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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Connect

In all the groups , and people I have met through my long journey, the majority of sufferers have at some point been told 'it's all in your head'. It is the line uttered by some physicians when their own frustration gets the better of them!
You are right, finding the person who listens and understands is the foundation to your medical treatment plan.
BUT... by the time we have struggled this long with pain and rejection, getting a doctor ( the ones who do listen as the job description) is a great idea.
Not to humor the insulting guy, but to get someone on your side.
The frustration and feelings of being abandoned and ignored are true poison to the soul; by this time, you might find it helpful to have someone who will listen and believe you.
Also, they may have a suggestion through their experience and network, the very specialist that could you.
( especially if they are connected to a medical school/university town).
Having a person who helps you 'sound off' our justified frustrations is Gold.
Didnt fix my pain, but gave me a bolster to my then shattered confidence in the middle of pain, confusion and a very non-supportive partner.
The 'pain' we have effects all aspects of our lives, the physical, most assuredly, but can also lay waste to our emotion, mental and spiritual selves- our very Being can be threatened.
Even those of us who now (after many years) have our diagnosis, do benefit from 'checking in' with our 'mental health supporters' (Connect is one of them!)
Life is a tough place to be - and we have the extra burden of carrying this pain and disablity every single day. Getting every avenue of support and guidance is a brilliant (and often overlooked) piece of wisdom.
We need help in every aspect to help us live our best life, despite it all.
I do encourage you Alfred to find somebody to be your own personal 'support person' . They can be invaluable for our journey.
All the best!
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1 ReactionThanks Christine.
I am currently falling apart mentally and physically due to this never ending and progressively worsening pain which feels like extreme tightness, burning, biting, pins and needles in the left side of the neck from C6 to Tl possibly. My MRI shows several nerves impinged. C6 and C7 are the worst. I also feel back pain shooting in my legs, feet and toes. My legs, my feet, my toes feel very tight. Pins and needles are painful in the toes. My left shoulder, arm, hand and fingers hurt badly. I get a lot of refered pain in all the fingers and mainly in the middle, index and thumb. It is a total fire in my body.
I have been abandoned by the traffic accident insurer called TAC (Transport Accident Commission) who will not pay for my physiotherapy, hydrotherapy because the don't think it is a permanent solution to my problem. It would help to get some relief in the mean time. I have been abandoned by the doctors who I don't trust anymore. ER is useless in Australia because they just provide temporary relief with a morphine shot then they discharge you the next day. This is the public hospital in Australia.
My injuries are the result of 2 bad traffic accidents in the last 10 years while riding the bike
Recently I can't sleep despite medication, I am going crazy. The ice packs, hot packs don't help. I feel pins and needles in different parts of my skin around the body.
I feel that this is going to kill me and if not, make my life very miserable.
The whole health system sucks in Australia and it is difficult to find good doctors. It is all about the money for them.
I complain to my pain management doctor that I am in unbearable pain , he gets me to come to his office, then he does the arms strength test which I pass, he tells me that I don't have neurological deficits and he sends me home. But what about the pain doc? He answers: take your tablets and I answer: but they don't work!
This my story for the last 12 months.
I decided that I don't want fusion with hardware or even artificial discs because the can have complications over time. I am really interested in the laser surgery to repair the disc, IE remove the bulging, the herniations, bone spurs.
I can't find this in Australia. The US is way ahead of Australia in this field
Ever since I acquired mild nerve damage in my neck from minimally invasive surgery, the two MRI’s I’ve had since caused 9 mos of pain afterwards each time. It seems it’s caused by the powerful magnets. Has anyone else had this experience?
Also, I have had nucleus propulsus from a ruptured disk touch nerves and tissues at C5/6 or 6. It did burn all the nearby nerves and there was within 2 hrs but it has grown and grown for 9 mos and the pain is unbearable when I lie flat and it continues all night. Is there some treatment for the pain? It’s ruining my health. Would peptide therapy help? Red Light Therapy? Would a CBD pain cream? I don’t like menthol in lots of creams on a damaged nerve. It makes it angrier. TU.
