angina ?

angina symptoms. went to ER, they did EKG,blood work,checked oxygen levels, chest x-ray, chest ct scan, cervical ct scan I told them about dull pain in my neck and shoulder,checked for blood clot in lung, All good. I first noticed dull pain right side of back of neck,with dull pain in rt. shoulder. Then when exercising,Pain in throat down into top of lung{right lung 1st,then left,breathing was painful, then I stopped ,felt like i could not breathe fro about 1 minute, then felt fine,This happens whenever i exert myself now, HISTORY--67 years old male,never smoked always same weight 165 lbs, worked construction, before this started could run and walked 2 miles, felt great, On the treadmill ,now, not even a 1/4 mile walk? Also ,I had whiplash accident 30 years ago,and yes ,I had issues with rt. side hand ,fingers, and nystagmus rt. eye ,and vertigo, [ all that went away about 10 years ago,} Hope this isn't too long,Thanks

A few tests:
1. Turn your head first to the left, look up, then to the right, look up, and tell me exactly what you feel.

2. Run your finger tips down the joints between the ribs and your sternum. Very tender? Lump? Where?

3. Lie on your tum, and ask someone to pressure really quite firmly quite close to the spine, starting high up near the neck, and run down to the lower ribs. Really sore or tender?

4. When you have breathing pain, where does it hurt?

Specific answers please. On a computer rather than a cellphone.

Dr B

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Mar 02, 2019

by: Barrie

Hello Andy,
I'm afraid it's not clear to me what the problem is; and of course I can't examine you.

The walking pain - deeper breathing - suggests the possibility of a rib subluxation, but the back of throat and top of lung area pain doesn't fit with that.

Bony spurs at your age are probably a normal finding - you certainly had them before this all started - but may indicate the area of the problem.

This doesn't quite fit with cervical stenosis or disc injury in the neck either; my best thought are to take your MRI and consult a local experienced chiropractor before going for surgery. Sorry not to be of more help.

Let me know what transpires.

Dr B

Feb 03, 2019
Cervical Angnia?
by: Andy

did all the tests ribs, neck, etc, no real pain or issues,I do hear crunching sounds when moving head side to side, Rt. shoulder and rt, side back of neck--dull pain when walking fast, Then ,If i keep walking, back throat pain ,into top of lung area?Walking is the main trigger,,I am seeing a Spinal doctor, MRi shows bone spurs, compressed disc, #5, he is recommending possible --2level anterior discectomy,and fusion #5,#6? just not sure if the symptoms make any sense to this cervical area? really confused,,Thanks Andy

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Interesting challenges of the day

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 have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is 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 is 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 pain-free. 

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 is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has 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 stroll 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; he has a short leg.

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. X-rays 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 few months 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 is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year 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 could not 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 should not be treating the elderly most medical sites state but that is so much bunkum.

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