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What Causes Malalignment Of The Cervical Spine?
Question: I have a neck/shoulder problem (stiffness and pain and range of motion issues). It has plagued me for about nine months. It started after about 8 months of aggressive working out meant to lose wait. I lost wait and gained pain. I have a brachial paralysis/plexus injury to left arm since birth. It is my suspicion and my doctors that this is partly responsible. After various PT sessions and other efforts, I saw a chiro the other day. His X-rays revealed a misalignment of the spine. Today, I had an MRI, I have attached various photos from same. Curious if these show any thing that would suggest that this is a nerve or muscle issue, as it is my understanding that I need to know which is causing the problem before next treatment. Also curious as to whether there are other possible health issues seen on images sent. I have many other images from the MRI if they would help.
Brief Answer:
Nerve conduction study will help.
Detailed Answer:
Hi Sir.
I understand your concern.
Yes your symptoms are largely attributed to Brachial plexus neuropathy and malignment of the spine.
The malalignment of the cervical spine is noted on your MRI.
Since many of your symptoms have not responded to PT sessions,I advise you to have a Nerve conduction study of the brachial plexus zone.
This test can throw some light on the treatment part.
Meanwhile drugs like pregabalin can help you to improve the pain.
Post your further queries if any.
Thank you.
Nerve conduction study will help.
Detailed Answer:
Hi Sir.
I understand your concern.
Yes your symptoms are largely attributed to Brachial plexus neuropathy and malignment of the spine.
The malalignment of the cervical spine is noted on your MRI.
Since many of your symptoms have not responded to PT sessions,I advise you to have a Nerve conduction study of the brachial plexus zone.
This test can throw some light on the treatment part.
Meanwhile drugs like pregabalin can help you to improve the pain.
Post your further queries if any.
Thank you.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
I believe the misalignment of the spine is related to recent efforts to get fit as I don't believe that the misalignment is chronic even though I have had the brachial paralysis for 45 years. Even when I was active as a youth I never experienced such concerns. The misalignment is clear and my doctor thinks the muscles on left side are pulling at spine but she is just trying to figure out if the muscles are in spasm because of nerve or if the muscles themselves are causing pain to nerves. Anyway I don't fully understand but appreciate the insight. Did you see anything else of interest or concern? It all looks like such a mess to me.
Brief Answer:
Botox injections can help.
Detailed Answer:
Hi Sir.
I understand your concern.
Yes the misalignment is certainly related to the muscle imbalance.
This could be certainly related to your efforts getting fit.
In order to correct the misalignment ,the muscle imbalance has to be corrected first.
For this localised injections of Botox toxins will help.
These injections will overcome the excess muscle tone which is responsible for pulling the spine away.
Consultation with an expert cosmetic neurophysician will help.
Thank you.
Botox injections can help.
Detailed Answer:
Hi Sir.
I understand your concern.
Yes the misalignment is certainly related to the muscle imbalance.
This could be certainly related to your efforts getting fit.
In order to correct the misalignment ,the muscle imbalance has to be corrected first.
For this localised injections of Botox toxins will help.
These injections will overcome the excess muscle tone which is responsible for pulling the spine away.
Consultation with an expert cosmetic neurophysician will help.
Thank you.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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