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in reply to: Medical School vs Chiropractic School #7626
Medical school has some similarities to chiropractic school in the first two years. The academic courses are similar and anatomy is just as rigorous in chiropractic school as in medical school. The need to absorb information (for instance, microbiology) is greater in medical school as the young M.D. or D.O. will need to know the differential of different types of infections where the young D.C. does not have to understand those differences for future practice.
The bigger differences are in the last two years of school. In chiropractic school, much emphasis is placed on manipulation and biomechanics as taught in a clinic at the school. In medical school, there are multiple six week rotations in medicine, surgery, pediatrics and many specialties (ex: dermatology, orthopaedics, and rheumatology).
The biggest difference is that in medicine, the just graduated and newly minted physician now has to take at least a three year residency and quite possibly a five to six year residency. You might then add to that a fellowship of one to three years. The newly minted chiropractor can go immediately into practice.
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.in reply to: Pain in the Neck #7623It looks like you have obtained good care up to this point. I will assume that the second surgery to gain a fusion at C5-6 was successful. Please tell me if that has not been assessed fully yet.
I will also assume that your pain is mainly neck pain and headaches without significant shoulder or arm pain.
Pain can be generated from the facets or the discs. Have your upper facets been included in the diagnostic facet injections? These facets commonly can cause headaches.
Have you had standard X-rays including flexion/extension? These can yield a treasure trove of significant information.
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.in reply to: assorted cervical questions #7621A sensory nerve injury is not as problematic in day to day activities as a motor nerve injury but the healing potential is about the same. Nonetheless, this is a preganglionic nerve (dendrite) and seems to questionably have a better chance to heal.
There is some evidence that the longer a nerve is compressed, the poorer chance it has to heal (within reason).
A steroid injection at C7-T1 will not reach the C3-4 level unless the bolus of liquid injected during the ESI or SNRB is very large and most injectionists will not do that for fear of a pressure injury.
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.in reply to: about foraminotomy #7620A foraminotomy does not preclude an artificial disc replacement at a later point if some guldelines are followed. If a degenerative spondylolisthesis results from the foraminotomy or significant neck pain accompanies the foraminotomy, this individual would not be a good candidate for an artificial disc replacement.
The ADR is a procedure I like but there is some evidence that ADR may not be that great in protecting the adjacent level from increased wear.
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.in reply to: failed fusion #7617There are no supplements you can take or exercises you can do to help the pseudoarthrosis to heal. There is an external bone stimulator that can be used but the efficacy of that device is still questioned.
Unfortunately, time and mother nature are the best tools you have to see if the fusion will “take”.
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.in reply to: Posterior bone spurC-3-4 #7615Normally, an ESI will relieve neck or lower back pain as the steroid “calms down” the nociceptors (pain receptors) in the back of the annulus (disc wall).
Why your pain increased is unknown as this is an uncommon result from an ESI. Pain increase could be from a volume phenomenon (the mass of the liquid injected causing a pressure injury). If that is the case, the pain should abate shortly.
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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