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Kathy.P
Member

January 27, 2012 at 12:04 am

Post count: 3

#5466
Topic: spondylolithesis and disc hernias in forum BACK PAIN |

Hi Doctor Corenman,

I have recently been diagnosed with spondylolisthesis 05-L1 approx 50% after CT scan and X-rays . I have constant lower back pain and also pain in my left leg from top to bottom which seems to move around and intensify as the day goes on . The CT scan also showed two disc hernias according to my orthopeadiatrician. He says this is something i have had for a long time and has gradually got to this stage after giving birth 21 months ago , heavy lifting and years of gymnastics in my younger years . I am now 34 years old of British origin but now live in Greece. My doctor has put me on an NSAID but with not much releif so far . I am to return to him in 2 weeks for another consultation .
As i have to pay for all medical treatment here i need to make sure i am making the right decisions as resources are limited here in Corfu and i am considering going back to UK for further advice , i thought i might just ask a top professional like yourself if i am being guided in the right line and for some of your professional advice.

Donald Corenman, MD, DC
Moderator

January 25, 2012 at 4:42 am

Post count: 8660

#5454 In reply to: Disc bulge causing bilateral neural foramina narrowing & compression |

My understanding is that you underwent surgery at L5-S1 for “disc protrusion”. Did you have a bilateral or unilateral decompression? What were the symptoms preop and what are the results post-op? For example, did you have left leg pain radiating from the buttocks to the foot with an intensity of 8 over 10 which is now lessened to a 2 over 10?

What are the current symptoms that make ward work difficult? Do you have any weakness? Do you have any lower back pain?

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.

Jyotirmai
Member

January 21, 2012 at 11:11 pm

Post count: 15

#5434 In reply to: ozone therapy effectiveness in L5-S1 compression Vs surgery like disce |

Hello Sir,

After taking Pregabalin sr 75 for 30 days for burning pain in foot, It was found that the relief is not more than 20-25%. The intensity was same as before but the frequency of burning was reduced slightly. Therefore my NS has increased the dose from 75mg to 150 mg/day. I am on this dose of 150 mg from last 10 days and found slight relief (say 5-10%).

As you said at start of this course, It seems that I have to take this for another couple of months…

Thanks for your time…

Donald Corenman, MD, DC
Moderator

January 20, 2012 at 11:48 pm

Post count: 8660

#5429 In reply to: Multilevel degenerative change at C spine. |

I assume that a “hard pain” in the neck is severe neck pain. You have to be more specific in regards to the location of the pain and the timing. Is the neck pain centrally located (in the center of the neck) or does it radiate into the shoulder and down the arm? If both, what are the percentages of pain in the neck vs. the shoulder/arm? Is it 60/40 neck shoulder vs. 80/20 shoulder/neck or?

If the C6 and C7 nerve roots are compressed- your sister might have pain that radiates into the left shoulder and down the arm to the thumb side of the hand. If she bend her head backwards (extension)- this might cause increased pain in the arm and if she bends her head forward, she might gain some relief.

I do not understand what that 1.7 cm node is in the thoracic and lumbar spines unless it is a Schmorl’s node (an endplate fracture that is generally benign).

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.

Donald Corenman
Keymaster

January 20, 2012 at 2:38 am

Post count: 52

#5421
Topic: Multilevel degenerative change at C spine. in forum NECK PAIN |

Hello doc.Corenman. I am Mongolian. My sister has a very hard pain in her neck. Here i’ll send u her report. Report of C-spine MRI examination: Multilevel degenerative change at C spine. Diffuse bulging disk left subarticular protrusion at C5/6; C6/7 with compressing of left C6/7 nerve roots. T2 stir high intense 1.7cm size node at some lower T and lumbar spines. Marginal osteophytes at thoracic and cervical spines. Facet arthrosis and thickening of ligamentum flavum in C spines. Spinal cord has no pathologic signal intensity changes. Paravertebral and prevertebral soft tissue has no pathologic changes. otherwise unremarkable. Please help us.

Donald Corenman, MD, DC
Moderator

January 18, 2012 at 11:51 pm

Post count: 8660

#5402 In reply to: Cervical Spinal Stenosis? |

You are asking a medico-legal question of causation. Did the lifting of the toolbox overhead cause a neck disorder? I can’t get into causation on this website as that is a very complicated task.

Unilateral epicondylitis is very unusual from one lifting event and bilateral epicondylitis from one lifting event is extremely rare. Epicondylitis is not associated with hand numbness and bilateral hand numbness should signal the treating physician that there is something else going on.

I assume you have an X-ray that demonstrates significant degenerative changes in the neck. Lifting a heavy toolbox overhead would cause the neck to bend into extension (backwards). If there was significant foraminal stenosis or central stenosis, a nerve or cord injury could result (see website under cervical stenosis and foraminal stenosis). A thorough physical examination by a spine specialist should be able to uncover the diagnosis. An MRI of the neck might be in order.

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.
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Viewing 6 results - 2,077 through 2,082 (of 2,193 total)

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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.

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