anterior discectomy fusion c5.c6.c7. will help for pain

[virgilio19]

hi dr. i am a patient that will have anterior discectomy fusion c5.c6.c7.surgery in novembre. i like to know if my surgery
it will help to my cronic pain, i see more patient here that after surgery they have more problem in the neck, pain,numbbes,shoulder ,vertigo, i dont want to have the surgery, and then keep having cronic pain like now.
I LIKE TO  KNOW IF MY NECK SURGERY WILL HELP MY PAIN, THANK YOU DR.

the mri cervical result was, finding.. the cervical spine shouws straightening of its curvatureCurvature of the penis with

Vertebral column bodies show no fractureFractures across a growth plate deformities.
multilevel disc bulges are noted from the c3 to the c6-c7 level creating severe thecal sac compresion. without evidence of central spinal canal stenosis.the neural foromina appears slightly narrow bilaterally at the c5-c6a c6-c7 level, secondary to uncovertebral hypertrofic changes, the cerebellun and spinal cord show normal t2 signal, without evidence of myelopathic changes, no paravertebral masses are identified.
IMPRESION´-
1-PARAVERTEBRAL MUSCLE SPASM, WITH MULTILEVEL DISTAL BULGES NOTED FROM THE C3 TO THE C6-C7 LEVELS CREATING SEVERE THECAL SAC COMPRESION,WITHOUT EVIDENCE OF CENTRAL SPINAL CANAL STENOSIS.
2-MILD NARROWING OF THE BILATERAL NEURAL FOROMINA AT C5-C6 AND C6-C7 LEVEL, SECONDARY TO UNCOVERTEBRAL HYPERTROPHIC CHANGES.
I REALLY HAVE STRONG PAIN IN THE BACK OF MY NECK, SHOULDER. BACK,  LEG, FEET, ARM,TINNITUS, VERTIGO AND OTHER CONDITION. THANK YOU AGAIN DR.
BUT I LIKE REALLY KNOW IF A NEDD THE NECK SURGERY, THANK YOU VERY MUCH,

[Nassim Abi Chahine, MD]

after the surgery try to put your cervical collar as much  as you can but move your neck with the limitation theat the collar gives you to avoid muscular spasm

[Nassim Abi Chahine, MD]

you will be fine with the surgery, because you need it. Do it... you will be happy :)

[virgilio19]

i will have the surgery like you said dr. Nassim. but i dont undestand why patients said they have more pain and problem after surgery, thank you very much dr.

[TRAVELGIRL14]

I have to have X-Rays done of my rotater cuff tomorrow because I am losing use of my right arm even more than I already had and the pain in so bad I can't stand it. However, prior to the fall I took that hurt my shoulder I was already in a mess of trouble and felt I needed surgery but was told I was not a good canidate. I have a cervical fusion at c4-5/5-6 already. My nerve conduction test results were the following:
Mild to moderate bilateral Bilateral L4/L5 RADICULOPATHY
Mild to moderate bilateral L5/s1 RADICULOPATHY, INCREASED LEFT
LUMBOSACRAL SPONDYLOSIS
MODERATE LEFT CERVICAL RADICULOPATHY C5-C7 NEUROTOMAL SEGMENTS, C7 BILATERALY
CERVICAL SPONDYLOSIS
The MRI of the Lumbosacral Spine w/out Contrast Showed:
Schmorl's nodes of both endplates of L1
L 2-3 Posterior left paramedian Disc Bulge causing some pressure upon the Dural Sac and possibly origin of left L2 nerve root
L3-4 Moderate Degenerative Facet Changes with Minimal associated Bilateral forminal narrowing. No impingement seen (however I think there is now)
L4-5 Same as above except except the left neural foraminal is slightly narrower than the right. No definite impingement upon neural elements is seen (again maybe now)
L5-S1: though degenerative facet changes are seen bilaterally, the spinal canal and neural foramina are normal in width. No disc herniations or bulges are seen.
The visible segment of cord is normal: the tip of the conus medullaris lies at L1
IMPRESSIONS:
DDD, FACET CHANGES, L3-4 POSTERIOR LEFT PARAMEDIAN DISC BULGE CAUSING PRESSURE UPON DURAL SAC AND POSSIBLY LEFT L2 NERVE ROOT, MODERATE BILATERAL FORAMINAL NARROWING AT L3-4 AND L4-5
I also have polyneuropathy, sensory neuropathy, no pathological reflexes, severe TMJ and Graves disease.
My question is why does this Dr feel I don't need surgery or should I wait until I get the new set of X-Rays to see what they show so you can answer that question. I can't take my neck pain and I know since the fall I made the nerve worse in my arm.
I also have DJD in my face due to the TMJ. I am a mess with bone and nerve problems. I wish I knew why. Also, if you were my Dr. do you feel I have enough wrong (many problems not listed like anxiety, depression, chronic fatigue, fibromyalgia) that you feel I should be OK for my disabilty case. My hearing is coming up. I also had a CT scan done of my head and it showed changes in white matter along with calcium build up. Together it can mean MS with hyperparathyroidism I believe. It said incidental calcifications in the bilateral basal ganglia (already have Graves Disease and had radioactive iodine) and Nonspecific periventricular white matter changes are present. I had viral encephilitis for 1 month in 1988 so maybe that is attributing to the change. The neurologists punctured a hole in my spinal fluid sac while doing the spinal tap.
Like I said I am a mess but my main question is WHY won't they do surgery. I will let you know what the new X-rays show ASAP. Thank you because I know it is a lot of information.        

