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in reply to: Clumpted Nerve Roots – Always Arachnoiditis? #6990
Arachnoiditis can advance over years so your new onset symptoms is not necessarily a surprise. You did have injury to the L4 or L5 root with your schwannoma removal. The weakness resolved eventually after surgery but there was most likely residual injury to the root. I assume that your initial foot drop was on the left side.
A question is the contribution of the L4-5 level. You could have foraminal stenosis of that level. X-rays and MRI can help reveal the presence of this disorder. If there is any question of the diagnosis, a selective nerve block can be used for diagnosis (see website). A positive block (relief of pain temporarily-see pain diary on website), should help indicate if this root is involved. If the injury is “upstream” at the arachnoiditis, a SNRB of the L4 or L5 root should not yield relief
Another differential point is positional pain vs constant pain. If your pain is constant and does not change much with standing, the source is more likely arachnoiditis. If your pain is dynamic (pain with standing that disappears with sitting or leaning forward), there is more chance that the pain is generated by the L4-L 5 level.
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: doc please help with CT findings #6987The radiologist is reporting that there is no evidence of fusion at the two levels. He is covering his bases as if this scan was done 4 months after an attemped fusion (he does not know when surgery occurred), this might not yet be a pseudoarthrosis but if the scan was performed a year later, it would be classified as a non-union.
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: neck pain radiating to shoulder and arm #6985I am always suspicious of MRI reports read by someone other than myself. “Mild, moderate and severe” terms are value judgements that are simply interpretations.
A thorough physical examination can differentiate the pain generation between the neck and shoulder pathology. Some simple examples are that shoulder pain generated from the neck is associated with neck extension and the “spurlings maneuver”. Shoulder pain generated by the shoulder itself is associated with elevation of the arm without neck extension.
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: Question about possible cervical injury. #6984There are a few potential disorders that come to mind with that history. A herniated disc or just annular tear is high on the diagnosis list. A tear of the facet capsule or a small shear injury to the cartilage of the facet surface are two others that can happen. Rarely, a small avulsion of a muscle tendon can occur.
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: degenerative disc bulge L5/S1 #6979I need more information regarding your disorder. Please see the section on the website under “Conditions”/ “How to describe symptoms” to fully convey what your symptoms are and how you were diagnosed.
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.This is not a diagnostic report. Information from this site is designed to inform but not diagnose. You need a hands-on evaluation to determine what needs to be done. Search out a respected spine surgeon and get a thorough examination.
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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