Hi again, Dr. Corenman,
Pain history: gradual onset, but most prominent over the last 3 years. Constant headaches, the best description would be the sensation of a hot knife, sometimes dull and throbbing, sometimes sharp and steady, at the base of my neck radiating upwards into the base of my skull. Trapezius muscles are usually rock-hard, limited mobility. Crackling or popping sound when I turn my head or lower my chin to my chest. No skin changes or hypersensitivity. Pain is 95% neck, 5% arm (which is more of a numbness, not pain). Neck pain intensity usually 6-8 range. Moderate weakness in right arm is most problematic upon waking. No problems with gait or coordination. Pain is usually mild to moderate upon waking, increasing in intensity throughout the workday; evenings are usually the worst. It wasn’t until I recently took my first hydrocodon that I experienced what it feels like to *not* be in pain.
Activity/occupational restrictions: sitting through a movie is challenging, had to give up swimming laps (rotating head side to side is a problem), used to run 4 miles per week but running seems to aggravate the pain. Part of my job requires lifting/pushing very heavy objects or vehicles, but I have been excused from that lately
I have been a graphic designer/illustrator for the past 28 years, sometimes spending many hours at a drafting table or computer, so my condition is not surprising.
Consultations/treatment:
Chiropractor for three months: not effective
Orthopedist: during a visit for lower back pain 3 years ago, I asked the doctor to also check my neck. He stated that I did indeed have a partially “blown” lumbar disc, but that my neck was “far worse.” Prescription: PT, anti-inflammatories, pain medication. PT was mildy effective but temporary. Second doctor, last month: x-ray revealed “collapsed” disc at C6-7, prescribed Celebrex and ordered MRI (impression listed above). MRI also indicates numerous osteophytes but most significant at C6-7. Moderately severe disc desiccation at C6-7, minor desiccation at C4-5 and C5-6. Minor facet arthrosis C2 through C7, moderate at C4-5.
And that brings me to today, waiting for my consultation with the orthopedist to discuss this recent MRI.
Again, thank you for your generosity.
Regards,
John
