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  • Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    I unfortunately cannot answer for other doctors. Your experience was poor and the dictated information was obviously incorrect. I would send a letter to this physician delineating the misinformation and look to his response. Contacting his supervisor would be appropriate.

    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: 8660

    The 970 number and the 888 number go to my nurse in charge of the web inquiries. The office number is 970 476-1100. Ask for Diana or Sarah.

    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: 8660

    You first need a diagnosis. A good history and thorough physical examination are necessary to determine what your disorders are (you may have multiple problems). The list includes cervical radiculopathy, thoracic outlet syndrome, ulnar nerve entrapment and carpel tunnel syndrome. You might also have cervical facet syndrome and greater or lesser occipital neuralgia.

    Find a very good spine surgeon or neurologist and he or she should be able to ferret out the specific causes.

    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: 8660

    The lean just due to the biomechanics does not make sense to me. There is something missing. The pelvis can accommodate a significant lean (increased lumbar lordosis) by anterior rotation. My understanding is that there is no pain in leaning forward but this position requires significant energy expenditure and when you “relax”, you are pulled backwards. This position is painful.

    Even if the L5-S1 disc space is fixed in extension, this by itself would not cause the backwards bend as the pelvis and discs above could accommodate.

    You might have some muscle contractures that cause this positioning. You need a thorough physical examination to determine the cause of this disorder.

    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: 8660

    Good luck to you. I hope you find the answer.

    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: 8660

    You have a recently diagnosed L5 spondylolysis. Is there a slip of L5 on S1? This may not be identified on an MRI (you are lying down when the test is performed) but should be identified on standing X-rays, especially with flexion and extension views.

    More likely than not, this spondylolysis was present for years before the aggravating work comp event and this lift of the patient was in just the right angle, force and direction to tear the pannus (see description of “spondylolisthesis” and “pars fractures” on the website for pannus description).

    The treatment hope is that the tear of the pannus (the scar tissue that holds this fracture together) can re-heal and you can become pain free again. If the pannus tear is causing the pain, healing of this tear in my experience takes about 8 to 12 weeks.

    A back brace is helpful but should only be used for lifting and heavy activities.

    You do have degenerative tears of the discs at L3-4 and L4-5 and the significance of these is unknown.

    In Colorado, going back to work full time does not mean the case is closed unless the treating doctor closes the case. How else to test the patient but by going back to work full time to determine if the patient can tolerate the stress of work?

    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 - 7,513 through 7,518 (of 8,659 total)