Page 3 » Donald Corenman MD DC | Spine Surgeon Colorado

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Laura1963
Participant

October 1, 2020 at 11:56 am

Post count: 36

in reply to: Please help me understand my MRI report #33086

Hi Dr Corenman …

Here is a recent MRI report are you able to interpret this to me please and much thank you..

Brain

Clinical Indication…headaches…follow up syrinx

Compare to May 6 2019

No abnormal focus of diffusion restriction

No Blooming low signal intensity focus on the gradient echo sequence to suggest hemosiderin deposition

No hydrocephalus ..the the ventricular system , convexity sulci , and basel cisterns are intact

aside from a solitary deep periventricular high signal intensity focus right frontal lobe , series B image 20 which is stable compared with previous , no high signal intensity foci within white matter…

Major arterial end venous flow voids are intact

craniocervical junction is intact

ON T1-T2 …within the subcutaneous tissue , left parietal region , there is a subcutaneous lesion measuring 11 mm … This was present on previous ..This should be clinically apparent and could represent a sebaceous cyst and correlation required

Summary
cause for headaches not seen ..Essentially normal MRI of Brain with no significant change compared to prior

MRI Cervical Spine

compared to Dec 11 2019

Cranial cervical junction in tact

At C5-6 there is a generalized posterior osteochondral bar with a more focal central component ..CSF remains interposed between the osteochondral bar and the spinal cord ..Moderate narrowing right foramina and mild narrowing left neural foramina

The cervical spinal cord is preserved

Prominence of the central canal/thin syrinx is noted to extend from approximately level of the C3-C4 disc space crudely to approximately the level of the C6-C7 disc space ..No cord expansion of cord edema

summary
stable prominent central canal/tiny syrinx
posterior osteochondral bar C5-C6

Laura1963
Participant

September 1, 2020 at 11:39 pm

Post count: 36

in reply to: Recent MRI REPORT …please interputate the #32934

Dr corenman , I was hoping you could please answer this question for me …I had a small fall walking outside I landed on my knees..that one knee actually ended up with a hole in it ..I caught my fall with my arms …landed sideways at the end ..No impact on my head or neck ..But after the fall the original symptoms I being struggling with over the years had intensified steadily with no breaks other then change in intensity as sensations from burning to pins and needles to cutting feeling..its entire body gead to toe as mentioned in previous posts ..with same intensity as well exact same symptom whatever it changes to at that time …its extremely severe in my mouth as well my throat..and steady …I spoke to a chriropracror today briefly she told me bone spurs or disc’s even if its not impiging can cause these symptoms from head to toe at same time including my mouth and throat as she said because the spinal cord has nerves throughout the spine..But when I ask my neurologist in the past he told me no …I had these symptoms for years and years …since I cold turkey off a medication given to me for wrong reasons ..But after my fall its been extremely intense ..I am going for another MRI in 3 weeks…Be greatly appreciate if you could share your thoughts …I started to get severe nerve pain in my head burning ..firing off nerves..pressure…soreness asif my head was bruised ..since the fall as well…but it wasn’t this steady or severe before my fall…ThaNk you for reading and looking forward to your reply..Stay safe

Sincerely Laura

Laura1963
Participant

March 15, 2020 at 8:12 pm

Post count: 36

in reply to: Recent MRI REPORT …please interputate the #32300

Thank you so much ..Greatly appreciated ..Have a great night

Laura1963
Participant

March 14, 2020 at 12:16 pm

Post count: 36

in reply to: Recent MRI REPORT …please interputate the #32283

Thank you .. appreciate it …Can excercising the way I am doing it make it get get Wiese or have no impact on it at all ..thank you again

Laura1963
Participant

March 14, 2020 at 10:15 am

Post count: 36

in reply to: Recent MRI REPORT …please interputate the #32274

Thank you so much …You are definitely truly am amazing Dr to take the time to answer everyone’s questions and concerns ..Thank you again ..

