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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


I an in Constant severe neck/back/head/shoulder/arm pain for more than 2 years since head injury. Head has improved but severe cervical and related upper back/arms/shoulder stiffness with 24x7 pain. Some releif when I lie down otherwise severe pain in vertical position. Arms/Shoulder are weak, numb and painful (shoulder in particular)

PT/Medication etc. dont help much- Never tried acupuncture or chiropractor.

1) Is cervical traction (at home or with PT) useful? Can it harm?
2) How about Acupuncture and Chiropractor?
3) Do I need Cervical surgery- if I delay, Can I be Paralyzed? How long can I wait?

MRI Cervical:

-Reversal of normal lordosis. Small Hemangioma in T1 Vertebra. Mild Spondylosis in multiple levels in Cervical spine


-C3-C4: Broad base disc/osteophyte complex which effaces anterior thecal sac but doesnt deform cord. Moderate narrowing of right neural foramen
-C4-C5: Broad base disc/osteophyte complex which is INDENDTING the central cord. Moderate to severe left foraminal stenosis. Minimal narrowing on right
-C5-C6: Small broad base disc/osteophyte complex which indents but does not efface anterior thecal sac. Mild Narrowing of left neural foramen
-C6-C7: Left sided disc/osteophyte complex which moderately narrows left neural foramen. No significant spinal stenosis.

Spinal cord signal is normal throughout.

CT Cervical:

Bilateral uncovertebral joint spurs at C3-C4. C4-C5 and very minimal at C5/C6 and C6/C7. Spurs are moderate on right and small on left.

MRI Thoracic:
Slight Right curvature to spine- Mild Scoliosis (mild Levoscoliosis of lower thoraic spine and mild dextroscoliosis of cerviothoracic junction)

Otherwise normal.

EMG

Bilateral chronic cervical radiculopathy at C5/C6/C7



NS wants to proceed with Surgery; Ortho surgeon wants to wait for sometime with conservative approach.

Any feedback/help would be appreciated. Thanks so much
[QUOTE=SpineAZ;4068599]What type of surgery are the recommending?[/QUOTE]

NS is recommending C3-C4 and C4-C5 decompression. Remove the disc and replace with cadaver bones. Does MRI report warrant it?

Spine surgeon recommends ACDF at C4-C5 but is not 100% sure presently and notes weakness in thoracic spine and arms. Recommends sequential stimulator and cervical traction unit at this time.

I have severe pain in entire upper body- neck and head are the epicenter and includes back and shoulders. Weakness in arms. Issues with eyes and ear too and weakness in right face (right shoulder//arm more weak).

Vicodin/Lyrica/Zanaflex/Mobic/Soma/Flexeril/Savella/Cymbalata, PT etc. do not help much- temp relief that shoots back

I have been completely submerged in pain and forgotton how to live without pain now-

Is surgery warranted based on MRI/CT/EMG reports? Any alternatives? Will surgery lower pain level?
Thanks SpineAZ.

Whats the difference between decompression and ACDF?

Is cervical traction helpful- can it harm? during the beginning of injury, my physiatrist indicated that it could harm and did not allow it.

Do Acupuncture and/or Chiropact help- I havent tried them. I had few trigger point injections.

Although my symptoms continue since the beginning of injury, they have worsened in past several months- my head has improved but neck/back have worsened.

After the head injury, I used to feel like drunk for few months; however, head is better now. Although, my thoracic MRI appears normal, I feel compression in my mid-back both in front and back. The neck/back pain is constant and severe- there probably is also a need for arthoscopic shoulder surgery.

My cervical MRI after few month of injury showed disc bulges only- there was no stenosis or cord indention- my recent MRI appears more severe and NS is asking for decompression at C3/C4 and C4/C5.

Not sure why cervical condition deteriorated more rapidly in last one year. I am 46 and has continued working in high functioning brain environment inspite severe head/neck and several other issues after head injury (I took few months off work). All doctors want me on total disability and not work- however, I continue working and think that brain will heal and function- not sure if it is harming my cervical, back, eyes, ear, face etc.

I have been to numerous neurologists/pain management/Physiatrists/neuropsche without any good solution. Recent visit to surgeons seem to indicate that surgery may or may not help.

Curious on feedback on surgery, traction unit, sequential simulator, acupuncture and other help. Thanks.
[QUOTE=bgs;4068992]

Do Acupuncture and/or Chiropact help- I havent tried them. I had few trigger point injections.

my head has improved but neck/back have worsened.

The neck/back pain is constant and severe- there probably is also a need for arthoscopic shoulder surgery.

My cervical MRI after few month of injury showed disc bulges only- there was no stenosis or cord indention- my recent MRI appears more severe and NS is asking for decompression at C3/C4 and C4/C5.

Not sure why cervical condition deteriorated more rapidly in last one year.
Curious on feedback on surgery, traction unit, sequential simulator, acupuncture and other help. Thanks.[/QUOTE]

All right, feedback. First of all, Chiropractors, stay away from them. They are NOT for treating neck pain. Neck has tendonds, ligaments, muscles, disks and NERVE INTERSECTION. You just don't want them to touch or manipulate your neck, period.
There are some people in this board who had to go through neck SURGERY cause of chiropractors. I hope I'm clear on that one.

As you see, doctors don't have a whole lot of answers to your questions about neck injuries cause they just cannot fix it. (they are not gonna tell you that you know?).

I, myself, suffer from severe neck pain cause of a severe whiplash You also suffer from back pain, that's even more misery.

I don't know if that gonna help you. I also have two minor bulging disks in my neck from the accident. So is that what you have? It's serious pain, brings me to tears.

