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Old 02-23-2012, 06:25 PM   #1
Carline Saintilien
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Cervical & Lumbar Radiculopathy with Central Canal Stenosis

I was injured in an MVA. As a result of the MVA, I tore my labrum which was recently repaired. I'm am now 4 weeks post op.

I also have cervical and lumbar radiculopathy with central canal stenosis. The spine specialist, have been recommending surgery to alleviate nerve root compression and central canal stenosis.

Since being out of work for the past several weeks, I cannot foresee myself going through another surgery and recovery. More importantly the weight gain due to the limits on exercise.

I have painless twitching on nearly all body parts, tingling at both hands and feet. Sharp pains at lower back and both buttocks.

Although I've experienced all the above symptoms, I can pretty much fulfill all ADLs (some limits due to recent labral repair surgery).

Do I take the risk and agree to surgery? By not agreeing to surgery, I am allowing irreversible damage? I've done have ESIs and PT to treat the above.
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Old 02-23-2012, 07:01 PM   #2
Steven Low
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Re: Cervical & Lumbar Radiculopathy with Central Canal Stenosis

If, through PT et al, you can get significantly better then why have the surgery?

Otherwise, it may be something to discuss with your docs and/or get a second or third opinion if you have reservations about more surgery.
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Old 02-24-2012, 02:32 AM   #3
Carline Saintilien
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Re: Cervical & Lumbar Radiculopathy with Central Canal Stenosis

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Originally Posted by Steven Low View Post
If, through PT et al, you can get significantly better then why have the surgery?

Otherwise, it may be something to discuss with your docs and/or get a second or third opinion if you have reservations about more surgery.
I have been going to PT for 7 months for my back and neck issues.

If I were to consider surgery, is the recovery time relatively quick as in a labrum repair surgery.
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Old 02-24-2012, 06:33 AM   #4
Chris DeCarlo
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Re: Cervical & Lumbar Radiculopathy with Central Canal Stenosis

radiating pain and numbness with stenosis from a mva is a loss of structure and rarely a need for surgery,

when people have those symptoms and they come on from being older or chronic issues then its a different story..

xray, mri ..they will tell the story, were ever you have the stenosis and disc injury is were you need to restore the strucure...i have people come in my office on a daily basis with your complaints..this what you will need

3-4 wks of decompression therapy(NOT TRACTION) neck and back
to help with the symptoms and start the healing process

then some type of STRUCTURAL rehab to restore the spine to its normal shape..this may take some time but you will be better..you have not been anywhere to fix the issue, you are patching and masking symptoms..GET THE CAUSE OF THE PAIN, NOT THE PAIN ITSELF..YOU STRUCTURE WAS BROKEN DOWN FROM THE MVA...

let me know were you live and i can help you find someone who holds the same level of training that i do..this all i do all day long..works!!
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Old 02-24-2012, 06:37 AM   #5
Chris DeCarlo
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Re: Cervical & Lumbar Radiculopathy with Central Canal Stenosis

i found a few people but all are in NYC, not sure if you want to travel to city that often from corona..less than six miles it says..let me know
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Old 02-24-2012, 09:48 AM   #6
Carline Saintilien
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Re: Cervical & Lumbar Radiculopathy with Central Canal Stenosis

Quote:
Originally Posted by Chris DeCarlo View Post
radiating pain and numbness with stenosis from a mva is a loss of structure and rarely a need for surgery,

when people have those symptoms and they come on from being older or chronic issues then its a different story..

xray, mri ..they will tell the story, were ever you have the stenosis and disc injury is were you need to restore the strucure...i have people come in my office on a daily basis with your complaints..this what you will need

3-4 wks of decompression therapy(NOT TRACTION) neck and back
to help with the symptoms and start the healing process

then some type of STRUCTURAL rehab to restore the spine to its normal shape..this may take some time but you will be better..you have not been anywhere to fix the issue, you are patching and masking symptoms..GET THE CAUSE OF THE PAIN, NOT THE PAIN ITSELF..YOU STRUCTURE WAS BROKEN DOWN FROM THE MVA...

let me know were you live and i can help you find someone who holds the same level of training that i do..this all i do all day long..works!!
Thank you very much Chris. NYC is very close to where I live. A friend of mine recommended the Hospital for Special Surgery. But I am open to all referrals. At this point I would like and need a second opinion.

Here is some background history:

The MVA occurred end of May 2011. (Memorial day weekend). This first week in June I saw an orthopedic surgeon who dx me with cervical strain and ordered PT and anti-inflammatory and muscle relaxant meds.

Exactly one month later (July), I was experiencing migraines and pin and needles in my shoulder and down my fingers. I f/u'ed with the ortho doc who ordered a cervical MRI. The pins and needles became apparent down my legs and buttocks.

Here are the results: C3-C4, C5-C6 and C6-C7 disc herniations; mild to moderate C5-C7 stenosis and mild C6-C7 stenosis.

Lumbar spine results showed disc space narrowing and desiccation at L5-S1. Posterior disc herniations at L4-L5 and L5-S1 with impingement. Posterior disc protrusion noted at L2-L3.

Because the cervical MRI was ordered first, PT was more focused on the neck with TRACTION. I was given a TRACTION DEVICE device to use at home. I haven't really been using it since the labral repair surgery.

The lumbar MRI EMG and NVC test was not done until August, PT focused on the back was started in Sept. The neck PT has been continuous since June.

The NVC showed decreased velocity.

The EMG showed evidence of right C5-C6 cervical and right L5-S1 lumbosacral radiculopathies.

I've had one cervical ESI and two lumbar ESI. Parasthesias are now limited to the hands/fingers and feet. Still have neck pain, low back and sciatic pain. And I twitch all over (neck, lower back, buttocks, abdomen, legs hands and feet) all day. I've managed to tolerate my symptoms of pain using Relafen 1000mg daily.

All thoughts or feedback would be most appreciated. I look forward to hearing from you.
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Old 02-26-2012, 06:25 AM   #7
Chris DeCarlo
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Re: Cervical & Lumbar Radiculopathy with Central Canal Stenosis

KATIE NOVOSEL, D.C.
Advanced Certification
Rowe Chiropractic
316 E 59th St
New York NY 10022
212-486-8888

i would start here.
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Old 02-26-2012, 04:17 PM   #8
Carline Saintilien
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Re: Cervical & Lumbar Radiculopathy with Central Canal Stenosis

Quote:
Originally Posted by Chris DeCarlo View Post
KATIE NOVOSEL, D.C.
Advanced Certification
Rowe Chiropractic
316 E 59th St
New York NY 10022
212-486-8888

i would start here.
Thank you very much again.
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