Atrophy of the posterior paraspinal musculature & trapezius muscle

Posted by LongLumbarFusion @jbesr1230, Aug 27 4:55pm

I would be interested in hearing from people who have experience, knowledge, comments, as to therapies, how to heal these, etc. of: “Diffuse fatty atrophy of the posterior paraspinal musculature of the thoracic spine, most processed and severe at the T8 and T11 to T12 levels”.
And “Asymmetric atrophy of the trapezius musculature and rhomboid musculature.”

These are the Notes on an MRI Thoracic (Mid-Back, Dorsal spine)
• Past Medical History:
Diagnosis Date
• Arthritis
Back pain
• spine issues - Kyphotic deformity of the lumbar spine due to advanced DDD, scoliosis, sciatica pain, etc.
• Flatback syndrome
• Diffuse fatty atrophy of the posterior paraspinal musculature of the thoracic spine most processed (pronounced ?) and severe at the T8 and T11 to T12 levels.
•Asymmetric atrophy of the trapezius musculature and rhomboid musculature.

• IMPRESSION AND PLAN:
•Suspected muscular dystrophy
•Camptocormia
S/p L5-S1 fusion by another surgeon

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I’m not sure I can help but I also have fatty infiltration of the lower paravertabral muscles (not getting nerve supply) without a concrete reason. The doctor says if it was causing problems I would have trouble standing for a length of time. I have problems sitting for more than 10 minutes which both the neurologist and psyiatrist say is unrelated.

I hope you get an explanation. I’m rooting for you! When do you follow up with your doctor?

REPLY

Hi,

I'd be interested in knowing what sort of doctor ordered the MRI that gave you so much information. Was this a neurologist?

As you may recall from another thread, I also have camptocormia. No cause has been identified.

Thank you.

REPLY

@comeback

The physician is an orthopedic surgeon with a focus on surgical procedures and problems of the spine. In order to rule out Parkinsonism, he suggested that I see a neurology specialist. I do have Parkinson's disease. The neurologist recommended I have genetic testing for muscular dystrophy. A gene mutation, which is unrelated to muscular dystrophy, was discovered by the test. The camptocormia is growing worse—more hunched forward—and I am frustrated.

REPLY
Profile picture for LongLumbarFusion @jbesr1230

@comeback

The physician is an orthopedic surgeon with a focus on surgical procedures and problems of the spine. In order to rule out Parkinsonism, he suggested that I see a neurology specialist. I do have Parkinson's disease. The neurologist recommended I have genetic testing for muscular dystrophy. A gene mutation, which is unrelated to muscular dystrophy, was discovered by the test. The camptocormia is growing worse—more hunched forward—and I am frustrated.

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Oh, no! I'm so sorry you've had this bad news.

I believe I've read that around 40% of people with camptocormia also have Parkinson's.

Wishing you the best-possible outcome.

REPLY
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