One last thing, you never told me if you've been through a whiplash. Reading your post that's what it sounds to me. So you will need to tell me.
If that's the case you're probably suffering from muscle strains/spasms in your neck also.

Neck surgery, I don't know much about it, you will need to ask here someone else.

I'm pretty sure neck pain always get worst. I'm going through this for almost 4 years. It never got any better.
I am on Vicodin 7.5/750 ES- had tried 5/325 and 5/500. In addition, Lyrica, Zanaflex and many others. Temp relief that shoots back. PT also same- recently some traction but all the same. Trigger point injections never helped.

Physiatrists wants to try facet and nerve blocks at C3/C4 and C4/C5; Anesthesiologist wants Epidural Steroid and Facet in surgical settings.

What are the differences between Epidural and Nerve blocks? Physiatrists indicated that he can burn the nerves after facet/nerve block etc.- Struggling with WC approvals etc.

How about Acupuncture- is it worth?
[QUOTE=bgs;4068560]I an in Constant severe neck/back/head/shoulder/arm pain for more than 2 years since head injury. Head has improved but severe cervical and related upper back/arms/shoulder stiffness with 24x7 pain. Some releif when I lie down otherwise severe pain in vertical position. Arms/Shoulder are weak, numb and painful (shoulder in particular)

PT/Medication etc. dont help much- Never tried acupuncture or chiropractor.

1) Is cervical traction (at home or with PT) useful? Can it harm?
2) How about Acupuncture and Chiropractor?
3) Do I need Cervical surgery- if I delay, Can I be Paralyzed? How long can I wait?

MRI Cervical:

-Reversal of normal lordosis. Small Hemangioma in T1 Vertebra. Mild Spondylosis in multiple levels in Cervical spine


-C3-C4: Broad base disc/osteophyte complex which effaces anterior thecal sac but doesnt deform cord. Moderate narrowing of right neural foramen
-C4-C5: Broad base disc/osteophyte complex which is INDENDTING the central cord. Moderate to severe left foraminal stenosis. Minimal narrowing on right
-C5-C6: Small broad base disc/osteophyte complex which indents but does not efface anterior thecal sac. Mild Narrowing of left neural foramen
-C6-C7: Left sided disc/osteophyte complex which moderately narrows left neural foramen. No significant spinal stenosis.

Spinal cord signal is normal throughout.

CT Cervical:

Bilateral uncovertebral joint spurs at C3-C4. C4-C5 and very minimal at C5/C6 and C6/C7. Spurs are moderate on right and small on left.

MRI Thoracic:
Slight Right curvature to spine- Mild Scoliosis (mild Levoscoliosis of lower thoraic spine and mild dextroscoliosis of cerviothoracic junction)

Otherwise normal.

EMG

Bilateral chronic cervical radiculopathy at C5/C6/C7



NS wants to proceed with Surgery; Ortho surgeon wants to wait for sometime with conservative approach.

Any feedback/help would be appreciated. Thanks so much[/QUOTE]

I have not read through all the posts, however your condition seems very similar to mine, I have tried cervical traction, in numerous different forms...at one point I was attaching bungee cords to my neck collar and hanging them from a pole in my door way, then would just bend my knees and wait a while...I have also had ones that pump up, plastic ones, been given traction at physio and chiro...to be honest the traction felt great while I was in the device, but afterwards, my pain seemed worse... (I would never suggest anyone try traction themselves at home, it is very easy to make a mistake!)but I have also heard success stories, every person is different. I hope it works for you and you do not require surgery.

gentle hugs,
Zoey.
[QUOTE=bgs;4068560]I an in Constant severe neck/back/head/shoulder/arm pain for more than 2 years since head injury. Head has improved but severe cervical and related upper back/arms/shoulder stiffness with 24x7 pain. Some releif when I lie down otherwise severe pain in vertical position. Arms/Shoulder are weak, numb and painful (shoulder in particular)

PT/Medication etc. dont help much- Never tried acupuncture or chiropractor.

1) Is cervical traction (at home or with PT) useful? Can it harm?
2) How about Acupuncture and Chiropractor?
3) Do I need Cervical surgery- if I delay, Can I be Paralyzed? How long can I wait?

MRI Cervical:

-Reversal of normal lordosis. Small Hemangioma in T1 Vertebra. Mild Spondylosis in multiple levels in Cervical spine


-C3-C4: Broad base disc/osteophyte complex which effaces anterior thecal sac but doesnt deform cord. Moderate narrowing of right neural foramen
-C4-C5: Broad base disc/osteophyte complex which is INDENDTING the central cord. Moderate to severe left foraminal stenosis. Minimal narrowing on right
-C5-C6: Small broad base disc/osteophyte complex which indents but does not efface anterior thecal sac. Mild Narrowing of left neural foramen
-C6-C7: Left sided disc/osteophyte complex which moderately narrows left neural foramen. No significant spinal stenosis.

Spinal cord signal is normal throughout.

CT Cervical:

Bilateral uncovertebral joint spurs at C3-C4. C4-C5 and very minimal at C5/C6 and C6/C7. Spurs are moderate on right and small on left.

MRI Thoracic:
Slight Right curvature to spine- Mild Scoliosis (mild Levoscoliosis of lower thoraic spine and mild dextroscoliosis of cerviothoracic junction)

Otherwise normal.

EMG

Bilateral chronic cervical radiculopathy at C5/C6/C7



NS wants to proceed with Surgery; Ortho surgeon wants to wait for sometime with conservative approach.

Any feedback/help would be appreciated. Thanks so much[/QUOTE]
I couldn't live without my traction unit. It relieves the majority of my pain instantly!





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