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Dr. Andrew Rynne

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Having numb patches on thighs and hands. Had surgery to fuse c2 and c3 cervical spine. Suggest

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Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 1771 Questions

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Posted on Mon, 10 Jun 2013 in Brain and Spine
Question: Yes you can, I have had 2 surgerys on my neck and the 1st one was to fuse together the c2 and c3 cervical spine. I was born without most of my c2 so they took a bone piece of my pelvic area and built me one and fused it to the c3. The next surgery was to to do a Rizotimy on all of my cervical spine. I was in a auto accident that broke the fusion and also broke the c1 and now I really have had problems with it. I have had a resent MRI and I have alot of damage to my spinal cord itself. They also said that I have bone spurs plus alot of arthritus. The first surgery was did in 1979 where they fused it with 16gage wire that over time , as the the bone grew it has all broke up and my x-rays look like a birds nest now. I have seen alot of specialist and different Drs. I have been diagnosed with so many things that its scary. Ive been put on dissability and cant afford to hardly live besides try to get some help with my problems. I see 3 different Drs every month and it seems to me that they are just trying to get what money what i do get. Ive grown really tired of being in pain and cant afford the maintence drug that I know I need.. This is the first time Ive ever talked to Web MD and know I have a new semtom and its that Im starting to see white and feeling like Im geting shocked more and more. I have felt this before but not as much. The newest semtom is that I have developed numb patches on my thighs where you would put your hands in your pockets. I have had numbness in my hands and fingers it feels like forever, but never before have i had it in my legs, much less on my upper thighs in the front like I described. Is ther anyone out there that can give me some insight in whats going on with me? I really hope that Ive been making some sence. I did find the money to hear your opinion, I really cant afrord it but at this point Im willing to try anything. I didnt tell you that I have some chiped bone spurs that are up there also and it feels like a box of rocks when I move my head and thats not very much. Ive have 30% lose of range of motion ever snice I had the first surgery. The only relief that I do get is just simply not to move very much. If I move around to much my head starts to hurt and after that Im done, I have to just lie down and be very still untill it eases up. Ive went to thearapy untill they hurt me and after that I do my own losenimg up. I do the Hot and cold thing too. I do know that my musules go in to a spazem and then it really does hurt also. Im ready to pay and hear what you have to say sir.
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Answered by Dr. Vaishalee Punj 5 hours later
Hi

Thanks for your query.

I am sorry to hear about your condition.

It seems that you developed bone spurs after the damage to the cervical spine. It is giving you symptoms in your hands like numbness and muscle spasm. Treatment is usually aimed at addressing the cause and managing the actual bone spur. The treatment may include pain-killers, steroid therapy, or for flare-ups, rest. In some cases surgical therapy like laminectomy may be needed. Bone building efforts like nutrition and exercise, should be tried.

Now coming to the symptoms of numbness in the thighs, it is following the dermatome, most probably, L1 (first lumbar vertebra). The cause does not seem to be related to the process going on in the cervical spine. It may be a simple disk herniation or a spinal stenosis, etc. Most such symptoms improve within a month with life-style modification and pain-killers.

The lifestyle modification includes:
Weight reduction to normal weight
Avoid lifting heavy weights
Exercise programs to strengthen para-spinal and abdominal muscles

If they do not get better then you may need tests like x-rays and other radiological imaging.

Take care

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Mohammed Kappan
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MRI OF LUMBOSACRAL SPINE: -

PROTOCOL:

-     SE T1W & TSE T2W SEQUENCES IN SAGITTAL PLANE.
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Annular tear, diffuse disc bulge and facet joint arthropathy are visualized at L3-4 indenting the thecal sac.
Diffuse disc bulge is observed at L5-S1 mildly compromising the neural canals bilaterally.

Cord ends at L1 vertebral level and shows normal signal intensity. No abnormal pre or paraspinal soft tissue mass is seen. MR myelography confirms the above findings.

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     -     Diffuse disc bulge, thickened ligamentum flavum and facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R).
     -     Annular tear, diffuse disc bulge and facet joint arthropathy at L3-4 indenting the thecal sac.
     -     Diffuse disc bulge at L5-S1 mildly compromising the neural canals bilaterally.

-     To be correlated clinically.

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