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double crush help

DebraSDDebraS Posts: 12
edited 06/11/2012 - 8:47 AM in Neck Pain: Cervical
Howdy folks
Been gone form this board for a little. going to post info to refresh a little.
mri report info:

At the C2-3 level and at the C3-4 level, no abnormalities are noted.
At the C4-5 level, there is mild circumferential endplate spurring and moderate broad-based disc bulging effacing the ventral thecal sac and narrowing the AP diameter of the spinal canal to 9.5 mm,compatible with mild spinal canal stenosis.
At the C5-6 level, there is no focal disc protrusion, spinal canal stenosis or encroachment upon the neural foramina. decrease in the AP diameter of the C5 and C6 vertebral bodies with narrowing of the C5-6 intervertebral disc space, compatible with partial congenital fusion at this level.
At the C6-7 level, there is mild circumferential endplate spurring and moderate broad-based disc bulging effacing the ventral thecal sac and narrowing the AP diameter of the spinal canal to 10 mm,compatible with borderline spinal canal stenosis. FINDINGS:
1. Partial congenital fusion of the C5 and C6 vertebra with decrease in the size of the disc at the C5-6 level.
2. Mild kyphosis of C4 through C7, which may be secondary to the congenital fusion of C5 and C6 vertebra or secondary to muscle spasm and clinical correlation is recommended.
3. Mild degenerative changes without fracture or subluxation.
4. Mild spinal canal stenosis at the C4-5 level and borderline spinal canal stenosis at the C6-7 level secondary to endplate spurring and broad-based disc bulging.

my nerve study has shown chronic bi-lateral cervical radiculopathy at 5-6-7 and bi lateral carpal tunnel. My hands have had decreased feeling for over 2 months constantly tingly and several times a day going totally numb. My neurologist is sending me to a neurosurgeon. Neurologist said if it were just 1 level I would have been fixed already but I am so diffuse with so much involved I may be forced to wait until things are severe. He said I have double crush since c6 nerve and carpal tunnel. Apparently the neck nerve being pinched for years has made the nerve angry enough to get issues below. He also said we cant fix 1 spot and not the other that both need fixed to repair this damage. Anyone have any ideas what to do from here?


  • I would go see the neurosurgeon and see what he/she has to say about all of this. Hard to make a decision if you don't have all the pieces of the puzzle yet.

  • Like C said, once they have the full picture, I am sure a plan will be put in place. I had triple crush on me or umm quadruple might be more accurate. When my C5/6 was found to be going bad, they also found I had entrapment of my Ulnar nerve in the elbow and wrist/hand. My NS took care of the neck portion, and my Orthopedic Surgeon the elbow and hand. The forth was Carpal Tunnel in my left wrist. I don't have many symptoms from the Carpal Tunnel, so I elected to do nothing with it for now.

    All that said, as you can see two different surgeons. I had the Ulnar transposed and release in the wrist/hand 3 weeks after my C5/6 fusion. I've since re-lost my Ulnar function in my right arm, but this time it is due to my C7/T1 (C8 nerve) herniating. As to what area to address first, that will come from your doctors once all the tests and exams are complete. Sadly, not usually a fast process. Please let us know how it turns out. Support *HUG*

    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
  • I did see an orthapedic surgeon before my neurologist, back in march I have post on here about that fiasco. Dr Jerk I refer him lol. He said I would need a think it was 3 level fusion. He advised putting off as long as I can. I did have an appt with an ortho surgeon last week 9/20 was scheduled but after viewing my records he cancelled appt saying he would be unable to help me that I needed a neurosurgeon. I wsa just glad he does look at the basic info on reports before agreeing to see you saved my a copayment. But his appt was before my neurologist said I have double crush with the carpal tunnel development. He is very good so maybe with that involved he will see me now.

    Will let ya know what this neurosurgeon says on oct 4. Hopefully he is willing to adress this and not make me wait till severe am sick of living on morpine and in pain. Really scared I will fully loose my hands least now I have some function in them.
  • with severe degen disc disease & kyphotic spondylosis occurring in past 7 years.

    We have similar issues, so thought I'd share my process with need for surgery and symptoms occurring with double/triple crush neuropathy.

    Since 2006, my Orthopedic Surgeon confirmed I needed posterior surgery for stabilization of C-6/7 severe DDD down to T-1/2. Surgery only when non-interventional treatments no longer working. Reason:the nature of the complex change of anatomy in bridging cervical into thoracic and a posterior approach, more difficult recovery.

    In 2007 with a motor-vehicle accident again, non-interventional treatments were encouraged and after 12 months of gradual improvement, I got stabilized with only episodes of symptomatic shoulder down mid-back pain, hand pain/numbness.

    In 2010 March things changed, pain/umbness more constant severe shoulder down mid-back pain, with MRI, CT, flexion x-rays: bi-lateral nerve compression C-5/6/7, nerve root 7 and 8, more severe on left nerve root. Currently, left arm ulnar & median nerve compression = double crush, left wrist/hand - triple crush. Loss of use of hand dexterity, numbness of hand, finger tips, only two fingers function for typing, most other tasks hand is not functional.

    OS advised in April surgery would be needed and that's adding another surgery plan in addition to the existing posterior surgery for stabilization of 6/7 now collapsed onto T-1/2, for bi-lateral nerve compression anterior approach surgery and it would require pre-evaluation of ENT specialist for laryngeal and esophageal integrity. (it would be my second anterior surgery with high risk for laryngeal/esophagus compromise).

    In May OS backed out of doing surgery, assessing it in my best interest or his to do the surgery which he deemed as highly unlikely to be successful and resolution of symptoms. 60/40 chance non-fusion with just anterior approach + posterior surgery most likely needed = low likelihood of resolving symptoms

    So, like you I am about to see a NS out-of-state and it will be to get second assessment and prognosis hopefully better.

    Debra, here's hope both of our experiences go better than our experience with the Orthopedic Surgeon with a good prognosis and confidence to have the surgery !

    I'm glad you came back to the forum, there are others here that have this C-spine challenge with neuropathy.... and there is good support to get through this journey here!

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