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Dysphagia, choking, headache, neck pain. CT scan and x ray done. Suggestions?

c- 6-7 fusion in 1993 , ACDF at c 5-6 with plate and screws in 2008. fell on back and neck in 2011 and have increasing pain and symptoms since. X-Ray states large anterior inferior endplate spur of c-4 . CT scan indicates superior screw of c-5 hardware projects into the c-4 c-5 disc space anteriorly. I am having horrible symptoms. Dysphagia, throwing up , closing throat , choking. Arm, shoulder neck and headache pain if I bend neck up or down. Now am waiting for a MRI. I have been going through this for 7 months and everybody seems to be dragging their feet on this one. I also get real weak legs I am in misery most of the time. Have any suggestions ??? Help !!!
Asked On : Fri, 12 Apr 2013
Answers:  2 Views:  39
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Question is related to
Diseases and Conditions
General & Family Physician 's  Response
This is post-op. complications, go for a second orthopedic opinion or you can go to some high tech ortho institute, mean while you can discuss the problem with your ortho-surgeon, no need to be apprehensive otherwise this could bring anxiety depression that causes dysphagia, GRED , & other illusive symptoms, for dysphagia try some proton pump inhibitor (Omeprazole 40mg once day ) would relived the problem
Answered: Wed, 3 Jul 2013
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Allergist and Immunologist Dr. Muhammad Ijaz Nasir's  Response
Thanks for your query. These are the symptoms of nerve compression.
I would suggest you the following things
•     Physiotherapy of the Cervico-thoracic spine and adjacent region.
•     Get your MRI done on urgent basis; this will reveal the compression site which may be treated by surgery.
•     You are advised to go for physiotherapy and make your movement gradually and slowly, particularly when bending neck up or down.
•     Bone Collars will help you to reduce the problem.
If you don’t get relief,plz let me know on
Hoping that you will get benefit from my advice.
My prayers are with you.
Thanks and best regards.
Dr. Ijaz Nasir
Chest Specialist and Head of Chest Department
Gulab Devi Chest Hospital Lahore
Answered: Wed, 3 Jul 2013
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