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in reply to: cervical spine c0 c1 through c7 vertabrae rotation #7299
First of all, you do not have a scoliosis. A scoliosis curve is defined as a curve greater than 10 degrees. A curve of nine degrees is not a scoliosis and even a small scoliosis curve will not be symptomatic. You note the vertebra are “turned” (rotated) and this is normal with a small curve.
Any heart problems you have are not caused by your scoliosis.
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: New MRI and X-Rays #7295You have classic findings for isolated disc resorption of L5-S1. The retrolisthesis of L5 on S1 is typical for severe degenerative disc disease and you have no reported recurrent herniation. You have type one Modec changes of the endplate. These are small fractures of the endplate and trabecular bone from impact and lack of shock absorption.
You do not note detailed current symptoms but I assume you have back pain with activity significantly increased by impact activity (jumping, tennis, vibration as in riding in a car). You also probably have delayed onset pain with activity. That is, pain that occurs 4-8 hours after the inciting activity.
This condition can also be associated with foraminal stenosis. This would manifest as pain the buttocks and legs with prolonged standing or walking. This might explain your left leg “shock” with certain movements.
You could be a candidate for fusion surgery with a TLIF to reconstruct the height of the eroded disc. You should be satisfied with surgery. I am just finishing a paper with patients just like you and a 90% satisfaction rate.
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: Chronic Back pain, L4, L5 S1 #7294I cannot comment on the state of your mother’s back without talking to her, performing a physical examination and reviewing all the images. There is no spinal cord in the lower back as the cord ends behind the body of the L1 vertebra.
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: fusion pain #7290It appears that you have now had a fusion of L3-S1 (the lowest three levels in the lower back) and you have continuing pain. The differential includes failure of fusion at one or more levels (pseudoarthrosis), malalignment of fusion, continued compression of the neural elements, chronic radiculopathy, arachnoiditis or sacroiliac syndrome.
The work-up includes a new MRI, a CT scan, a thorough evaluation and possibly some diagnostic blocks. Treatment may include further medications, therapy, surgery or neurostimulation.
You would need a close evaluation by an experienced spine surgeon.
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: Chronic Back pain, L4, L5 S1 #7289Surgery to the discs is commonplace. However, I am reluctant to use the work “repair”. A decompression removes the compressive material (microdiscectomy, laminotomy) and a fusion stabilizes a painful or unstable level. The disc is avascular (see website for anatomy description) and cannot “repair” itself.
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: Chronic Back pain, L4, L5 S1 #7286Discs that are “bulging” are degenerative. That is they are torn with dehydration of the nucleus (the jelly of the jelly filled donut). These discs cannot be “repaired”.
However, her pain may not originate from the discs. A surgical work-up needs to be performed to determine her pain source.
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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