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Member
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Join Date: Jan 2009
Location: Paradise
Posts: 855
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Member
Join Date: Jan 2009
Location: Paradise
Posts: 855
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Quote:
Originally Posted by indy-pain
Terrible neck pain and head aches, uncontrollable back spasmas that brings me to my knees and I will need help gettting to a seat or bed, sometimes I even crawl to bed, I can't stand in one position for more than 5 mins without increase pain, walking makes my hips legs and back hurt, I can't bend to look or pickup anything without a burning acheing pain in my lower back, my right arm have pain radiating down to my fingers, my knees take turns going out(feel like they pop out of place) my wrist aches daily with cold, numb and tingling feelings. Sometimes my feet feel like they have cramps at the top and my toes also, it hard to walk and painful to. I feel like I ran a mile when I get up to get a glass of water or answer the door.
It hurts to sit down and getting up from a seat is even harder and painful. I wake up with neck and back pain daily, sometimes I have unbareable pain that prevent me from getting out of bed at all, especially when the migranes, neck pain and back pain are all at the sametime it's the worst. I forgot to mention the finger cramps if I attemp to use a can opener or try to open a soda.
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The most pronounced findings in relation to your complaints would seem to be:
C4-C6 actually fused together wrong
C3-C4 Demonstrates posterior disc osteophyte complex causing moderate impingement. Unconvertabral degeneration results in mild foraminal narrowing.
C4-C5 There is posterior disc osteophyte complex causing moderate stenosis. There is moderate to severe bilateral foraminal narrowinh due to unconvertabral and facet degeneration.
On sagittal view, degenerated disc with disc space lost is seen at T11-T12 Generalized bulge is present effacinh the anterior subaracnoid space and appear to abut the cord but not causing cord impingement. There is overall mild central stenosis.
EMG Impression: There is evidence for a right median neuropathy at the wrist, that is moderate to severe. In addition, there appears tobe an old chronic right C5 Radiculopathy. These are very busy studies. Your statement that the fusion healed wrong suggest a sharp kyphotic curve at that level which increases cord impingment issues. There are other frank issue of central stenosis which suggests cord impingment. Cord compression could account for pain in general and your lower and upper extremity weakness and cramping. There are also levels on the MRI that would suggest compression of the exiting nerve roots.
Facet joint degeneration and/or associated spasms could account for your headaches. EMG evidence suggest a rather severe case of carpal tunnel syndrome and an old C5 nerve root injury (controls muscles of the shoulders and arms)
There are of course other complicating issues or contributory problems not addressed by the MRI and EMG that could exist. MR myelogram would be helpful. I think you need a really damned good neurologist or neurosurgeon to walk you through this!
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