Excruciating chronic left side neck pain plus lumbar issues
Hi Everyone,
I just joined and this is my first post.
I am a 66 year old male that lives in Melbourne Aus.
Thankfully I found this discussion forum in order to get answers in regards to my deteriorating condition.
For the last 20 years I have been an active sportsman doing long distance bicycle riding and body building, but in the last 9 years I have been hit 3 times (2013,2015,2019) by negligent drivers while riding. These accidents have caused me severe whiplash and a multitude of fractures.
Each time I recovered and went back doing my riding passion.
4 months ago I noticed a pretty strong left sided pain around C6 therefore I went to see physiotherapists and osteopaths. But 4 weeks later at the end of August, this pain got even worse when one night while lying down on my loungeroom carpet, I got up and felt multiple crackles in the spine. It didn't hurt at the time therefore I went to sleep and woke up half hour later in extreme pain going from the left side of my neck, left side of my thoracic spine. I felt as if I was twisted. I was unable to sleep or sit. Standing provided some relief but I couldn't sleep.
Things slightly improved over the next 3 weeks.
I had some MRIs done at the end of August 2022 which showed:
C2/C3:
[No protuberant osteophyte, disc bulging, spinal canal stenosis or
neural foramina stenosis.]
C3/C4:
Minimal broad base central and bilateral lateral disc bulging with
associated minimal right intervertebral foramina stenosis
C4/C5:
Broad-based central and right lateral disc bulging with associated
moderate right intervertebral foraminal stenosis
C5/C6:
Disc bulging resulting in moderate bilateral intervertebral foraminal
stenosis
C6/C7:
Right lateral/foraminal disc bulging resulting in moderate right
intervertebral foramina stenosis
C7/T1:
[No protuberant osteophyte, disc bulging, spinal canal stenosis or
neural foramina stenosis.]
Conclusion:
Multilevel disc bulging and multilevel intervertebral foraminal stenosis. To see the complete reports open the attached PDF.
I contacted TAC which in Australia stands for Transport Accident Commission. They are responsible for paying medical expenses for anyone who has been a victim of a transport accident. Every driver in Victoria pays a premium yearly when they renew their car registration.
I arranged an appointment here to see first and orthopaedic surgeon and then a neurosurgeon. The first specialist told me that I had C6 nerve root impingement and the second specialist reported facet joint syndrome in the neck.
The injury is defined as a mechanical injury.
I noticed a discrepancy between the 2 opinions which left me frustrated. None of the specialists can pin point the exact source of the pain. They both recommended pain management and I am currently on Endep 10, Catapress 100 and Targin 10/5 daily.
Also I was told that no operation for this condition was required and ultimately a fusion, if non invasive, minimally invasive therapies didn't work.
This maybe ok as a temporary solution, but it can't be a life long remedy, because these medicines have side effects and I can't even drive the car to the supermarket when I am drowsy.
In the mean time I had C6 nerve root cortisone injection at the hospital on 1 of DEC 2022, but it didn't work at all after 3 weeks.
I actually have more pain than ever before something like 30% more. I queried the hospital, but they told me that it was done correctly.
Just a few days ago I have had fresh, new MRIs of the cervical/thoracic spine and a bone scan of the whole spine.
Yesterday 23.12.2022, according to the pain management specialist and the neuro surgeon, they couldn't find a lot of difference compared to the previous MRIs taken in August. They were perplexed as to why I feel so much pain. They can't pinpoint the source of the pain.
This is not very re-assuring and I have to keep taking drugs for the next 6 weeks. If I don't take the medication I have extreme, 10 out 10 burning pain that starts around left of neck at C6 going through C7, T1, T2, T3. The pain is also spreading aggressively in the left of my trapezius muscle. I have referred pain in the left shoulder, left scapula, left bicep/triceps and in the little, medium, index finger and left thumb. Referred pain is also felt in the right but not as bad. I also get pain going into my left pec muscle but it is not related to the heart. My cardiologist told that I am fine there even though I can get high blood pressure when I am anxious and stressed out.
To make things worse I have also been getting left/right headaches, left ear ache, left sided head scalp numbness and dizziness from time to time in the last 2 months. Just 2 weeks ago I developed a ringing tone in my right ear which is hypersensitive to sounds. I am a total mess.
The mental depression has been really bad and I have been isolated at home because I am unable to enjoy life like I used to.
Recently when I sit and lie down I feel numbness in my legs and feet. When I stand the problems seems to disappear.
My main frustration is the lack of answers and solutions to fix these problems and two specialists can't agree on a course of action.
I have been doing a lot of research and learned that referred pain can be caused by pressure on neck functional nerves and by facet joints sensory nerves but I don't which one is the culprit. Not even the specialists know.
I am worried that if the compression is not removed in time from those nerves (assuming that it is nerve related) I may get a neuropathy and get paralysis.
My bladder/kidney/liver functions are currently fine.
I don't know if anyone in the Mayo community has come across this and knows something about it.
While searching I found this site which looks promising:
spineconnection org
They can fix a lot of spine related problems.
