Pain in the neck, base of the skull, upper back, sometimes radiating down the arm.
(Webb City, MO)
Are there also degenerative changes in your lower neck?
Interscalene triangle. Has the pulse in your arm also been affected?
Relief of arm pain?
Pain in the neck, base of the skull, upper back, sometimes radiating down the arm after surgery is a common complaint.
I have been suffering the above symptoms for several months now, ironically following a surgery on my lower back. I was doing physical therapy on my back and mentioned it to my therapist, so they had me doing basic neck therapy including traction. But I have pretty limited success with this approach.
I have since had an MRI showing a herniated disc at C5-C6 and a bulge at the level below.
I was actually scheduled for surgery, but it has initially been denied by insurance. This has given me the opportunity to rethink surgery and consider other treatment options, like chiropractic.
So I have a few basic questions.
1. Can/will a herniated disc heal without surgical intervention? 2. Are the symptoms I listed consistent with a cervical herniation in that area? 3. Do you think chiropractic can help me? 4. Any advice on choosing the right chiropractic doctor?
Thanks for your time!
Hello Joel, Your complaint of neck pain following a general anaesthetic is not at all unusual; ask any chiropractic and he or she will tell you of umpteen cases they have treated.
During a general anaesthetic the neck is extended to keep the airway open. If there is one thing the cervical spine does not like, it's looking up for an extended period. The position reduces the size of the foramena where the nerve roots to your arm emerge.
It can certainly also affect the suboccipital region where the nodding action of the skull occurs. Headache is a common feature of this subluxation.
Perhaps you had a previous injury in the area, just lurking and waiting for such a difficult prolonged posture, maybe not; it's speculative.
1. Every chiropractor treats herniated discs virtually on a daily basis, most of which heal once the bulge has been reduced. They are more difficult in the neck than in the lower back.
2. The symptoms are consistent, but I would like to know if the following signs confirm it. Does turning your head to the affected side and then simultaneously looking up give pain in the lower neck, midback and or tingling in the arm? Is the upper limb tension test positive? Find it using the search function at chiropractic help. Is the pain and tingling in your arm relieved by raising your arm above your head?
The dorsal scapular nerve comes from C5 in the lower neck and supplies the rhomboid and levator scapular muscles. Deep upper back pain is common.
3. Yes, it's certainly likely that chiropractic can help you, though research shows that after six months of neck pain, no matter what treatment you have it's not likely to be "cured". I'm not suggesting that a case like yours is routine and a positive outcome with chiropractic is assured; much depends on the manipulative skills of the chiropractor and whether any "hard" neurological signs are present; loss of reflex, numbness or paresis of a muscle.
4. Finding a good chiropractor, one who has the skills and experience to tackle a case like yours is like locating the right architect to build your house, lawyer to take on your case or surgeon to replace a heart valve; talk to friends and neighbours and perhaps your doctor; don't rush to the first person listed in the yellow pages.
Good luck, Joel. This is one of the more painful conditions we treat, so don't feel you're whingeing about nothing. It's called iatrogenic illness; doctor caused disease. It happens in the chiropractic clinic too, so I'm not casting aspersions on medicine.
1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.
2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.
3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree.
Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.
4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.
He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.
5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.
6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.
7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.
8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.
9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.
10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.
11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.
12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.
13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback
since working above his head. Trapped nerve tests are negative but he
has advanced degenerative joints of Luschka; after just two treatments
he is 50 percent better. Can we reach 90?
And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.
Greetings, Dr B. You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.
Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.
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