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1201849 tn?1266676723

Visit with Neurosurgeon....no surgical intervention at this time!

Hi Dr. Tanase, it's Diane again!  
     I need your expertise again.  I went to my psychologist today because of anxiety and frustration about my C7-T1 slippage and relentless pain.
    She helped me to get 3 questions composed to ask my Orthopedic Surgeon who performed my Right Shoulder SAD, Mumford and Debridement of SLAP lesion on 11/3/09. At my first post-op visit, he stated that I was doing well but that I had increased neck discomfort and trapezial discomfort.  
    I have been going to physical therapy but had to stop for two weeks because of the chest pain and increased right-sided pain in neck, shoulder, bicep, tricep, deltoid down to top of my palm and into ring finger and baby finger.  This prompted the MRI which I had done on 2/4/10.  The anterolisthesis at C7-T1 IS A NEW FINDING compared to past MRIs (1993-2009).  I am really scared!
    First question is, did the physical therapist know of my C4-7 fusions, weakness and limited ROM?  Second question, did the physical therapist know the appropriate protocol to follow on my P.T. prescription?  Third question, why was I pushed past my comfort level pushing and pulling 30 lbs. of weight? Did he review my x-rays, MRIs and reports?
    My questions for you are . . . do you think that treatment with shoulder P.T. and Ibuprofen are worsening my cervical spine???  Will shoulder P.T. worsen and/or cause further movement of C7 on T1???  What is the specific distance before I have to decide on "surgical correction"???  The past week, I am wearing my soft cervical collar and using moist heat and Ibuprofen for pain relief.  I can barely hold my head up.  
    I am so very disappointed with the results of my surgeries.  I can't handle living so dysfunctional and useless.  Are my expectations and goals too high???
    I would be sooo grateful for any advice or guidance from you!  I trust you!
Warmest wishes & blessings always, Diane :-)
2 Responses
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514494 tn?1376511148
MEDICAL PROFESSIONAL
I'm not certain what specific exercises/movements your PT has instructed you to perform, so I'm unable to answer whether or not it's helping you. Your neurosurgeon will let you know if/when it's time for surgical intervention.

As for what you're doing currently... I am not a big supporter of localized hot packs like moist heat. Have you considered finding a cervical specialist in your area from this referral directory? - www.UpCspine.com
Helpful - 1
1201849 tn?1266676723
The therapy I was given was front press, front pul, overhead pulll down using 30 lbs.each 3 reps of 10 PLUS motorized cervical traction.  According to my Neurosurgeon, patients who had previous fusions, spondylolisthesis, etc. should not be given cervical traction because it can cause instability, nerve damage or paralysis.

It has been 5 weeks, I am still wearing a soft cervical collar, taking Ibuprofen which is causing GI upset and reflux, moist heat and/or ice, and rest!  If I vacuum or scour the bathtub, or open the window, my symptoms are exacerbated and the pain flares up again.

P.T. has been stopped until I am re-examined on April 5th.  Any advice would be deeply appreciated!

Warmest wishes & blessings as always,
Diane
Helpful - 0

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