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Doctor insights on: T4 Spinal Cord Injury

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What are wheelchair transfers after a spinal cord injury?

What are wheelchair transfers after a spinal cord injury?

See answer below: Wheelchair transfers refer to transfers that a person with a spinal cord injury who is using a wheelchair must perform when going from the wheelchair to a bed, to a couch, to a car, to a shower bench, and back into the wheelchair. Sliding boards are initially used to make the transfers easier. ...Read more

Dr. William Singer
1 doctor shared a insight

Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more


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What are the symptoms following spinal cord injury?

What are the symptoms following spinal cord injury?

Numbness, paralysis: Spinal cord injury affects the function of things below the site of the injury. There is a direct relationship between the spot on the cord damaged and changes below that point. So, the higher up the injury, the more damage is noted. This can be leg numbness or paralysis, the same for arms and if the neck is involved, breathing may be affected. ...Read more

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Cervical spine compression of nerve?

Cervical spine compression of nerve?

Radiculopathy: Typically you will feel referred, burning, radicular pain in a dermatomal distribution, depending upon which nerve root is being compressed. ...Read more

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Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

May mean nothing : The bar is a bone spur. Caused by disc degeneration at that level. It is a common finding and may not mean anything clinically. The important question is whether or not there is actual spinal cord compression. Per your question, it sounds as if the spinal canal is narrowed a bit (stenosis), but there is not any spinal cord compression. Frequently, pt and traction can be of benefit. ...Read more

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Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?

Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression.  Surgery needed?

Need for 2nd O.R.: Adjacent level changes are common after fusion surgery. Conservative treatment is still warranted like therapy, body mechanics, and facet ( joint) injections, but surgery may be an appropriate option at the appropriate time. ...Read more

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Direct sternal injury 2 years ago with chronic pain. Recent diagnosis of first rib injury with brachial plexus involvement. Changes of recovering?

Direct sternal injury 2 years ago with chronic pain.  Recent diagnosis  of first rib injury with brachial plexus involvement.  Changes of recovering?

Minimal: It seems you had enough time for spontaneous recovery. I would seek surgical correction of the rib to remove any pressure on the brachial plexus. ...Read more

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Spinal epidural block forpeople with disc extrusion?

Spinal epidural block forpeople with  disc extrusion?

Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read more

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Would spinal cord stimulation help block pain caused by peripheral neuropathy in the feet?

Would spinal cord stimulation help block pain caused by peripheral neuropathy in the feet?

Quite possibly: Spinal cord stimulation (SCS) is used successfully in Neuropathic pain of peripheral nervous system origin. Neuropathic pain is a common healthcare problem with some patients who are refractory to standard treatment guidelines or burdened with the side effects of such treatments. SCS offers a clinical and cost-effective treatment at lower lifetime healthcare cost with better long-term outcomes. ...Read more

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Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?

Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?

Challenging: Have found that these kinds of problems may deteriorate further following additional procedures, and better to try drugs such as Lyrica (pregabalin) or Cymbalta, with physical therapy, and exercise. A medical food called MetanX twice daily may provide benefit over several months. A local nerve block or even a sympathetic block may be tried. Would delay neurectomy. ...Read more

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What is the risk of having severe cervical spinal stenosis myelopathy? There is almost no CSF around T3/T4&6 due to narrowing from the disks and steno

What is the risk of having severe cervical spinal stenosis myelopathy? There is almost no CSF around T3/T4&6 due to narrowing from the disks and steno

Increasing neurologi: Compression of the spinal cord can occur due to spinal stenosis. which will often cause pain in the back and or in the legs. This can further progress to muscle weakness, weaker legs and paralysis if not treated in time. You need to see a neurologist or a neurosurgeon to guide you in further managing this problem.. ...Read more

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Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Likely carpal tunnel: Both have overlap within the hands depending upon the distribution. MRI is necessary of cervical spine and in many cases if distribution is not distinct, further an EMG/Nerve conduction study to delineate. In most cases however, it is more likely the carpal tunnel is the culprit. Consultation/examination by a neurosurgeon would be most appropriate for diagnosis. ...Read more

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Why can't surgeons separate fuse verterbrea in c2 And c3 area, what if that verterbrea compressing the spinal cord or nerve, are they just leave it.

