Page 23 » Donald Corenman MD DC | Spine Surgeon Colorado

Viewing 6 results - 133 through 138 (of 2,200 total)

Previous 1 2 3 … 22 23 24 … 365 366 367 Next

Author

Search Results
Backpain14
Participant

May 25, 2021 at 9:36 pm

Post count: 7

#34087 In reply to: Spinal cord injury |

Thank you for your reply, she had slight toe movement and mild sensation to the knees straight away. 8 months now down the track and she can wiggle her toes sometimes and feel me touching her in areas of the leg sometimes and Has felt me doing bowel program sometimes. How long can it take for spinal cord swelling to calm down and is it true anything can change in the first 2 years? She does intensive rehabilitation and there has been slight flicks of muscle contractions and she has gained her core mostly back after being diagnosed as a T4.

Thank you!

Backpain14
Participant

May 17, 2021 at 5:19 pm

Post count: 7

#34070
Topic: Spinal cord injury in forum BACK PAIN |

Hi my 6 year old has a t4 spinal injury, has gained back core strength and on and off sensations below level of injury. 8 months into injury. Do you see much possible returns after swelling and intensive therapy has calmed down?

jayd10033
Participant

May 14, 2021 at 6:52 pm

Post count: 79

#34066 In reply to: Discitis / Osteomyelitis Pain Trajectory |

Update: On Monday I was given an additional oral antibiotic called Zyvox. I still have 3 weeks left on the IV Irtapenem (Invanz).

Today is the first day where I feel like there has been any improvement in the intensity of my pain and energy. Getting labs tomorrow which I hope will continue to show numbers going in the right direction.

Fingers crossed this day of (seeming) progress is a trend.

Donald Corenman, MD, DC
Moderator

May 9, 2021 at 8:51 am

Post count: 8660

#34044 In reply to: buttock nerve pain post microdiscectomy |

Nerve glides also known as nerve “flossing” are the repetitive motion of the straight leg test (SLR). This is hip flexion with a straight knee (knee extension). Since the sciatic nerve attaches to the foot and travels around the back of the pelvis like a cable in a pulley, the SLR motion stretches the nerve. This action prevents adhesions after a decompression surgery from clinging and binding down the root. However, if the root is swollen and then stretched too far, radiculopathy symptoms can become worse.

This is the “art” of medicine and therapy. How far to stretch the root without “pissing it off”. Sometimes, the symptom aggravation is delayed by 12 hours so feedback from therapy is not direct.

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.

Cjdegood
Participant

May 3, 2021 at 4:13 pm

Post count: 26

#34029
Topic: Flare up? in forum BACK PAIN |

Good afternoon Dr.
i did not use my original thread from months ago..(titled severe Coccyx pain) as i do not have that any longer. the 2nd injection back in December worked really well. I am only just now having some of that discomfort come back and pain dr. said he would burn the nerves next time if needed. Anyway.. i am always hearing about Flare Up? my question is how do you determine if it is just a flare up? I was told from a surgical standpoint i no longer had restrictions (back in November) so i went on vacation and have been living life normal. I am careful and do not get carried away with things. i started back exercising and small weights. (16lbs total) I am up to 4.5 miles pe60 r day walking. I love to walk, it is the best exercise i get. I have managed to drop another 20lbs since my 360 (L5 S1) fusion last June. I noticed about 5 weeks ago, that i started feeling low back pain. Not as intense because it is not keepin me awake at night. Leg pain is awful though! Same left leg as before.. i am not taking anything other than gabapentin 300mg at night before bed and 800mg of ibuprofen. this is driving me crazy.. and i am concerned and have been taking it easy for the past few weeks. I do not want to experience that type of back and leg pain ever again. It has not let up but has not gotten worse either. I am worried about it, so called the doctor and they said i could be in a flare up? how do you know? thank you so much for your help

Donald Corenman, MD, DC
Moderator

April 18, 2021 at 7:18 am

Post count: 8660

#33961 In reply to: 5 Level Cervical Laminectomy w fusion |

“So it probably safe to say C3-T2 is fused, with T2-T3 pending”? Yes

“My pain management physician states the following: His pain is most likely due to a combination of post laminectomy pain syndrome, cervical radicular pain, facet arthropathy, and myofacial pain”. I don’t like the term “post laminectomy pain syndrome” as it does not describe the pain generator and blames the pain on prior surgery.

You do not have facet arthropathy pain as your facets are fused and motion is required to cause facet pain. Of course, you could generate pain from the movable levels above and below the fusion levels.

Radicular pain is possible if you have chronic radiculopathy (See; https://neckandback.com/conditions/chronic-radiculopathy-neck/) but you don’t have any evidence of severe foraminal stenosis at the operated levels. You do have significant narrowing at the C3-4 level on the left above your fusion, so that level can be evaluated.

“Patient is interested in spinal cord stimulation therapy. I explained to patient that he had undergone ten C-spine surgeries. He has extensive scar tissue and altered anatomy in his cervical spine epidural space. The risk of complication outweighs the potential beneﬁt of the SCS. I do not rec this procedure for him” This might very well be true but you could still be a candidate for peripheral nerve stimulation.

If you have a solid facet fusion, RFA would be pointless.

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

Search Results

Viewing 6 results - 133 through 138 (of 2,200 total)

Previous 1 2 3 … 22 23 24 … 365 366 367 Next

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

Archives

Need a new search?