In response to your answer …I am greatful for the reasurrance …If you don’t mind I was wondering if the disc bulge that’s op can reverse itself or any disclosure bulging if so is there anything I can do to help that …Also I have been excercising on treadmill and eliptical ..with inclining my treadmill going up hill ..as well as jogging ..can or will that cause the disc bulge worse or help it.I read that link thank you ..I don’t seem to have any myopathy ..So hoping it could stay that way ..Can the buldge on the c5-6 that’s mildly protruded stay that way always without getting worse ? Is that possible ? …thank you again

Laura1963
Participant

March 4, 2020 at 3:55 pm

Post count: 36

in reply to: Please help me understand my MRI report #32218

I was wondering Dr Corenman if you could read this recent MRI ..my question is if this is actually compressing my spinal cord …if it could be causing the issues of nerve pain in my mouth or throat …or if this protrusion is effecting the messages going and coming from the Brain to Spinal cord ..

The MRI report

At C 2-3 and C3-4 there is central disc bulging

At C 4-5 ,there is mild central disc bulging

At C5-6 there is disc bulging with a small broad central disc protrusion MILDY indenting / flattening the anterior OF the spinal cord.

At C6-7 there is very mild disc bulging

At C7-T1 there is mild disc bulging

At T1-2 T2-3 and T3-4 there is central disc bulging and mild osteophyte mildly indenting the thecal sac

There is prominence of the central canal of the spinal cord / tiny stable syrinx at the C5-C6 levels measuring up to 2mm in caliber .The cervical spinal cord is otherwise unremarkable ..The cerebellar tonsils are normally located ..

Impression

Mildly degenerative changes as describe

At C5-6 there is a small broad central disc protrusion mildly indenting / finding the anterior spinal cord

Prominence of the central canal of the spinal cord /tiny syrinx at the C5-6 levels as described which is if uncertain significance but possibly related to the disc protrusion..Long term MRI follow up advised to ensure stability or resolution ..

This report is an actual second opinion based on last MRI report and recent image done Dec 2019 ..The tiny syrinx has been stable exact same size as it was first d/x in 2005 …no change ever as it states in other Reports verses a prominent central canal verses a tiny syrinx ..in 2005 I never had any disclosure degeneration as it is now …so last comment I feel is invalid when mentioned probability related to disc protrusion ..

But was wondering if the significance of the protrusion is causing messages going and coming from the Brain to Spinal cord ..As in previous messages that these symptoms only started after taking a medication that should of not been prescribed to me …

Thank you for your time and knowledge …

Sincerely Laura
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Viewing 6 posts - 13 through 18 (of 30 total)

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Donald Corenman, MD, DC

Average rating:

81 reviews

Eric S

Sep 26, 2021

by Eric S on Donald Corenman, MD, DC

Successful pars repair at 46 years old

Back in November of 2018 (at 46 years old) I came from Vancouver BC to have a pars repair done with Dr. Donald Corenman at the Steadman Clinic in Vail Colorado. I'm finally posting this review nearly three years later in late 2021. The reason I waited so long was I wanted to know the final result before I posted my review. Unfortunately in that time Dr. Corenman has retired. Nevertheless, I want to post this review of Dr. Corenman and his staff at the Steadman Clinic in their excellent treatment of my L5 pars interarticularis.

I fractured my pars at age 42 back in 2014 when rolling on the gym floor, and was denied treatment by the Canadian healthcare system, probably due to my age. First my GP told me there was no surgical option for a pars defect, which was quite incorrect! I tried to live with it, but the symptoms worsened (periodic random spine slippage and weeks of resultant pain after just bending over to tie my shoe, so I eventually learned to mostly squat and hardly bend). When I finally consulted with Canadian spine surgeons, I was told they believed my pars defect had been congenital (since birth). This was absurd, considering I had done extreme martial arts (including jiu jitsu) for years prior, as well as 5 years of reinforcing steel full time in my 20s, probably the hardest job on the back you can find. No pars defect like mine would possibly have allowed this--ergo it was impossible that I had had the defect since birth. I did however have an asymptomatic congenital spina bifida occulta that made me more susceptible to a pars fracture. In 2014 in one instant, I went from having the strongest back people I knew said they'd ever seen, to being unable to safely bend over and tie my shoe without a non-negligible risk of my spine slipping randomly (which would lead to weeks of pain after each occurrence). This was due to the unilateral L5 pars defect, otherwise known as spondylolysis. It was when lying in pain on the floor 4 years later after maybe the 6th spine slippage event post injury, that I had had enough, and resolved to have surgery. If Canada's "universal health care" said no, I would make lemonade from lemons, and find the very best surgeon in the world at pars repairs. That was Dr. Donald Corenman. Dr. Corenman back in 2018 ran a website https://neckandback.com/ that dedicated many pages to the science of every aspect of pars repairs, from eligibility (good discs on MRI), to best surgical techniques (minimal open compared to minimally invasive), best imaging to use (i.e., O-Arm with Stealth imaging vs. older fluoroscopy), the ideal amount of BMP to use and why not use too much or too little, and much more, all to do with pars repairs, pages upon pages of his site just on the pars, with scientific references and his own extensive expert opinion. As a health research statistician, I was very impressed with this. It was in stark contrast to the websites of other spine surgeons which barely gave the pars a word or two, focusing almost exclusively on fusions. I had found the best surgeon in the world for pars repairs, and so after Dr. Corenman personally screened my MRI to ensure my discs were healthy, I booked the surgery.

