN LAST THO MOUNT ITS LIKE 7 8 OFTEN
SHOLDER 2 TO 4
HAND NO PAIN
I HAVE WEAKNES BUT NOT SEVERE (I USE MY BOTH HAND BUT SOMTIMES DROPE OBJECTS(ITS HAPPEN seldom
onset and length of time symptoms have been present and how did pain start when i 20 years old i have trau,a in the pool
when i swimming backstroke in the pool i hit my head on a wall
and after this the pain start (its happen in 2010)(trauma (after hit head on wall ) in 20 year old
after trauma head was pain day after day (more 20 days hard pain after its less pain (in this stage i was doing xr 3 time after injury and ct scan ) the dr not find nothing in the image (emg not test in this stage )
activities reduce pain :(strech, shoulder rotations , activity in water (freestyle with mask )
i can sit 15 minute (but hour its make more pain and i come and stand and strech some minute
yes if i sit too much the pain more but also with stand its pain but less
the neck hurt in sitting
with walk is better ,with other activity
(i m not jump a lot times ,not bike on
computer work (from more 30 minute sit its pain (not looking down often )
with backwards pain more neck
my daily function not easy with my pain (i m very be a ware to my posture and not looking down and i m be a ware from some actions .
then pain change my life (and i m very a ware from things that before i do like (running and some things that like lookin down i m very a ware ,not lifting (before i can lift easy like 80-100 lbs and now its hard 20 lbs
i m not work physically
Liability the lifeguard of the pool (in 2010 ) come to me and offer me to learn me the the technique of swimming (freestyle, backstroke mainly )
he tell me after he learn me i can swimming more fast and easy (he told me I have good data for swimming (i was 6’4′ high was 200 lbs in the injury )
in freestyle the swimmer can see the T IN THE end of the pool (but in backstroke u can see when wall come (and in one side of the pool(on shallow water ) there are flags that symbolize deep and shallow water but not have flags in other side (deep the pool is 25 m long and from 1 m deep to 2 m ) and the man who learn me ( swimming teacher ) not tell me how to be a ware from this danger (not give me other advise like calculate the the steps or looking to side (from example in freestyle he tell me after i see the T one steps and do kipper)
and this accident happen 3 week after i learn the technique. **(In fact to this day there is no flag in this pool and I swim in it)
Previous Consultations or Treatment
i work some stretces and strange
Flexion Stretch , Levator Scapula Stretch ,Corner Stretch
Prone Cobra Stretch ,chin tuck ,back burn
i try Acupuncture and goes start Osteopathic care not very help
i seen 3 chiro (not start treatment in one of them (the last one tell me he didnt can help me (and send me to spine surgeon
i see spine surgeon in 2016 2018 2019 2020(in last 3 its the same surgeon and he tell Conservative treatment (he my mr 2016 and check
Walks on his own on a narrow base without lameness, normal heel to toe walking
Romburg test negative.
Normal returns c5- t1
Hoffman and Berchiordials are opposite negative
He wrote about mri mild dehydration of c2-3-4 without pressure on nerve structures ( for example my nerve c3-4 left side was herniated i see this by my self)
There is no room for surgical intervention
dr corenamn I thank you for your reference, yours
You have a great website and I know I may have written a lot but I tried to refer to the page you referred me to

This was the description of the fusion as of this months, about 3 weeks shy of the 1 year mark.

Intact L5-S1 fixation construct in place with bilateral pedicle screws, vertical rods, and interbody device. No significant periprosthetic lucency to indicate component loosening.
At the left L5-S1 facet joint, there is bony bridging that appears to be progressing towards osseous union. No joint gas to suggest excess motion. No posterolateral osseous union on the right.
At the L5-S1 disc space on the right, there is bony spicule formation that may span the entire height of the disc space. There also appears to be developing bony bridging at the site of the interbody device, although hardware related artifact precludes accurate assessment. No intervertebral disc gas to suggest excess motion.
Vertebral body heights are preserved.

Symptoms: back pain and leg pain, right worse than left.

Back Pain-central, the return of a sharp “catching” feeling has come back when exercising. The pain is more intense with position changes, it aches after standing upright for longer than 45 minutes. Squatting and leaning very forward when sitting takes pressure off. Turning over in bed creates pain in my spine. Many of these issues got better at about the 4-6 month mark post fusion.

Leg pain/weakness. Right side has always been worse. The L5 S1 i’m sure has chronic damage but many of the intense nerve pain/nerve sensations in that dermatome had improved until about 1-2 months ago when i really increased my exercise/activity. I do now have pain and weakness in other areas of my right leg and i have an emg to look further into that in 1 month. Prior to surgery i had some neurogenic claudication in both legs, again this improved after recovering from the tlif but has returned. Also, when i stand up straight and still my right leg, under my knee all the way to my toes on the right side, goes numb and tingly, it happens often when sitting up right as well.

Many of these symptoms blend together when i compound activities (i.e cycling, running, swimming, strength training). At this point i’m trying to continue my current level of activity but its getting harder and harder, it seems like my back is just declining again and i’m paying for my activities with pain more and more.

Thank you