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The first questions are what were the symptoms prior to you ACDF at C5-6? Did the symptoms improve or change after surgery? Did you develop new symptoms further down the road after your surgery or did they occur immediately after your ACDF surgery?
The work-up you have had after your surgery sounds extensive. Did you keep the results of the muliple injections with a pain diary (see website for description)?
Unfortunately, the artifical disc implant in your lumbar spine did not work effectively. What work-up did you have prior to that surgery? Discograms? Epidurals? Facet blocks? How did you symptoms change after surgery?
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: Cervical Instability C1 C2 #7084Symptoms generated by worn joints (arthrosis) of C1-2 would be headaches, base of the skull pain, base of the skull grinding and clicking noises and some occasional radiation down to the mid neck.
If you have scoliosis, it would be expected that your shoulders would not “be even” in the mirror. The shoulders align with the ribs and if the ribs are assymetrical (as in the case with scoliosis), the shoulders would not be level.
It very well could be that you have arthrosis of the upper cervical vertebra but your symptoms could more likely be generated from the lower cervical vertebra. This might be a case for diagnostic facet blocks (see website).
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: l4-l5 spondolythesis #7083I am somewhat confused. I am not sure where your pain is located. Did you have abdominal wall pain or back pain or both? Where was your pain and what brought it out? Please see the section on the website under “Conditions”- “How to describe symptoms” to understand how to describe the symptoms you are experiencing.
Is the tingling down your leg related to the lower back pain? I need to know the percentages of pain also. Referring to the section I previously mentioned will clear many questions up.
An epidural is an injection into the spinal canal and a nerve block is an injection directly onto the nerve as it exits from the spinal canal. See the website for a description.
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 #7081Bone spur origination should be obvious via X-ray and MRI comparison. There are rare situations that the origin cannot be confirmed (on MRI- ligament, annulus, bone and old disc hernation are all black signals). If the source of the bone spur is not obvious, a CT scan will reveal the origin.
If you now have pain resolution and only have paresthesias (tingling), you should consider a selective nerve root block as the nerve is improving and the block may take most of the symptoms away.
Please call Margaret at the 888 number to make sure the scans have arrived at the office. I will call you once they are available.
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: Disc Replacement #7079A three level ACDF will stiffen your neck and increase the load on levels above and below. However, it might be helpful for you to measure the motion from flexion to extension on the lateral motion X-rays. IF you have a highly degenerative neck to begin with and the motion of these three segments is less than ten degrees total, a three level fusion will not cause a significantly notable difference to you.
Surgeons can perform hybrid surgeries. That is a combination of ADR and fusion. You might be a candidate for that procedure but again, this depends upon the quality and degenerative nature of your discs.
I can review your MRI and X-rays if you like. Please call the 888 number and talk to Margaret.
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: abdominal surgery supine position with back issues #7078Generally, the problem with your particular back disorder is worsened by extension (bending backwards). The normal position for an abdominal surgery is lying supine (on your back) with a pillow under your knees. Simply ask the surgeon to place two pillows under your knees and that position should protect you.
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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