Being 46 years old at the time of surgery in 2018, with a 4-year-old pars fracture from 2014 combined with a congenital SBO meant my pars fragment was somewhat atrophied, but it was "very solid", said Dr. Corenman in the operative report. Nevertheless, it was challenging with two things to fix, the pars and SBO, and OR time was around 4 hours. Recovery over the following months was guided by a very clear "Spine binder" from the Steadman Clinic with strict rules of "no BLT" (no bending, lifting or twisting), and illustrated physiotherapy guidelines. They even warned patients to avoid fish oil supplements, which could excessively dampen inflammation and hence slow bone healing. They answered many questions I had during months of recovery, with responses coming from the very supportive Lori Fugate (then director of Dr. Corenman's practice), and Ehrich Bean (then physician's assistant at the practice), as well as a couple calls with Dr. Corenman himself after two of the CT scans. Ehrich Bean offered great advice for taking the spine binder conservatively due to the nature of pars repairs vs. fusions. The final post-op CT scan I had was a couple weeks ago at 34 months post-op, and Dr. Corenman had retired, but I got a very positive and informative call from Eric Strauch (current PA at the Steadman Clinic under Dr. Corenman's replacement there, and who had also worked with Dr. Corenman previously). The staff at the Steadman Clinic were extremely supportive all the way through the process. I should mention, the local Canadian spine surgeon did offer me very good post-operative support including antibiotics as needed to deal with a mild surface incision-site infection early on, booking numerous x-rays when I felt something was amiss, as well as booking all four of my post-op CT scans. I am very grateful for that support also.

My final result shows plenty of solid bone across the pars and a healed SBO, with my vertebral body now a solid bone ring instead of being broken at two places as it was pre-op. Does my spine hold up in the real world? You bet! I have recently dug and moved several yards of dirt and sand and gravel by myself (shovel and wheelbarrow!) to fix our water main, pulled roots from the yard, moved several "portable" (these are HUGE) air conditioners up several flights of stairs my myself, and lifted weights. I now run 2 miles (3.2 KM) several times weekly with a hard 100 meter dash in the middle. I bend deeply before each run I go on, with no spine slippage. My spine feels amazing. I can bend over to do exercise, or real word tasks, with no risk of spine slippage.

My sincere thanks to God, Dr. Donald Corenman, Lori Fugate, Ehrich Bean, Eric Strauch, and the Steadman Clinic, as well as the Canadian spine surgeon who offered me excellent post-operative care back in Canada. You have all given me a new lease on life.

Sincerely,
Eric S

Robert S

May 11, 2021

by Robert S on Donald Corenman, MD, DC

Back Fusion Surgery

I had my entire lumbar spine fused in November of 2018. I had scoliosis , with pinched nerves that were so painful I could hardly walk - and standing for more than a few minutes was impossible. Even sitting was painful.
The fusion surgery produced immediate relief! And the recovery was much easier than I expected.
To this day I can do all the activities I love from hiking, to standing in a stream fly fishing to riding my bike long distances - or just walking down the street with my wife.
Kudos to Dr. Corenman and his staff, (including the two Erics) for taking such good care of me!

Leslie R

Jul 9, 2020

by Leslie R on Donald Corenman, MD, DC

TLIF

I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. I highly recommend Dr. Corenman and the Steadman Clinic.

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Laura1963

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