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Neuosurgeon appointment

I am due to see a Neurosurgeon in a few weeks as I have stenosis at multiple levels in my cervical spine. Can anyone advise as to what the appointment is like to consist of re examinations etc?

Many thanks.


  • They will do a few tests to check for nerve damage (myelopathy) and review your MRI. Have your information ready regarding what back/neck pain symptoms you have and a list of questions you have. I found it useful to bring this in a printout so that you do not have to remember them or read them to you doctor. You can give him the printout and it will help him get a better picture of your situation as well as adequately answer your questions or concerns. I know in my case I had severe herniation and spinal stenosis which resulted in having a full laminectomy from C3 to T4 conducted. You sitaution may be different so keep your head up. Make sure you remember as much as you can from your doc, maybe bring your spouses/significant other/friend/or family member in with you because if you get bad news you may shut down a bit (i know I didn't remember half of what the doc said after he said surgery is required). Best of luck to you. We will be here for support :D
  • Will this be your first appointment with a spine specialist? I do not have cervical issues, so I can't say what the neurosurgeon will do for this, but I thought I might at least shed a little light on the situation. I have seen several spine specialists (ortho/neuro) and all of them have been different. Some have wanted xrays that exact visit to get the most "updated" image possible, some are fine with what you bring. Some only ask questions, some ask you to do things like walk on your heals, toes, down the hallway (while they follow your gate) bend lift/stretch legs, etc. (I imagine some specialist will do similar things with your arms/hands since cervical issues can involve those). Hi might check relfexes, and run a tiny non sharp pizza cutter thing on hands/feet to see how they respond. So these are things you can expect. You probably won't have to disrobe (except maybe for the x-ray if necessary), just be prepared to answer questions, like when is the pain worse, what makes it worse, etc.
    33yo mom of two. My surgical history...preadolescence scoliosis, kyphosis, and a hot mess.... 5 spine surgeries and lots of items added I wasn't born with (titanium, peek, surgical steel). Guess cremation is out. TSA loves me.
  • I saw my surgeon for only a few min - the PA came in twice - but I also filled out a BOATLOAD of evaluations on how I am feeling and so forth.

    I turned over my MRI from three years ago and last month. My issues hit again with vengeance the end of March - felt like a leg cramp that would not release down my arm and back shoulder on the Right side and then I have started to have more issues on the Left again, that was for a week then it went to the pins & needles, pain or numb.

    Went a course of steroids, did 4 weeks of PT three times a week to no real benefit this time. My surgeon does not recommend (as I have found out from others which may be a good thing) the injections for cervical issues. Mine has enough stenoisis and 1 disc herniated and then the other is buldging a great deal. Some of it is pressing on the c6/7 roots but on c4/5 it is starting to press into the spinal cord.

    The PA tested my reflexes not only in my arms etc but also my legs & feet. Asked if I had any trouble walking - which I have off and on and it is getting worse but not horriable - also did a pin test - asked if it felt sharp or not - some areas are sharp and some are pressure but not sharp.

    He then came back and listened to my heart & lungs. Surgeon then came in and said I am pretty much out of "options" - of course I could choose to do nothing at this point but the bone growth is not going to change - discs are not happy either but he was more concerned about the growth going into the spinal area

    I know someone else who used him and I had no idea that she ever had issues so she said listen if he says go for it - just do it and don't look back. She is almost two years out.

    Scheduled for ACD(and Possible)F on June 12, 2013 of C5/6 & C6/7
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