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  • AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7400

    It is unusual but not unheard of to have increased symptoms due to nerve root manipulation (you have to retract the nerve to get to the spur and ligament) but this should calm down in short order. Hopefully the steroid will cool off the nerve root and your 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.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7400

    You are still healing but your symptoms are greater at this point than would be expected. You still have a tension sign (“extend my left leg straight from the knee it generates pain in my right leg from my buttock to my outer calf. If I then raise my right leg it generates the same pain”) which means continued nerve inflammation. Without fevers and chills, the next step would be an oral steroid. If that is ineffective, then a new MRI and X-rays to look for foraminal collapse or seroma/recurrent disc herniation.

    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.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7400

    Get some lab tests to make sure you don’t have an infection (unlikely). You could have a seroma (a collection of fluid) or rarely, the decompressed level could have collapsed and you now have foraminal stenosis. A standing X-ray would be helpful to rule that condition out. MRI would rule out a seroma which could be aspirated if necessary.

    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.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7400

    Your complaints of “nerve pain in both feet/numbness come and go/tingling/pins and needles/pricking and burning in feet and lower leg” could be from peripheral neuropathy or from compression of roots in your back. Your MRI report however notes no compression of the nerve roots (“minimally indenting the anterior thecal sac. however. no central canal or neuroforminal stenosis”). “Minimally indenting the anterior thecal sac” generally is a small spur that should not cause symptoms.

    See: https://neckandback.com/conditions/peripheral-neuropathy/

    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.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7400

    The need for surgery to decompress the cervical nerves depends upon the amount of weakness (muscle strength), the intensity of pain and the loss of daily function. Your cousin seems to have multiple areas of problems including cervical radiculopathy, carpel tunnel syndrome and lower back nerve disorders (“numbness in his lower left back, buttock, and left upper leg”). Some individuals need immediate surgery and some can live for years with their disorder.

    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.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7400

    “The injury point is just below my left shoulder blade right beside the spine….A few days after my visit to the osteopath, I have spread pain through my shoulders(now to the right side as well), pointed pain at the injury point, and though referred pain in ribs minimized for a few days, is now fully returned”.

    Your symptoms could be anything from shoulder pathology, scapulothoracic origin or muscle injury pain (latissimus dorsi or serrates anterior). I assume your MRI of the thoracic spine notes no herniation in the lower regions. The cervical spine will not refer that low to the spine.

    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.
Viewing 6 posts - 1 through 6 (of 7,399 total)