Page 5 » Donald Corenman MD DC | Spine Surgeon Colorado

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Laura1963
Participant

October 28, 2018 at 7:06 pm

Post count: 36

in reply to: PLEASE READ MY MRI #29738

Thank you again …i seen an neurologist he said it’s not trigeminal nerve damage as all the symptoms I have in my mouth and throat is wide spread entire body …it started after I cold turkey off a medication that I should of never put on in the first place was given Klonopin for four and half months for menopause symptoms never been on any medication in my entire life before that or after cold turkey off 2mg and after 2 months on it I started to get these symptoms didn’t realize it was from that drug ..My mouth throat neck shoulders and biceps are extremely stiff since never had this ever in my entire life prior to that drug …I just needed to rule out if any of this was from my neck ..Thank you so much for ruling this out ..it gives me a piece of mind …I am so grateful for your expert advice and opinion ..thank you again …I recommend others to go to your website and watch your you tubes …

Laura1963
Participant

October 27, 2018 at 11:25 pm

Post count: 36

in reply to: PLEASE READ MY MRI #29732

Dr Corneman when the report says similar do that actually mean same as previous report or do it mean similar but not identical that it could be some changes ..Just don’t know if there’s an actual slight change from previous report done in June or it’s exact same ..Thank you

Laura1963
Participant

October 27, 2018 at 8:02 pm

Post count: 36

in reply to: PLEASE READ MY MRI #29731

Thank you Dr Coleman ..I enjoy watching your videos very informative.your amaxing ….This is my actual MRI report

My MRI report says this

The cerebellar tonsils are in normal location
Thin Nonexpanasile area of highT2 Signal seen at the level of C5 C6, There is a disc desiccation involving all cervical discs , similar compared to previous.

C2-C3 ..No central canal or neural foraminal stenosis

C3-C4 Mild posterior osteochondral with partial effacement of the anterior CSF..No central canal or neural foraminal stenosis

C4-5 No central canal or neural foraminal stenosis

C5-C6 Posterior osteochondral bar with partial effacement of the anterior CSF..No central canal or neural foraminal stenosis

C7-T1 No central canal or neural foraminal stenosis

Interpretation

No central canal or neural foraminal stenosis

Similar appearance compared to previous.This includes nonexpansile thin high signal centrally within the cord at level C5 C6 , POSSIBLY a small syrinx as well as some degenerative change described

My symptoms is alot off nerve pain and inflammation inside my mouth and throat and sometimes in the back of my neck but mostly mouth and throat ..If my report says no central canal or foramina stenosis do that mean there’s no impingements ? And how likely can it cause the pain in my mouth and throat .? I get shotting sharp pains as well in my head ..it moves around …but my concern mostly is mouth and throat ..the symptoms are exact same in my throat as is in my mouth …but at time my mouth will still have constant nerve pain 24-7..Thank you again I truly appreciate your advice and opinion very much

Laura1963
Participant

October 27, 2018 at 3:16 pm

Post count: 36

in reply to: PLEASE READ MY MRI #29729

I have posterior oesphnyte partial effacement of CSF C5-c6 and mild one C3-C4 no central canal or no forminel stenosis can that cause symptoms in throat and mouth? Can the bone spur On the C3-C4 causes nerve pain on my throat or mouth ..Thank you

Laura1963
Participant

July 25, 2018 at 8:30 am

Post count: 36

in reply to: PLEASE READ MY MRI #28824

thank you Dr coreman for reviewing my post ..My question is if you could review my MRI report and advise me if or any symptoms could effect the mouth or throat i have severe nerve pain in my mouth and throat along with stiffness neck and shoulders and biceps…As per my Mri could you explain effacing the anterior CSF do thst refer to pushing into the CSF ..can that cause symptoms as what i was explained theres no compression on to the cord ..but if its effacing the CSF can that effect the cord as per my report..Would greatly appreciate it if you coukd share your expertise in my report…please and thank you ..The bone spur is as well the syrinx are both on the C5 C6 level…the syrinx has been stable since first d/x in 2005 …..I love your videos on youtube very educational…thank you for taking the time to write me greatly appreciated .

Laura1963
Participant

July 25, 2018 at 8:22 am

Post count: 36

in reply to: PLEASE READ MY MRI #28823

Thank you Dr Coreman for reviewing my post..I do have muscle stiffness around my neck and shoulders and arms/biceps …but my question is can a bone spur or SM cause severe nerve pain in mouth and throat from C5 C6. Of a bone spur as per my MRI report i posted or the Syrinx that are both located at C5 C6 level as far as I know theres no compression on the spinal cord itself from the bone spur but to my understanding effacing the anterior of the CSF its is pushing on that area is that what effacing means ? Just trying to understand my report …if you could explain my report to me and or advise me to what symptoms that it could cause be greatfully appreciate ..Once again thank you so much…I watch your videos on youtube ..Very educational…
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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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