[Nassim Abi Chahine, MD]

Dont worry,

Evening:
take an anti inflammatory each evening with a gastric cover, take also a small dose of a light antidepressant and 1 tab calcium

Morning:
1 tab calcium and 1 tab magnesium

at Noon 1 tabs of calcium and 1 tab Iron

Forget about all your muscles nerves, joints and bone problems

[ChldsPlay]

Hate to bump in, but kind of need help still.  

You looked at my MRI awhile back Dr. and suggested ACDF with cage insertion.

My question now is if you can see anything in my MRI that indicates some sort of congenital condition that would have led to my cervical issues as opposed to from an injury while lifting something overhead (when the pain all started)?  I'm only 31, so I know my neck's condition is not normal aging.  I believe it is from an injury from lifting, but have been told it's genetics.  Can you tell?

http://i110.photobucket.com/albums/n114/ChldsPlay/mri.jpg

[Shirlz]

My sister had spinal surgery one years ago.  First in the neck replacing a disc there, that went well and helped a lot.  6 months later she had major lower spinal sugery to rebuild her spine by taking a rib to help support her spine,  It has been a year of severe pain and limitations for her which we expected but a year later the pain and burning in her legs and feet leaves her with no comfort areas sitting standing, she said she would rather die that live with the constant pain. It is so bad she thinks her legs are on fire but it is not hot to the touch and she gets heat welts.  My question is what can we do for her she is already on very high doses of pain and nerve meds, what else can we do.  PLEASE HELP US.
Shi

[Nassim Abi Chahine, MD]

Hello again,
C5-C6 and C6-C7 are at the third place in which disco-osteophitic problems happen.. why? because these two joins are more " dynamic " than others... I dont remenber well if I advised you to do any surgery but on the slide you recently sent NO need to any surgery.. a SOFT cervical collar from the evening hours till the morning hours will be sufficient to relieve the pain you have, one more; forget about lifting or about genetics.. the main cause of your disc bulge was an accident I mean motor vehicule accident (not only car but also bike trauma could cause that) or a fall.
Thank you for keeping the touch
Dr Nassim
Medhelp

[Nassim Abi Chahine, MD]

" DREZotomy " will help and replace high dose pain killers. But what is going on in her spine? do you know the nature of her problems? can you upload any photos?

[virgilio19]

I had not yet dont the anterior discectomy fussion, but i have a LUMBAR MRI.and the diagnostic impression is.
osteoartrosis degenerative changes at every facet of L3-L4 to L5-S1 conditional reduction in the amplitude of the foramina and the sac in transverse aspect. Discrete sliding disc circumferential canal at L5-S1.
intracorporal hernia in the lower plateau of D11.
Anterior and marginal osteophytes in the lower thoracic vertebrae and lumbar levels.
Rigth renal cyst.

[virgilio19]

please tell me dr. if i will need to have  other surgery now in my back for the hernia D11, it will be  two surgery then, one for my neck. c5.c6-c6-c7, and the other for my back. D11 hernia, thank you dr. NASSIM

[angela535]

MRI has been done and marked degenerative changes are present involvinng the mid cervical spine predominantly C5- 6 level,where there is a asymmetric large broad-based disk osteophyte complex,which results in severe rigth lateral recess
narrowing .Similar,but milder finding are present at the C4-5 level.There is moderate spinal canal stenosis present involving the C4 through 6 lelevels.The AP cord dimension measures down to 6 mm posterio to C5-6.
All what I have it is cousing by Osteoporosis ?? In the future did I need operation
What I can expecting I know pain but what is going to happen.?
Or I will say all this happened when I do have a car accident in 2002.
Tank you
Angela 535

[Nassim Abi Chahine, MD]

Oh my God the discussion get slowly to be a record-long :)
Look my friend my advice is to forget about the lumbar degenerative disease now and focus on the cervical segment.. if your local surgeon see a necessity to operate on your neck; YOU SHOULD DO IT SO :)

[Nassim Abi Chahine, MD]

Dear, osteoporosis and neck trauma from an accident both were the cause of your severe spinal canal narrowing. you should remove the calcification of your cervical spine as soon as possible.. replace your herniated damaged discs at the level of c4 c5 andmabe c6 with cages, yes dont be late, its my cordial advice, start to were a cervical collar from now, during your trips outdoor, and never accept to be given a muscle relaxant, operate your neck even if symptoms are none !
Nasim