Donald Corenman MD DC | Spine Surgeon Colorado

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Viewing 5 posts - 1 through 5 (of 5 total)

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Thompson74
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October 29, 2024 at 9:00 pm

Post count: 7

in reply to: Advice needed AGAIN!! #36311

Here is my scan from brain:

MRI BRAIN WITHOUT CONTRAST: TECHNIQUE: Multiplanar, multisequence noncontrast brain protocol. Additional series acquired through the brain stem.

INDICATION: Cranial nerve palsy. Dysautonomia. Esophageal motility disorder. Vagus neuropathy.

COMPARISON: None

FINDINGS: Parenchyma: Multiple FLAIR hyperintense foci in the supratentorial white matter, predominantly in a bifrontal distribution. No mass effect or acute infarct. No hemorrhage. Normal appearance of the brainstem.
Parasellar: Normal appearance of the pituitary gland, suprasellar cistern, and cavernous sinuses.
Extra-axial Collection: None
Ventricular System: Normal. No hydrocephalus.
Major Intracranial Flow Voids: Major vascular flow voids appear patent.
Included Orbits: Normal.
Paranasal Sinuses: No significant mucosal thickening. Included nasal cavity and nasopharynx: Unremarkable.

Tympanomastoid Cavities: Mastoid and petrous air cells are clear.

Osseous Structures and Soft Tissues: Postsurgical and degenerative changes of the imaged cervical spine. Normal appearance of the bilateral jugular foramina.

Thompson74
Participant

January 6, 2021 at 12:20 pm

Post count: 7

in reply to: Chiari Malformation #33519

The Great Dr. C!! This young lady is one of my best friends! I have encouraged her to contact you about this! I told her I trust you with every ounce of my being!

Thank you for answering her! She deserves a life with her babies! ❤️

Thompson74
Participant

August 16, 2019 at 6:35 pm

Post count: 7

in reply to: HELP!!Cervical stenosis with Central Canal Stenosis HELP!! #30885

I have made an appointment to see you September 3rd. I have not found a dr locally that will do a thorough exam to figure out what is going on! So we are making the trip to see you

Thompson74
Participant

July 31, 2019 at 8:03 pm

Post count: 7

in reply to: HELP!!Cervical stenosis with Central Canal Stenosis HELP!! #30793

Here are the answers to your questions about exam.

the quality of the pain is Horrible.

the pain is burning, stabbing, sharp, shooting, electrical.

* Does the quality of pain change with activity? Gets worse

* Is the skin hypersensitive to touch? My feet on outside are.

* What is the percentage of pain in the neck vs. shoulder and arm? 85%neck 15% shoulder

* Intensity of pain is described as a 10 on neck and an 8 on shoulders.

* Are there now some noticeable problems with coordination and walking? Yes stumble like feet don’t pick up sometimes.

* Do you find yourself unbalanced when you walk? Yes.

* Do you “misstep” unintentionally much more than you use to do? Yes.

* Do you have trouble keeping your balance in a pitch black room? Yes.

* Has your handwriting changed? No.

* Do you now have trouble picking up a dime off a counter, zipping a zipper or buttoning a button? No

* Do you find lightening type electrical charges down your spine if you tilt your head backwards? Yes.

* Have your bowel and bladder function substantially changed in association with any of the above symptoms? No.
*
Activities
* What activities increase or reduce the pain? Amy activity being upright walking or sitting upright
* Think carefully about this question as the information produced is very valuable. Is it sitting that increases the pain where standing reduces the pain or visa versa? Both increase pain
* Can you sit for 15 minutes or one hour before you have to get up? How far can you walk? No. Can’t walk far.
* Does prolonged exposure to the activity cause more pain? Yes
* What does bike riding, sitting, standing, walking, lifting, jumping, computer work, driving or flying do to the pain? More pain
* Does the neck pain become worse with bending forward vs. backwards? Both are bad.

I was told that these symptoms don’t match what the testing says which is Myleopathy. Which was diagnosed by a Chiroprator that o went to to try to get relief from. I tried PT, yoga, massages, can’t do epidurals due to not helping before. So I’m constantly told nothing they can do for me.

Thompson74
Participant

July 31, 2019 at 1:10 pm

Post count: 7

in reply to: HELP!!Cervical stenosis with Central Canal Stenosis HELP!! #30787

My prior surgeries were due to a car accident in April 2000.

in April 2002 I anterior discectomy with cage done at C5-6 by orthopedic surgeon.

6 weeks later same symptoms and it was determined cage had slipped.

10-2002 dr did a fusion revision at C5-6 with allograft, plate and screws.

In approximately 2007 started having arm pain and weakness again. Dr went in and did a c6-7 discectomy posterior.

Had no problems with my neck until I fell out of trailer with dogs in April 2019.
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Viewing 5 posts - 1 through 5 (of 5 total)

Donald Corenman, MD, DC

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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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Thompson74

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