Excruciating chronic left side neck pain plus lumbar issues

Posted by AlfredB @ab6540183, Dec 23, 2022

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

Shared files

summary of mri xray (summary-of-mri-xray.pdf)

Interested in more discussions like this? Go to the Spine Health Support Group.

@cindymom

I worry about you lifting yourself from the carseat to check for traffic. They make a “lazy Susan” type disk to sit on to allow your body to move without the lifting. I can’t speak to its use or comfort. Early after hip replacement, I used a plastic bag on my carseat which allowed me to move as needed without lifting off the seat. I’d hate for you to cause damage elsewhere with the lifting.

This my first post and my first time reading “mayo connect.” I hope my response is helpful and appropriate! I imagine there are rules and tips I should peruse! Happy healing!

Jump to this post

@cindymom I think you made a great suggestion. I see you joined Connect a few months ago, and today you are sharing a helpful tip. Welcome to the Connect Community! We're glad you're here.

Can you tell us a little bit about yourself and what brought you into this discussion?

REPLY

Hi everyone,

How are you?

Yesterday I went to the physiotherapist locally who did a very gentle manipulation of the neck.

After the session I felt better but later yesterday evening I started feeling a sharp pain around the left side of T3 approximately and the right of T1.

How can something like this happen out of the blue?

When I went to bed to lie down I felt pain in those areas and they felt painful, tight and slightly numb.
While I was lying down on the right hand side ( I can't sleep on the left side or the back because of more pain) I felt that, especially my left leg, was getting more numb than the right leg as well as the foot. Also some left groin tightness and numbness.
Can thoracic issues affect the legs at those levels?

This pain was being felt despite me taking Targin 10mg, Amitriptyline 10mg and Diclofenac 50mg .The pain medication didn't help much.

What is causing these pains? Nerve or facet joint related?

Also the bilateral tinnitus is driving me insane. Still feeling bad pain in shoulders, palms and fingers of my hands on and off.

I asked my pain management doctor but he takes very long to reply to me.

Thank you.

Alfred

REPLY

I had my cervicothoracic injections yesterday based on pain mapping.

The radiologist pressed the area to be injected with his fingers first to determine whether it was the sore area, but after the injections (3) around the top left of thoracic area, my pain didn't improve, it actually got worse.

After I left the radiology place, I felt an unbearable stinger around left of T1 vertebra I believe. This is a new pain that started after the doctor pressed that area. I went home, I tried ice packs and hot packs alternating them for at least 3 hours but I didn't get any relief.

I tried to sleep later on but the pain was so intense that I couldn't.
It was a sleepless night.
I took a Targin around 5am (Melbourne time) which has taken off the edge, but it is still very painful.

What has happened? Is it nerve or facet joint pain or something else? Will it improve?

I can't believe my bad luck.

I appreciate any feedback.

Thank you.
Alfred

REPLY
@ab6540183

I had my cervicothoracic injections yesterday based on pain mapping.

The radiologist pressed the area to be injected with his fingers first to determine whether it was the sore area, but after the injections (3) around the top left of thoracic area, my pain didn't improve, it actually got worse.

After I left the radiology place, I felt an unbearable stinger around left of T1 vertebra I believe. This is a new pain that started after the doctor pressed that area. I went home, I tried ice packs and hot packs alternating them for at least 3 hours but I didn't get any relief.

I tried to sleep later on but the pain was so intense that I couldn't.
It was a sleepless night.
I took a Targin around 5am (Melbourne time) which has taken off the edge, but it is still very painful.

What has happened? Is it nerve or facet joint pain or something else? Will it improve?

I can't believe my bad luck.

I appreciate any feedback.

Thank you.
Alfred

Jump to this post

Did the doctor do a ultrasound guided injection into your cervical spine or just Aim and shoot, maybe he hit a nerve

REPLY

I feel your pain , I been getting injections (guided) in my hips

REPLY
@vlk420

Did the doctor do a ultrasound guided injection into your cervical spine or just Aim and shoot, maybe he hit a nerve

Jump to this post

Thanks vlk20.

