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NEW with ACDF C4-C5 Surgery

hinoblehhinoble Posts: 33
edited 06/11/2012 - 8:25 AM in New Member Introductions
Hello all,

My name is Doug. I recently visted the doctor for constant neck pain pain that constantly radiated down to my shoulder causing weakness in the arm when extending it. It was determined that I have a severe right neutral foraminal compromise at C4-5 level due to bony hypertrophy. In other words, the herniated disc is holding the nerve hostage. Not good. image:)" alt=">:)" height="20" />

So it appears that after a couple of MRIs and rule out any tears in the rotator cup area. The next step is
ACDF C4-C5 surgery.

Not looking forward to it. :S
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1

Comments

  • Hi Doug, I had C5/6 fusion in March '08. I was back to work in about 4-5 weeks. It was not bad. I know everyone has different outcomes. I really trusted my doctor and he did everything like he said he would and I followed post op instructions to the letter. Remember healing takes time and do not do too much too soon.
    I hope everything turns out great. If you have any questions, I will be glad to answer what I know as a patient.
    Stacey
  • Hi Stacey,

    Thanks for the insight. The too much too soon is going to eat away at me. In my line of work, i am constantly training and working out, but as you stated that it is going to take time to heal.

    Thanks for the assistance and I will look to you for additional insight.
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  • I just recentely well over 4 months now started having neck, shoulder pain couldnt even lift my arm, numbness and weakness,pain down to my hand and fingers. i had mri in august said i had disc buldge c4-5 and disc herniation c6-7 with bony spurs, abnormal lesion c7 with measuring dont recall exactly. in the left nueral foriman. and shoulder had tendinopathy, rotary cuff tenidnitis, bicep synovitis, bursitis and some other things i didnt understand. mri said recommend mri with contrast.lost my insurance in august and just got new better insurance so since seen ortho doc my shoulder feels fine i told them just arm pain numbness. looked at mri from august and said abnormal mri c8 radiopathy said the herniation was blocking that nerve root,, referred to nuerosurgeon, he said they missed a finding on that mri and also noted herniation c7-t1 and need that mri with contrast to see if i need surgery. i asked if i can start physical therapy he said not until he sees a new mri that in a few months mri's can change. so still waiting for my insurance company to approve mri. its been a week no answer yet. then he said to see him that week. went friday to shoulder specialist that my pcd sent me to and had a trigger point injection in my shoulder even though i told him my shoulder got better. waste of $700.00 dollars, not an oxford carrier doc. but my pc doc insisted said it was a test to see if the pain was cervical or shoulder pain. well no relief at all. do you think it sounds like i may be looking at surgery also??? nervous now...
    dawn
  • Have you had a EMG Test yet :?

    An electromyogram (EMG) is a test that measures the electrical discharges made by the muscles. It can determine whether muscle weakness or paralysis is due to a nerve problem or to a problem with the muscle itself.

    During an electromyogram, a thin needle is placed in a muscle to measure its electrical activity at rest and during use. The needle is attached to a machine with a viewing screen (like a TV) that displays electrical activity in the muscles as waves on the screen.

  • Hello Doug: Looks like we are kind of in the same boat. I too have a disc herniation at C4-C5, which actually is less common than C6-C7. I find out Friday whether or not I need surgery, and at how many levels. I have had 3 surgeons look at my MRIs and at me, and all 3 recommend surgery. Yet, all three have said something different because I have so many other areas that are either bulging or herniated or have spurs and degeneration. How are the other levels in your neck? Are they healthy and well? Nonetheless, I get more information after each surgeon I see. Have you had more than one opinion? I recommend it because surgery is not without its consequences. For many the outcome is good, but for many others that I have spoken to, the outcome has been pain in the same or other places, numbness in other places, and so on. We need to do a lot of research and really know what the pros and cons are. Good luck to you and let me know what you find out.
    Laura
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  • NO, WHO WOULD REFER ME TO THAT KIND OF TEST? I WONDER WHY THE ORTHOPEDIC AND NUEROSURGEON DIDNT SEND ME FOR ONE? ESPECIALLY SINCE THEY BOTH SAID THERE IS A VERY NOTABLE DIFFERENCE IN WEAKNESS ON THE LEFT SIDE. THANKS FOR THE ADVICE. SHOULD I ASK MY GP DOC FOR ONE? OR WAIT UNTIL MY MRI IS DONE HOPEFULLY THIS WEEK WITH CONTRAST THEN I GO TO THE NUEROSURGEON FOR THE RESULTS. BEEN TO 4 SPECIALIST NOT ONE ANSWER AND A WHOLE LOT OF MONEY OUT OF MY POCKET. THANKS

    DAWN
  • Hi Laura,

    I went to 2nd opinion doctor today and he actually said I could either wait it out to see if things improve (pain in neck and weakness in arm/shoulder when extending) or do surgery. He really took the time to explain and illustrate each section of the MRI so I would understand and analyze what appears to be a good working disc and bulging disc. I have an apppointment with a 3rd opinion next week. :SS



    C4-5 Mild bulging disc eccentric toward the right, which completely effaces the ventral subarachnoid space. Severe right neutral foraminal compromise due to uncinate process hypertrophy.

    C5-6 mild bulging disc without significant central canal narrowing
  • Hey Dawn,

    Your Orthopedic can schedule that for you. That is what mine did. After the test was done, he knew that I had a severe pinch nerve without having the MRI in hand.
  • I'm surprised that no one thought about scheduling the EMG test for you. My first MRI on my rotator cuff came back with no issues and the doctor was baffled why the weakness was still in my shoulder. So I had to get another MRI this time on the cervical spine along with the EMG test.

  • and good luck on your upcoming surgery. You will find lots of understanding and support here.
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