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#8090 In reply to: chronic neck pain |
Dr. Corneman,
This whole neck pain is so frustrating. I guess the pain is in my head. My family doctor doesn’t believe in flexion and extension x ray basically saying it’s a Chiropractic scheme. Won’t give me a referral to NeuroSurgeon stating they can’t and won’t do any thing with out seeing a problem on a MRI. He doesn’t think anything will be seen on MRI. But agree to give me a MRI. I’m schedule for on tomorrow.
Will this problem show on MRI?
What is your take on this?
I don’t think i need a referral to see a specialist.
Thanks
Andy#8089 In reply to: chronic neck pain |Dr. Corneman,
Went and got the x ray from the chiropractor. Yes the total movement is 6.5mm. In flexion the head is In front 2 mm and 4.5mm further back in extension. It is moving in opposite direction.
Andy
#8080 In reply to: spinal instability |The feeling of unsteadiness with rising up out of a chair can be related to orthostatic hypotension. When you get up from lying down or rise up from a sitting position, your blood pressure should rise to meet the needs to pump blood up to the head. There are pressure receptors in the carotid artery (baroceptors) that note the drop in pressure with standing and increase the output of the heart. If this system is not functioning well, you can have the symptoms you describe.
Of course the other possibilities are myelopathy from cord compression and the vestibular mechanism (the inner ear). You need a complete neurological physical examination to determine what the source of symptoms are.
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.#8072 In reply to: spinal instability |Hi Dr Corenman, I appologise if I dont understand, I will try to be exact, realising importantance of evaluation, myleopathy or not.
Syncope or attack, never lost conciousness in 35 years, lets say iregular symptoms but weekly now. I didnt having them prior, the head stamping therefore must be reactive to the damage caused, and teacher telling me to dive into shallow pool hitting my chin on the bottom, age 14.
Lying on the floor to study caused bad neck ache. Life was headfirst, (HISTORY) age 4, put in a bunkbed, didnt realise, and fell onto my head, unable to move for while, then crawled. age 5, fell off bike landing on head damaging teeth. age 8 ran into a glass door banging head, bounced off, age 14 you know, age 19, hit parked car on pedal bike, no helmet, head first, through the back window, hitting back of the front seat, which hit the dash and sprung me back out the same hole. Age 24 car crash, held the steering wheel tight to miss the windscreen. My shoulder blades bashed my thoracic spine out of line, my neck crunched never recovered. Age 24 played rugby, my head was pushed back, it gave way, the back of my head hit top of thoracic spine.When syncope or attack takes place, my brain tells me in a split second,I prepare. As I rise, I know I am not going to sustain the stand. It is as if my brain has not the energy or capability to fulfill the stand. I definatley feel slight impairment in my brain or head. My lungs are fit so cant be them.
@@( when c5/c6 was fused, the surgeon told me after opp that my subclavicle vein was crushed) I dont know what this would mean, whether he uncrushed it etc, never said). However, I do know that after that operation, my hands stopped swelling up with blood when I exercised. Prior my fingers would swell up, if I clasped my fingers interlocking them, It was hard to pull them apart. very hot water stoped them stinging, they would go purple. The heat dispersed the blood. Another symptom from the head stamping.
Within 3 or 4 seconds the feeling passes over. It is as if I had a terporary loss of power. It occured today, hard to analyse. I quickly adopt a bent over position, holding the chair below, my neck lordosis would be slighty chin in i think. No longer heavily curved like would occur for a moment naturaly, from a sit to a stand position.
Other than hypo tension, are there any other medical reasons of which could cause this, so I can investigate.
I know I am lucky to be alive, however I appreciate your valuable time.
karen.#8065Topic: chronic neck pain in forum NECK PAIN |I had numerous rear end collision over the past 20 years with neck pain on and off but never this bad. My last accident was 4 years ago when i was rear ended. Did 4 month treatment with a chiropractor which helped. 6 month later did physical therapy for 3 month that help a year later did chiropractor again for another 3 month. Pain came back unbearable went to physical therapy June of last year for 4 months. First treated for whipped lash than bad posture and tightness/lack of movement in upper vertebrae. It wasn’t working went to another chiropractor who specialize in scoliosis who uses vibration, adjustment and rehab. This last chiropractor is the first one to pinpoint my problem. Everyone else thought i was crazy and treating my symptoms. He took flexion and extension xray which show’s slippage between c4 and c5 2.5mm flexion and 4mm extension with a total of 6.5mm.
dynamicchiropractic.com/mpacms/dc/article.php?id=54564
This article sounds like exactly what i have but it doesn’t tell you how to treat. What options do i have and what kind of doctor should i see?The pain is aggravated by looking down working on computer or paper work. I’m a product engineer spend most of my time on a computer. it doesn’t hurt when i flex my neck. Over time it cause the muscle to spasm and ache. Recently I’m also getting lots of headaches.
I’m still not sure if this is the cause of the pain or if their is another problem.Thanks
Andy#8064Topic: MRI Scan & Advise for Surgery in forum READING X-RAY, MRI & CT SCAN |Hi Doc,
The following is Mom’s MRI Scan report. She is 48 years old and diabetic (type 2). Our doctor has suggested below medicines for 3 weeks.
Flexabenz Plus
Combination: Cyclobenzaprine 15 mg, aceclofenac 200 mg.Gabama M
Combination: Methylcobalamin-500 mcg, Gabapentin-300 mgIf pain doesn’t go in 3 weeks, he advised for surgery. I am not sure whether he is right. Please advise.
MRI CERVICAL SPINE – PLAIN STUDY
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T1 & T2 Sagittal and axial images:> Spondylotic changes are present
> Normal Curvature is altered
> C5-6 Disc space is relatively narrowed
> Signal intensity if intervertebral discs is decreased
> CV junction appears normal
> There is mild posterior bulge of C5-6 disc indenting on thecal sac
> Spinal canal and intervertebral foraminae are normal
> Cord and nerve roots appear normal
> Paravertebral Soft tissues are normalIMPRESSION :
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1. Cervical spondylosis with altered curvature and dehydration changes of intervertebral discs
2. Posterior bulge of C5-6 disc indenting on thecal sac -
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