Doctor insights on:
Cervical Foraminal Stenosis
Can chiropractic neck "cracking" adjustment reduce dizziness caused by cervical foraminal stenosis?
Not recommended: Neck cracking done as "head thrusts" is considered potentially unsafe and should be avoided. The academy of neurology has come out against this procedure due to high risks of artery dissection and fatal stroke which can occur. I have seen 3 cases of these consequences while in training. I advise all my patients to reconsider doing such maneuvers. Risks vs. Benefits ratio unacceptably high. ...Read moreSee 1 more doctor answer
Definitions of: Myelomalacia or "bad spinal cord" is abnormal tissue structural change of the cord negatively affecting its function brought on in this case by advanced degeneration of the bones, discs , joints and ligaments leading to a narrowing of the spinal canal compressing the spinal cord and creating these cord changes. Surgery is the only help. Foraminal stenosis is narrowing of the nerve root exit holes. ...Read moreSee 2 more doctor answers
What are the long term outcomes of posterior cervical foramenectomy and ACDF For cervical RADICULOPATHY from foraminal/spinal stenosis C4 thru C7?
ACDF outcomes: Even a surgeon can not answer that question. Long term can be pain relief all the way to more pain. I would say if you haven't found a good interventional pain specialist to consult with prior do so now and see what other options there are besides surgery. This is if it is just for pain, if you are having any neurological deficits surgery might be your option. ...Read more
Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?
Ask your surgeon(s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck! ...Read more
Pinched nerve: Cervical spondylosis is arthritis in the neck. Foraminal stenosis means narrowing of the space where the nerves exit the spinal canal, in this case caused by bone spurs from arthritis. After they leave the neck these nerves form the three major nerves of the arm, controlling feeling and movement. Stenosis can cause pain, weakness, numbness or tingling in the arm or hand. High grade = severe. ...Read more
Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?
How risky are cervical epidural injections for some one with ddd severe canal stenosis and foraminal stenosis and 2 herniated discs c3/c4 and c7T1?
How will epidural injections help severe stenosis and foraminal natroeing and herniated cervical discs. Is it safe to get 3 that's what my doc wants ?
Epidural Steroids: Epidural steroid injections are commonly used in the spine to treat nerve irritation and inflammation. They are considered a standard part of conservative neck and back pain management. For the cervical spine, it's critical that and MRI is performed before so that the available space for the spinal cord can be evaluated. If it's too narrow, epidural steroid injections may be contraindicated. ...Read more
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