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  • Donald Corenman, MD, DC
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    Post count: 8656

    Sorry about the delay. I responded to you but the return post must have become lost in the ether.

    After a near fatal MVA and the need for a one level ACDF, there were probably other non-surgical neck injuries that after some years start to become more degenerative.

    “Mild bone marrow edema is present at superior endplate of c7. there is a cord signal abnormality at c7 level consistent with degeneration”. Bone marrow edema is typically associated with significant degenerative disc disease and is commonly a neck pain generator. Cord signal change is typically an injury to the cord from compression. Why the radiologist called it “consistent with degeneration” does not make sense to me.

    The cord does not typically “degenerate”. Normally, stenosis or narrowing of the canal causes cord compression and signal change but the radiologist notes the worse canal narrowing is at C3-4 and C5-6; “canal stenosis and mass effect on the cord”. The MRI report does not make much sense to me. Maybe the radiologist misdictated the levels.

    Your arm pain could be generated by compression of the right C6 or C7 nerves; “c5-6: annular disc bulging posterior ligamentous hypertrophy resulting in mild canal stenosis and mass effect to cord with bilateral moderate to severe neural foramina narrowing.
    c6-7: right paracentral disc protrusion resulting in right neural foramina narrowing. posterior ligament and hypertrophy”

    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, MD, DC
    Moderator
    Post count: 8656

    Nerve blocks can be valuable to reduce symptoms until a surgical procedure can be performed. I do not think that RF (radio-frequency ablations of the facet nerves) would be valuable.

    By the way, I have two PAs, both named Eric (one spells his name Ehrich).

    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, MD, DC
    Moderator
    Post count: 8656
    in reply to: c2-3 facet #7233

    The pain generated from a facet problem at C2-3 can cause three types of symptoms. First is local pain right under the skull. The second is headache type of pain that radiates from the base of the skull over the skull or around the ear. The third is a pain that can radiate to the mid neck and possible into the top of the shoulders.

    Irritation, burning, tightness and numbness can occur from facet mediated symptoms.

    Facet capsular tears are rarely a surgical issue.

    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, MD, DC
    Moderator
    Post count: 8656

    This appears to be a third disc herniation in a short period of time again compressing the nerve root. The typical treatment for this is a TLIF type of fusion.

    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, MD, DC
    Moderator
    Post count: 8656
    in reply to: spondylolisthesis #7227

    Please let us know what the results of the CT scan are.

    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, MD, DC
    Moderator
    Post count: 8656

    “Passing gas” requires a Val Salva maneuver. You tighten the abdominal muscles and push the diaphragm down. This action can aggravate back pain by “backing up” the vena cava.

    IDD typically means internal disc degeneration. I think you mean the traction device that promises to “heal” the disc through traction. The disc won’t heal but this maneuver may take some of the pain away. It can however aggravate the pain so be careful. Do not sign up for twenty treatments. See how you feel with three treatments. If no significant improvement, walk away.

    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 - 7,399 through 7,404 (of 8,655 total)