At what point do I go ahead with a discectomy/fusion instead of physical therapy
My neuro recommended that I move forward with a discectomy on my c-6, c-7 due to a bulging disc. As a result of this disc I am in pretty constant discomfort. A symptom that has been determined as llhermitte Phenomenon, or the barber chair syndrome? He says the main concern in this situation is the fact that my spinal cord is at risk. It is already presenting with some adema because of the disc, but he said that if I am in a car accident or any jarring activity that manipulates my neck I could end up paralyzed. I am also losing strength in my right arm alonside all of the numbness and burny tingly pain? His concern here is that the root nerve will die and the tingling will never improve if we wait, even though there is no guarantee that it isn't already permanent. I am really interested in feedback. I am terrified to go under the knife after having a gallbladder removal gone horribly wrong in 2011.Thanks everyone
Usually the criteria is intractable pain resulting in the inability to function or risk of permanent neurological damage.
Coincidentally my 1st ACDF was @ C6/7, I had horrible neck, upper back, shoulder and hand pain. Fortunately, the spinal cord involvement was minimal. I had it done because of the pain, I could not function and no amount of drugs got it to the bearable point. I was also lead to believe that I would be good as new, and stupid me believed it.
I ended up having to have another one, and things are still not quite right. I do have some permanent damage and what looks like is going to be permanent pain. As far as being in auto accidents or having bad falls, I think we're probably in the same boat, and I've had 2 neck surgeries. I've been told not to play football.
From your post it sounds like the Neurological aspect is your primary concern and that's valid. You should really get a 2nd opinion, most reasonable Doctors don't mind if you do. After all this is a very important decision for you. And by the way I was really scared before I had my first neck surgery and I had had back surgery previously. There's just something about the neck, you know? Is this a discecomy and not a fusion, possibly endoscopically done?
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.