Thanks to everyone for the feedback! Any other advice is welcome, too!
Quote:
Originally Posted by Dubious
I'll address just the C7-T1 anterolisthesis. 3mm is just under the AMA Guidelines for Category IV Impairment. 3.5mm would get you there. Clinically, it matters if your 3mm anterolisthesis is static as interpreted from a lateral plain-film x-ray or if your 3mm is dynamic, as interpreted from either flexion/extension x-rays or dynamic fluoroscopy, but not for the rating itself. MRI is frowned upon for millimetric displacement considerations as the cortex of the bone is not well visualized making it inaccurate. Much can be stated about this but in short, if you have lower neck pain, especially with motion, it might be related. Also, if you have pain, numbness or tingling into your inner forearm and little finger or weakness/wasting of the intrinsic hand muscles or with power grasping, C8 nerve root issue might be considered. If oral anti-inflammatory meds (including Medrol) aren't working for you and you have already gone acupuncture, PT and chiro, then time to think about more invasive things like facet blocks, medial branch blocks, interlaminar ESI and transforaminal ESI. Talk to your doc!
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06-02-2014, 08:16 PM
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