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Old 01-17-2012, 12:50 AM
Mark in Idaho Mark in Idaho is offline
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Join Date: Feb 2009
Location: Somewhere near here
Posts: 11,427
15 yr Member
Mark in Idaho Mark in Idaho is offline
Legendary
 
Join Date: Feb 2009
Location: Somewhere near here
Posts: 11,427
15 yr Member
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greenfrog is 100% correct about your neuro. Any neuro who makes such a statement should lose his board certification.

I would run from this neuro and keep running until you find a neuro who understands concussion. The saving grace to that neuro's comment is the value of neck work. I would be very careful about who you let work on your neck. You need to find a therapist who has a very highly developed skill at working with an injured neck.

There should be no chiro type of twist and pop. Some soft tissue work to first identify spasming muscles should be the best start, maybe some myofacial release release with some light traction work.

Did he say he wants an MRA (Magnetic Resonance Angiogram)or maybe an EMG? An MRA is done in an MRI facility. It is done to look for abnormal vascular structures. It is basically a double MRI with a modification to the second image to ignore the blood in the blood vessels. The second limited MRI image is subtracted from the first MRI image and the result is an image of the vascular structure. The resulting images are quite interesting. I have a copy of an MRA done on me about 10 years ago.

If the MRA is to look for abnormalities in your upper neck, it makes more sense. Upper neck inflammation can impede blood flow through the vertebral arteries. Most of this same information can be found with a Doppler Ultrasound of the vertebral arteries at much less cost and discomfort.

Cranial Sacral Therapy has been replaced by Osteopathic Manipulative Therapy in some schools of osteopathy. It does not focus on the cranial rhythm concepts that CST uses. It takes the best of CST and leaves out the controversial and sometimes hocus pocus of cranial work.

For the record, cranial work has been studied and researched and shown to have very poor ability to repeat diagnostic results on the same subjects. But, enough of that.

My biggest concern is starting with the right therapist. Waiting to find a good one is better than rushing and finding one looking for billings.

If you decide to look outside that neuro's office, try to find a Physiatrist (Physical Medicine and Rehabilitation) with good skills with upper cervical diagnostics. maybe your PCP can refer you, but she/he sounds less than top notch for PCS and upper neck. Have either suggested icing your neck? It should be your first therapy. Easy to do at home. Just a big bag of frozen peas in a light dish towel for 20 minutes on, 30 to 60 off (to refreeze) and repeat three or more cycles.

Anti-inflammatory meds (ibuprofen or aspirin) can also decrease swelling.

I like the soft ice bags with a gel in them. They can wrap around the neck easily. You can also make a soft ice bag with water and isopropyl alcohol combined in equal amounts in a freezer grade zip lock bag. It freezes to soft ice.

btw, I type typos like a mad man. I use spell check to help me make things readable. Spell check can be turned on in internet options for web forms.

My best to you all.
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Mark in Idaho

"Be still and know that I am God" Psalm 46:10
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