Why can't surgeons separate fuse verterbrea in c2 And c3 area, what if that verterbrea compressing the spinal cord or nerve, are they just leave it.

Decompression: Some people are born with bony connections between vertebrae, sometimes called "block vertebrae." Surgery to disconnect them would not restore normal movement. But if there is pressure on the spinal cord or nerve roots from bone or disk causing symptoms of pain, weakness, numbness or tingling, we can usually relieve that pressure with surgery. See a neurosurgeon or orthopedic spine surgeon. ...Read more

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Post. disc herniation w/ assoc. annular tear,completely effaces ventral thecal & produces mass effect upon cord, Max AP 7 mm mod. foramen encroc@ C4-5?

Post. disc herniation w/ assoc. annular tear,completely effaces ventral thecal & produces mass effect upon cord, Max AP 7 mm mod. foramen encroc@ C4-5?

Spine Specialist: By definition you have spinal stenosis in the neck due to the disc herniation. If it is causing problems, see a spine specialist to discuss your options. Epidural steroid injections may relieve the pain, but the disc will take time to heal. If its getting worse or your are noticing weakness see a surgeon to discuss your options. ...Read more

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L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?

L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?

Back pain: You are describing low back arthritis in terms of an MRI of the lumbar spine. Low back pain can be generated from degenerated or torn discs, nerve impingement from herniated discs, and inflammed or degenerated joints (facet) that connect one segment of the spine with an adjacent segment. Reducing or eliminating low back pain involves physical therapy, injections, and possibly surgery. ...Read more

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I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.

I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.

Seems likely: Seems from what you say there is disc in the left nerve path. Not that this doesn't happen it does and fairly frequently. Sometimes even scar tissue can be guilty of these symptoms as well. Talk to your surgeon about further treatment. ...Read more

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Could cervical spine MRI show neck cancer?

Could cervical spine MRI show neck cancer?

Could: Cervical spine MRI will show spine more. Mri neck will show more soft tissues in neck and not concentrate on spine. ...Read more

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What is the recovery time after having a Spinal Cord Stimulator Battery replaced.

What is the recovery time after having a Spinal Cord Stimulator Battery replaced.

Ask the Corp: The company who provide the device and certify the physicians are the best people to ask. They will have to answer to you if they are incorrect and they have specific experience with this procedure. Hope it goes well. ...Read more

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Mri showed "inflammation" in cavernous sinus, double vision gone following steroid course. Trigemenial neurological tingling now. ?

Mri showed "inflammation" in cavernous sinus, double vision gone following steroid course. Trigemenial neurological tingling now. ?

Tolosa-hunt syndrome: Inflammation of the cavernous sinus occurs with tolosa-hunt syndrome. This usually improves with steroids. Check with your doctor. A further round of steroids and repeat imaging is probably in order. ...Read more

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Can a person(female, 26) suffering from Hereditary motor and sensory neuropathy be given general anesthesia for the treatment of Diaphragmatic hernia?

Can a person(female, 26) suffering from Hereditary motor and sensory neuropathy be given general anesthesia for the treatment of Diaphragmatic hernia?

Depends: The severity of the neuropathy and the specific type of anesthetic are both important factors. This condition needs collaboration between your neurologistr and anesthesiologist ( not anesthetist). ...Read more

Dr. William Newton
193 doctors shared insights

Spinal Cord Injury (Definition)

https://www.google.com/search?q=definition+of+spinal+cord+injury&oq=definition+of+spinal+cord&aqs=chrome.1.69i57j0l5.9326j0j7&sourceid=chrome&ie=UTF-8 ...Read more


Dr. David Sneid
1,420 doctors shared insights

Thyroxine (Definition)

Thyroxine is a thyroid ...Read more