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You note you “tried a stimulator”. Was this a formal trial of a spinal cord stimulator- where under sedation in an operating room, s surgeon using fluoroscopy (real-time X-ray), placed a set of leads or paddles onto the spine cord? Or- was it a set of pads placed onto the skin over the painful area (a TENS unit)?
Residual compression should be revealed by an MRI or a CT myelogram. What did the radiologist say regarding the post-operative MRI?
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.#5714Topic: Retrolysthesis in forum BACK PAIN |Hi can you give me the latest advice regarding the less common problem of retrolysthesis? Ie what exercises are best ie what direction or would manipulation be better ?there is calf pain on flexion no lumber pain and pain at lumber spine on extension but no leg pain ,SLR is reduced and gives rise to leg symptoms only however due to sedentary occupation ie lorry driver could this be due to tight hamstrings ? Any help appreciated ps no hex of trauma ,age late 20
#5706Topic: Neck instability, radiculpathy and high blood pressure in forum NECK PAIN |A year ago today I had a severe fall on my neck at work. The ER doctor thought it fractured after X-ray and ordered CT. Said the CT was negative for fracture at C2-3 anterior pillar.) Developed high blood pressure–as much as 220/110 that fluctuates and seems to respond to wearing neck collar. BP, neck pain and arm numbness (right) continued. Doctor ordered MRI sent wo workman’s comp radiologist. They said it was uncovertebral disc hypertrophy in C5-6. Have much crackling and creaking in neck. My kids sent out MRI to professional radiologist who works for sports teams. He cited possible nondisplaced fracture in left C3 articular pillar, back-wall annular tearing on C-4-5, retrolisthesis in C4-5 and disc herniation and osteophyte in C5-6 producing moderate compression in right C6 nerve root. Workmans Comp said I had carpal tunnekl and ordered EMG, which instead confirmed finding of sports radiologist. I am in a small state in which most doctors work for the insurance carrier. Now they are sending me to IME to prove it is “cervical strain”. I sleep on 5 pillows, takes me hours to get to sleep (feel better in morning), I drop tools, and my neck especially hurts when I drive or work on computer for extended periods. Sometimes even putting a key ring on a lanyard around the back of my neck triggers flushing and high BP. They sent me to a physical therapist who said my “psychological state” is at fault. One PT session had to be stopped because my eye had a bad tic–the therapist said it was “nerves”. I was sent for BP blood workup which found negative for kidney malfunction, sodium and potassium imbalance and blood glucose. Also no arterial occlusion found. An osteopath who treated me thought the atlas was out of place. His manipulation cured me–for about 18 hours. Then it was even worse. He did another manipulation that got me back to where I started. He sent me to a neurosurgeon, but she works for insurer and will only issue final opinion after I go to an IME. I researched the IME doctor and he finds no injury in 85% of cases. Do you have any doctors there certified in other states? My sister is a nurse and she is worried I may have big problems in 4-5 years. I’m most worried about the blood pressure. I fell over a few times I had such intense vertigo.
#5692 In reply to: Clicking at T 11 T 12 and Herniated disc at L4 L5 |Clicking in the spine is not generally considered a problem unless it is associated with pain. Since you have pain associated, the first disorder that comes to mind is instability and the second is facet arthritis. Flexion-extension standing X-rays would be the first test and the second would be an MRI. Most disorders can be diagnosed with those tests and a thorough physical examination. Diagnostic injections may play a role in elucidating the diagnosis.
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.#5649 In reply to: Progressive thoracic spine pain 10 months |My first question would be in regards to the compression fracture of T5. How did it happen and what is the angle of kyphosis (the angular deformity from normal)? A bright signal at T5 could be from the bony injury from the fracture (T2 signal intensity takes 6-12 months to lose brightness from a fracture) or could be from a hemangioma of the vertebra body.
If you had no trauma and the vertebra fractured without force, this could be a pathological fracture (a fracture through abnormally weak bone) from the hemangioma or some other source of bone weakness.
I would contact Dr. Jay Kaiser at Marin Magnetic Imaging in Marin, California for an over-read of your MRI if you have concerns.
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.#5640 In reply to: Numbness and motor weakness post-op |Dr. Corenman post=1175 wrote: Unfortunately, nerves heal in their own due time. Nerve healing is very slow. There is not much that can be done to speed up nerve healing. There are some studies that might indicate using an electrical muscle stimulator is detrimental so if offered, stay away from that machine. You might need a custom orthosis for the weakness. That is a plastic device that fits over your ankle to stabilize your foot when walking and standing. I assume that your therapist has offered that to you.
Dr. Corenman
Dear Dr. Corenman,
When you state electrical muscle stimulator, are you referring to a TENS unit? If so, whats the risk?
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