I haven't received the December MRIs/Bone Scan yet.
Thanks and regards
Alfred
summary of mri xray (summary-of-mri-xray.pdf)
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@ab6540183
Alfred, when you already have spine injuries, it's common to aggravate it by doing something and cause a muscle spasm that increases pain. I can do that too with bad posture or sleeping with my neck in a bad position. A spasm can start shifting the vertebrae alignment and increasing symptoms from the condition that already exists. You can try a heat wrap on your neck to try and calm the muscles. Soaking in a tub with epsom salts might help too because your skin will absorb magnesium and that can help muscles relax. There are over the counter things like Arnica gel that help with inflammation and pain. I use that when my ankle hurts and it helps. A massage therapist or physical therapist can help a lot too, but there would be a cost for that.
Jennifer
Hi Jennifer, thanks for the advice.
I have had some bad experiences with physiotherapists that claimed that they were professionals, but made me worse off after the manipulation. I told them not to press hard and they did against my will and I was in pain for weeks with massive inflammation.
I was paying $216 (equivalent to $152 US dollars) Australian dollars for 1 hour session.
I need to find someone who is gentle with my neck.
Hi Alfred, Looks like you're pointing to the SCM muscle. It goes from back to front.Probably strained it. Some lite self massage and some ice would be my go to for that.
I hope the injections help reduce your inflammation. The transforaminal injection helps me the most over other types of injections.
In the US many are having success with radiofrequency ablation for their stenosis. There is also a procedure call MILD, for laminar decompression. These are less invasive than fusion. I hope the new neurosurgeon will address your concerns and possibly some less invasive solutions. It could be the insurance company dictating your care . Sometimes they make you wait a time period you mentioned , and sometimes the disc recedes, it doesn't necessarily "heal," altho annular tears can close as the inflammation recedes, so I wouldn't call it repair or heal, bad choice of words on his part. Hope this helps.
Would stay away from Chiropractors and PT while you are so inflamed.in my experience they made it worse, except for neuromodulation which u said you can't find. Perhaps a massage therapist that's got at least 8-10 yrs and additional certifications besides the basic . Even then you could have a crisis reaction to even the Lightest massage, so be careful. And no therapy for 2 weeks after the injections, don't want to disturb the steroids.
https://lifeworksot.com.au/neuromodulation-scrambler-therapy/
Alfred!!! Here is an occupational therapist doing neuromodulation I recommended earlier, and in Melbourne Australia!!!! I found it online for you.
You do have this therapy there!!! It's not the soft tissue oscillator but it's similar. You might want to inquire of them and treatment for your pain. It worked for me, it last a short time but after multiple treamentsnit really settles thing down.
https://www.healio.com/news/hematology-oncology/20160106/mayo-clinic-researchers-test-scrambler-therapy-for-pain
Here is a article about Mayo and scrambler therapy.
Hi jm1,
thank you for your helpful reply.
I thought that radiofrequency ablation was for the facet joints.
Yesterday the transport accident insurer told me that they were approving the cortisone injections that I am going to get next week.
Can you believe that I haven't received the approval letter? The appointments have been booked and if I don't received that approval letter before next Tuesday it is going to put a spanner in the works and will have to reschedule.
In the last 2 days I stopped taking the pain medication because I have been so constipated for days. I haven't been able to eat and been feeling nausea. Every time I tried to eat something I kept burping up in continuation as if something was fermenting in my stomach.
Now the pain has come back with its full force.
I can't get no relief 24/7. Something is compressing the nerves in the neck either discs or bone spurs.
This is a chronic torture.
Cheers
Alfred
For constipation , while taking oxy and others drugs, I take dulcolax, OR drink a little prune juice , a and milk of magnesia. Sienna and sienna tea work especially if it's been days. . Had no luck with miralax. For fiber I drink Metamucil. Sorry to say, it's just part of the drill. You get used to it. When I have nausea problems I have to eat lite meals, soups. Etc. ,...its adapating again, and better than the pain. Best regards
Sorry spell correct....its Senna, not Sienna
@ab6540183 @jm1 The work that my physical therapists does on me that helps a lot is myofascial release. This is like massage therapy, but the therapist holds a shearing pressure with their hands and just waits for the tissue to unwind. This is gentle and would not be exercises. I checked the official myofascial release website and only saw one person in Australia, but nowhere near you, so I just searched, and came up with some websites. They describe it correctly, so hopefully, they know how to do this. The key is it must be gentle, so as not to cause a tear in the fascia and create more scar tissue.
https://www.mmrm.com.au/fascial-release/
https://www.tensionrelease.com.au/services/myofascial-release/
You can learn more about MFR therapy from our discussion on Connect.
MFR — Myofascial Release Therapy (MFR) for treating compression and pain: https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/.
I did this a lot before my spine surgery, and it made my muscles more supple, so it was easier for the surgeon to retract during surgery. After my cervical fusion, I had to wait about 4 months before I could do this again. It also helps release tight painful surgical scar tissue.