I am a physician and have been out of work for over 5 years with intractable neck pain. I have a Vertebral Hemangioma at the T-1 area that fills over %50 of the vertebral body but every physician tells me not to consider it a pain source. I have neck pain but it is much worse when sitting or standing. I cannot sit more that ten minutes at a time. I have heard of ethanol treatments. Can you give me some advice or would you consider a visit and evaluation? Dr. Lacy
Sorry to hear about your symptoms. Neck pain in the absence of a radiculopathy, weakness, or corticospinal tract findings would be an unlikely presentation of a vertebral hemangioma. I'm guessing it was probably an incidental finding on an MRI. The ethanol treatments are usually reserved for people with intractable symptomatic hemangiomas as they carry risks of complications that can be quite dramatic such as spinal cord infarction. As you know, ethanol can be directly injected into the hemangioma percutaneously to sclerose it or into the feeding vessels. There's always a possibility that the feeding vessels may also supply part of the spinal cord which could lead to disastrous results if a sclerosing agent is injected. The alternative of direct injection appears to be safer. But every procedure carries risks. And if the hemangioma is not the source of pain, then you would end up with risks but no benefit.For more info, there is a great review article in the New England Journal of Medicine from Aug 1994 that you can read and make your own decision.
It might help to get a second opinion on your neck pain. Perhaps a fresh look by a neurologist or even pain clinic can get you back to work soon. Best of luck.
what exactly is this hemagioma? Just recently went for updated MRI from last year and this was part of my changing condition..It states diffuse signal changes in the bone marrow consistant with fatty changes, perhaps benign hemanioma no aggressive character. This is along with herniations to c3-4, c4-5, bulging disks at c5-6, c6-7, severe degenerative changes from c-3 to c-7 with large spurs to the anterior of the vertebral wall, severe kyphosis, significant signal change from c-3 to c-7 of the spinal canal with a deformity to spinal cord. Trauma induced.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
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.