Unfortunately when there is metal in thebody (such as spine instrumentation), the MRI signal in this area is distorted and one cannot tell what is really going on there. There may be less distortion with a CT myelogram, and even less with a conventional xray myelogram - these test involve injection of dye into the spinal fluid surrounding the spinal cord and nerves, then imaging the fluid by CT or xray - any blockages or pinched nerve roots show up well.
Loss of disc height, dehydration, and modic changes are common as we age in the general population. Minor disc bulges may or more usually not cause any symptoms. Spur formation if bad enough can pinch nerve roots in their foramina (holes that they go through) causing pain that radiates down an arm or leg. Abutment or flattening of the thecal sac means that there is less room in the spinal fluid for the spinal cord, but the spinal cord is not necesarily compromised. A plain xray may help show the integrity of the rod inrelation to the surroinding bony stuctures. An EMG study of the arm can sometimes tell if there is any nerve root irriatation from a pinched nerve root.
As I have not seen the actual images this advice is general and may not apply to your specific case.
Good luck
I had herrington rods installed(thoracic) 27 years ago so it suprised me to read that. I had cervical fusion c-4 to c-7 in 2004.
I'm not a Dr., but the mri sounds like you have some stuff goin on in the neck that will at least need therapy, maybe more. Thats what causes the arm pain most likely. It also can cause upper back/shoulder/neck pain as well.
Do you have any symptoms in the legs or lower back? The lumbar MRI doesnt sound too healthy either, but like I said, Dont take it from me!!!
I had my rods removed a year after surgery.
Hope you feel better soon. Take it easy on your neck, dont look up or down too far if you dont have to. I was told looking up was the worst.
Take it slow...Mike
I have been to specialists and the only thing they can do now is take about 2 and a half centremetres off the top of the rod and fuse the rest of the lumbar spine. My rods start at T4 and end at L3. No guarantee even then of no pain so I have opted not to have that done.
I feel so sorry for you as my life has changed so much. I try so hard to keep a positive attitude and am a member of scoliosis sites on the net to try and help others, but honestly it does get hard. Exercise does not help. nor swimming, nor physio, nor chiropractors, in fact they run if they see me coming.
I probably have made you feel worse but that was not my intention I just want you to know you are not alone in this.
Keep smiling regardless!!
I know now that it is all about pain management now.
Thank you
Sarah A. Newman
I have a harrington rod that was put in in 1981. The rod coveres my Thoracic spine T1-T12. In November of 2004 the pain radiating down my right arm and the neck and upper back pain was killing me. I found it hard to find a Doctor who would touch me. Finally I found one who agreed that it was the Rod. I had MRI's of my neck the my shoulder finding spurs in C3-C4 and fractures and neural foraminal narrowing in my lower lumbar L4-L5. I since had the rod removed in April of 2005. Now I see my self with the problem of my spine curving more and the pain in my neck and upper back stops me from sleeping at night. I fear that they will need to put another rod in my back again as well as remove the spurs that a making my neck so tender. The older we get the more our spines will condense which put more presure on the rod and our bones. Its a never ending problem. I wished I would have known then what I know now. What happens now for you?
scapular pain. The pain goes down my right arm like a "toothache" type of pain. The MRI shows that I have degenerative disc disease throughout my c-spine,a herniated disc,bulging discs, osteophytes (bone spurs)which are encroaching my neural foramina. Since my fusion is already
T3-to sacrum I've been advised that surgery to fix the neck problem is not advisable. Has anyone had this problem too?
I get little relief from anything,sleeping even causes me pain.
I refuse to take heavy duty painkillers because I'd have to live on them 24/7. I've tried acupuncture,chiropractic, massage,
physical therapy all to no avail. Has anyone out there gotten any relief in any way? My doctor said to forget about nerve blocks, it's not for me either. I am trying hard to hold on from becoming despaired. I am not a quitter, but this is really getting to be too much. I live in New York, and have ability to access doctors in the Albany area any maybe even NYC. Any doctor
recommendations out there?
supposedly corrected in 1998 and asked for them to remove the Harrington Rod at that time. They could not remove it. It was too buried in bone.After the surgery, I had something called retroperitoneal bleeding, which they said was from all of the bony material weeping the serosanginous fluid.What happened because of this is that my left leg and abdomen got increasingly swollen over the course of a couple of days to where I looked pregnant.
I had to be readmitted to the hospital- they punctured my abdomen while doing a Cat scan and removed 4 liters of fluid right away,then they hooked me up to a vacuum suction drain. Later that week they had to do surgery on me to remove more fluid.I was in the hospital for over 2 weeks until the drainage stopped. It was a horrible experience.
Good luck with what you are dealing with. It's not a fun place to be in but it's nice to know there are other people out there who understand.
I have read your comments and my heart truly goes out to all of you for the pain and suffering you have incurred from your scoliosis surgeries. I underwent a 10-hour surgery when my doctors put my herrington rods in my back 10 years ago. Two years after the surgery, I had to have another minor surgery to cut down one of the rods that was protruding out of the top of my back (obviously not poking through the skin, but you could clearly see the top of the rod when looking at my back). The doctors said it appeared as though one of the hooks didn't fuse properly and the rod had slipped. I'm not exactly sure what that means but you could see/feel the top of the rod poking out of my back. I don't know if anyone else has experienced this same type of thing, but it has now been 8 years since my second surgery and it looks as though the same thing is happening again. I don't want to undergo another surgery but it appears to be getting worse and other doctors have suggested that I go back to my orthopaedic surgeon to get it checked out. The thought of undergoing another major surgery to have the rods removed is terrifying, but I also fear having worse problems down the road if I don't have them removed. I have heard that there is a possibilty of the rods breaking during childbirth?? I don't have any children yet but I am a newlywed and this is another serious concern of mine.