The doctor used a GE Optima CT Computed Tomography scan machine to do the medial branch blocks of left T3/T4 facet joints. The machine looks similar to the one in the attachment.
There is hardly any pain where he injected, but before he injected, he needed to find out from me where was the pain. So he started pressing from T1 to T4 to get an answer from me in regards to the pain. What is hurting me is T1/T2. He pressed rather hard. I wasn't impressed.

I have taken a Targin SR 10/5 tablet and after 6 hours I just feel slightly drowsy.
I was thinking of taking a second tablet, but I am worried about taking too much. I read that you can take up to 20mg a day safely. My lungs are pretty good because I was a long distance road bike rider, anything from 50km up to 170km in a day.

Alfred

REPLY
@ab6540183

Thanks vlk20.

The doctor used a GE Optima CT Computed Tomography scan machine to do the medial branch blocks of left T3/T4 facet joints. The machine looks similar to the one in the attachment.
There is hardly any pain where he injected, but before he injected, he needed to find out from me where was the pain. So he started pressing from T1 to T4 to get an answer from me in regards to the pain. What is hurting me is T1/T2. He pressed rather hard. I wasn't impressed.

I have taken a Targin SR 10/5 tablet and after 6 hours I just feel slightly drowsy.
I was thinking of taking a second tablet, but I am worried about taking too much. I read that you can take up to 20mg a day safely. My lungs are pretty good because I was a long distance road bike rider, anything from 50km up to 170km in a day.

Alfred

Jump to this post

I had C-3-4 fused, and L-5, fused, they both turned out great but now IDK 🤷‍♀️ if upper back may be causing leg and foot pain, I guess I have to go back to square 1 with my back doctor for further imaging

REPLY

I can’t even bend without setting it off, and it’s in my sit bone on All on the left side

REPLY
@ab6540183

Hi everyone,

How are you?

Yesterday I went to the physiotherapist locally who did a very gentle manipulation of the neck.

After the session I felt better but later yesterday evening I started feeling a sharp pain around the left side of T3 approximately and the right of T1.

How can something like this happen out of the blue?

When I went to bed to lie down I felt pain in those areas and they felt painful, tight and slightly numb.
While I was lying down on the right hand side ( I can't sleep on the left side or the back because of more pain) I felt that, especially my left leg, was getting more numb than the right leg as well as the foot. Also some left groin tightness and numbness.
Can thoracic issues affect the legs at those levels?

This pain was being felt despite me taking Targin 10mg, Amitriptyline 10mg and Diclofenac 50mg .The pain medication didn't help much.

What is causing these pains? Nerve or facet joint related?

Also the bilateral tinnitus is driving me insane. Still feeling bad pain in shoulders, palms and fingers of my hands on and off.

I asked my pain management doctor but he takes very long to reply to me.

Thank you.

Alfred

Jump to this post

I have unbelievable pain almost constantly now on my left ischium bone and on my left thigh and outside edge of my left foot, and my tailbone from lying in bed hurts and is now burning and numb feeling I was just diagnosed with a severe case of congested pelvic condition that they said was called Nutcrackers Syndrome
There are Only a few Doctors who can treat it, unfortunately, and after finally getting a appointment a couple weeks ago to see the only one in Washington they had to push me back another month and told me I would have to go to ER if it gets unbearable worse. I am crying

REPLY
@vlk420

I have unbelievable pain almost constantly now on my left ischium bone and on my left thigh and outside edge of my left foot, and my tailbone from lying in bed hurts and is now burning and numb feeling I was just diagnosed with a severe case of congested pelvic condition that they said was called Nutcrackers Syndrome
There are Only a few Doctors who can treat it, unfortunately, and after finally getting a appointment a couple weeks ago to see the only one in Washington they had to push me back another month and told me I would have to go to ER if it gets unbearable worse. I am crying

Jump to this post

I feel your pain vlk420. I am so sorry that you are going through this pain hell like me. No matter what I do I can't relieve it. I took a second targin which made me drowsy but didn't help reduce the pain. I won't be able to sleep at all

REPLY
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