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red flag

robotbobrrobotbob Posts: 14
edited 01/12/2014 - 6:55 AM in Neck Pain: Cervical
i had an mri and was then sent to neurosurgeon, with the comment from neurologist, that he finds it odd that i would have triceps weakness at this level, refering to the c7-t1, would this not be a red flag to neurosurgeon that symptoms dont match mri, and should more tests have been done to confirm level, any response is greatly appreciated, not looking for answers, just opinions


  • dilaurodilauro ConnecticutPosts: 9,868
    earlier responses.

    All of this is something the doctor needs to review and tell you. As laymen, its almost impossible to tell what
    a red, yellow or green flag is.

    Since you really have not been happy with the surgery, symptoms, diagnostic tests, I strongly suggest that you
    get a second opinion.

    Thats not an answer to your question, just giving you my opinion.

    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • robotbobrrobotbob Posts: 14
    edited 01/13/2014 - 1:28 AM
    it has been diagnosed as the c6-c7 level confirmed by emg/ncs, i was just looking for opinions
  • I too have tricep weakness and pain in my left arm and I have been told that I have a bulging disc at C6/C7 & C7/T1. My doctor seemed to think that was matching my symptoms. If I were you I would find another doctor that knows what he is talking about. When my doctor seen my mri he asked me if I had pain and weakness in my tricep. I had already told him that but he wasn't looking at his notes he was looking at my mri.

    Your health is your number 1 concern and if it takes 20 doctors, you need to find a doctor that you trust and agree with that seems to want to help you. Don't just tell yourself that he's a specialist and knows what he is doing.
  • I had a doctor tell me my problem was C4-C6 and his report said C5-C7. They make mistakes.
    Cervical laminectomy, facetectomy, and foraminotomy (3-6 of each) with instrumentation and cadaver fusion due to cervical spondylotic myelopathy, radiculopathy ,and spinal cord contusion - surgery done in April 2014.
  • The doctors are only human and we do expect them to be perfect, they do make mistakes. Some mistakes can be caused from them trying to rush from one patient to another because the more patients they see in a day means they make more money. Carelessness in taking their notes is also another reason they make mistakes. That is why most doctors will come and mark you up before you go to surgery to make sure they are working on the correct problem. My problem is that if my doctor isn't paying enough attention to me and isn't taking proper notes then I don't want to see him, I want a doctor that is going to put forth his best effort and try to get things fixed and under control.
  • He usually comes into the exam room with a little bit of info written down and when he checks my symptoms and starts talking about what can be causing it, I as for him to show me on the mri. We end up going to a diffierent room where it is displayed but he took the time to show me that while my worst disc are c4/c5 and c6/c7 there is enough damage at c5/c6 that it's best to do all three rather that leave c5/c6 in place since it already has damage and will only worsen. It gave me a comfort level once he showed me why.
    laminectomy c4/c5 2008, ACDF c4-c7 Jan 20 2014 sched
  • dilaurodilauro ConnecticutPosts: 9,868
    edited 01/14/2014 - 9:23 AM
    But, since I have had so many different types of surgeries over the years, there are a number of things I always ask my surgeon

    Before surgery

    • - What did the Diagnostic test results show (MRI,CTScan,X-Ray,etc)
      - To what degree is the problem (mild, moderate, severe)
      - Show me on the test results so that I can see it
      - Show me on the spinal mockup or joint mockup physical tools they have in the office
      - What are the pros/cons to having or not having surgery
      - What is the expected recovery time
      - What are the chances of requiring surgery in the same area at a later date
    Then on the day of surgery

    • - Receptionist will ask what surgery you are having and where
      - A receiving nurse will do the same
      - Your prep nurse will also do the same
      - The doctor performing the anesthesia will do the same
      - Finally, the doctor will do the same, and in addition, draw on your body, exactly where and what is being done. Several times at that point, I have asked the doctor to show me the test results to make sure they are all in synch
    You would be surprised as to how receptive the doctors are to this. They want to have a patient that is educated in the procedure that is being done on them. I've even ask how the anesthesia will be used (Local/General), what position will I be in during the surgery, etc

    Doing all of this, there should be nothing but green flags.....

    Yes mistakes are made, even by careful surgeons. But to minimize these mistakes, I fully believe we as the patient needs to take charge in that. A little work upfront can make a big difference in the end
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • In my research and discussion with my PM doc I have found that the nerve roots in the spine actually overlap somewhat. That means if you have numbness in a certain area there are 2 levels of your, spine which both partially ennervate that area. Also there can be some variant as to where an 2 individual personS will feel pain or numbness if the have an injury at the same level of the spine. Ask your doc to show you a model of dermatomes, which should demonstrate this
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