The numerical pain ratings from patients are supposed to try to identify levels of pain intensity a person is experiencing so they can be more clearly expressed to someone else. Shouldn’t understanding and empathizing be some part of treatment? It’s sad that a doc would tell you it’s in your head.
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1 ReactionAlfredB,
medial branch blocks are used to discover it the cervical impingment is causing shoulder and arm pain.
You may be having a steroid flare. In some people the crystal of antiinflammatory agent (prednisone. depo medrol) irritates the joint causing yet more inflammation. Not so well know is the pain can last several months. The facet injection is directly in the joint.
The increasing facet issue is more likely cascade from the other "serious pathologies".
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1 ReactionHi Alfred,
I am concerned about you and your present situation. I am in Canada, but I do understand parts of the health care system in Commonwealth nations.
The ER is good but they will only treat the "Presenting Problem":. so if pain is the biggest problem of that moment, then that's the treatment you will receive. They will not engage in any diagnostics.
Since I do not know about the facilities in your area in Australia, I did look online for any helpful contacts.
There is a lot of spinal cord injuries sites --- not quite your place, but they may be a source of 'where to suggest'.
On one site the ''Spinal Life Association", they state that they are 'advocates' and state, "see how we can help you". Sounds good! They will certainly be able to understand what benefits/clinics/doctors/specialists are available in your 'neck of the woods', and steer you to the right place and persons.
In the meantime, have you tried talking to the "Mental Health line"? The more professionals you have in your corner the better, and with your permission, they can talk to each other to formulate a plan of action for you. There appears to be a different number for contact in each different state. You will have to call the one that is in your area. Please don't be put off in reaching out to these folk... you can bet that every person with a spinal pain and condition will have done so already!! Please don't allow yourself to stay in a dark place --- it can become a black hole. No, they don't have the cure, but it is so good to talk with someone who understands your life. That's my personal recommendation and my professional one!
You are the Captain of your ship --- so far, there have been too many rocks to navigate around! You are the one who can change course,
Please let us know how you are doing as you start afresh in your journey. I have faith in you !!
All the best Alfred!
christine
Alfred, medical branch blocks are used to discover if cervical impingement is causing shoulder and arm pain.
These blocks can result in lasting pain relief. Otherwise the patient can return to the source of this pain with facet joint injections. Facet joint injections can result in lasting pain relief. Otherwise the patient can have the nerve ablated with radiofrequency.
Increasing cervical facet nerve impingement is probably sequelae from the other serious pathologies that you don't delineate in your post. Central canal stenosis poses the greatest risk for you. The Thursday MRI. Wish it were a standing MRI (few places perform them) but it will give you treatment direction. Cervical facet impingement is not likely to cause pain or numbness in lower extremities.
There is the possibility of long term "steroid flare" causing increasing (frightening) neck back and shoulder pain without indicating a further compression of the joint.
I am sorry you have that silly doctor, they slow you down.
I'd erase the comment that repeats much of this I wasn't finished and accidentally posted. Mostly I wish you luck. As you already know, there are remedies for you.
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1 ReactionHi,
My pain has increased in the last week on its own. I did not have any medial branch blocks.
I was supposed to have them on 07/07/2023 but that is when he told me that my pain for somatic pain disorder and cancelled the medial branch blocks. Not a very good doctor in my opinion.
I won't be dealing with them anymore.
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1 ReactionHi
I mentioned this Central canal stenosis to my doctors but was told it was very mild and didn't have to worry about it.
You might consider cervical microdiscetomy without fusion at C5/6. It reportedly produces good results without fusion and only around 10% reherniate. The procedure is minimally invasive only removes the displaced portion of the pulposus and uses radiofrequency to repair the annulus.
Did your previous surgery involve metal implants. Did the second MRI reveal any changes caused by the first.
Heat and Ice alternately might help and some people try physical therapy, accupunture. But these are slow, temporary remedies.
google cervical nucleoplasty with annuloplasty. The success rate is said to be> 80%.