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Medical Forum / General / General / February 2004

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neck surgery

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michael - 19 Feb 2004 06:04 GMT
Hello.  

I recently had an MRI done.  It showed a "bulging disk" and
my doctor recommended surgery.

I am experiencing numbness , tingling on my right side of the body.

my right arm is significantly weaker that my left.

this seems to be work related ( computer programmer ) and the
insurance company is evaluating it.

to be honest with you , I am scared. from the MRI I can see that there
is noway
physical therapy can take the pressure off the spinal cord.

I would like to hear from people who have done it and /or know about
this
process.

any help/suggestion is greatly appreciated.

thanks
Michael
Curiosity - 19 Feb 2004 07:24 GMT
>Hello.  
>
[quoted text clipped - 20 lines]
>thanks
>Michael
Three years ago I spent 2 days in a Spainish hospital on a morphine
drip because of intense neck pain.

Back in the UK an MRI scan showed two bulging disks and some bone
spurs. The neuro surgeon suggested it was best not to operate "if I
could live with it". I find I can live with it if I am careful and
take medication at the first signs of muscle spasm associated with the
nerve compression.

Best of Luck

Paul
Robert A. Fink, M. D. - 19 Feb 2004 22:17 GMT
>>Hello.  
>>
[quoted text clipped - 32 lines]
>
>Paul

If there is neurological deficit (specific muscle weakness, reflex
change, and/or sensory loss) and nonsurgical treatment (traction,
medicines, physical therapy) has not been effective; and if the level
of the disc compression agrees with the neurological deficit, surgery
is indicated.

Properly chosen, and properly done, such surgery is effective in 90%
of cases.  Make sure that the surgeon is experienced; usually that
means a Board-certified neurosurgeon.

Best,

Bob

Robert A. Fink, M.D., FACS, P. C.
2500 Milvia Street   Suite 222
Berkeley, California  94704-2636  USA


Telephone:  510-849-2555
FAX:  510-849-2557
<http://www.rafink.com>

"Ex Tristitia Virtus"

--------------------------------------
NOTE:  The above message is not to be considered as
"medical advice".  Medical advice can be given only  
after a "hands-on" examination of the patient by a
physician.

========================================
KyroDoc - 21 Feb 2004 20:50 GMT
>If there is neurological deficit (specific muscle weakness, reflex
>change, and/or sensory loss) and nonsurgical treatment (traction,
>medicines, physical therapy) has not been effective; and if the level
>of the disc compression agrees with the neurological deficit, surgery
>is indicated.

Not sure I agree with the loss of reflex/sensory loss in of itself being a
criteria for surgery Bob.
Intractable pain failing ALL courses of conservative care...Yes...progressive
muscle deficit that is unresponsive to ALL methods of conservative
care...certainly...loss of bowel/bladder function...absolutely.

Finf yourself a skilled, reputable
(insert wise crack here Jeff)  :o)
chiropractor young man.

Onre that is who uses non rotational maneuvers.

DC
anon - 21 Feb 2004 21:05 GMT
> Finf yourself a skilled, reputable (insert wise crack here Jeff)  :o)
> chiropractor young man.

I'll save the wisecracks. Most herniated discs will regress on their
own, given enough time and proper conservative therapy. If all else has
failed and you're ready to try chiropractic, see your family doctor for
a recommendation. Most F.P.s can recommend a good chiropractor in your
area if it's appropriate. Any safe, conservative treatment is worth a
try before having surgery for your back pain.
KyroDoc - 23 Feb 2004 01:04 GMT
>From: anon anon@anon.com
>Date: 2/21/2004 4:05 PM Eastern

>Most herniated discs will regress on their
>own, given enough time and proper conservative therapy.

agreed>See your family doctor for
>a recommendation.

Mmmmm....Disagree.

Most FP's have no clue about chiropractic or their role in helping patients
with bad discs...although the new generation of MD's want to know more.

There are a tremendous number of patients being managed medically for a variety
of problems who should have been to the  chiropractors office first.  
Although it wouldnt hurt to ask your FP I'd ask fellow workers, family members
etc. for a recc. of a good DC....one who doesnt use torsional forces when
adjusting the spine.

Good Luck!
anon - 23 Feb 2004 01:24 GMT
> There are a tremendous number of patients being managed medically for a variety
> of problems who should have been to the  chiropractors office first.

I'm sure you think so. Not everyone would agree with you, however.

Interested parties may want to visit http://www.chirobase.org to
educate themselves.
Steven Bornfeld - 23 Feb 2004 03:00 GMT
>> There are a tremendous number of patients being managed medically for
>> a variety
[quoted text clipped - 4 lines]
> Interested parties may want to visit http://www.chirobase.org to educate
> themselves.

    You're very, um diplomatic! ;-)

Steve
KyroDoc - 25 Feb 2004 12:07 GMT
>From: Steven Bornfeld

>I'm sure you think so. Not everyone would agree with you, however

There are exactly 4 who do not

That buffoon Steven Barrett, William Jarvis the x chiropractor affiliated with
that malicious website who simply couldnt cut it in practice so he started
doing insurance work and you :o)
 
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