• question-icon

    Suggest treatment for chronic pain in the neck

default
Posted on Fri, 4 Aug 2017 in Brain and Spine
Question: My neck has been fused from C2\1 to T1 in a surgery last year. Prior to that it was fused from C3 thru C5. That lasted 9 years. How long can I expect this surgery to hold up and how can I manage chronic pain?
doctor
Answered by Dr. Erion Spaho 1 hour later
Brief Answer:
More than one decade.

Detailed Answer:
Hello and thanks for using HealthcareMagic.

I have read your question and understand your concerns.

There are no exact timeframes about cervical spine fusion duration, generally, they hold more than one decade, several factors interfere with this.

Chronic pain in your case could be improved by avoiding physical efforts, using cervical collar during traveling, physical therapy and by use of Antineuralgic drugs. ( NSAID, opioids, antiseizure drugs, etc.).

Please discuss with your Doctor about the prescription of antineuralgic drugs if you are in a lot of pain.

Hope you found the answer helpful.

Let me know if I could assist you further.

Take care.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Erion Spaho 16 hours later
Thank you very much for your response. I need to plan ahead. One more question or affirmation. If it fails at C1/C2, will it be an instant event that would not require hospitalization and long term care? Please answer me honestly to the best of your ability. I know you don't have a crystal ball, but I would like a realistic answer.

Also, would I feel any pain at that level of a break.

Thank you for your response - so very much.
XXXXXXX XXXX

This is the 2nd time I am submitting this request in case you did not see it. Please respond as well as you can to a complicated question with many variables. I need to plan ahead.
One more question or affirmation. If it fails at C1/C2, will it be an instant event that would not require hospitalization and long term care? Please answer me honestly to the best of your ability. I know you don't have a crystal ball, but I would like a realistic answer.

Also, would I feel any pain at that level of a break.

Thank you for your response - so very much.
XXXXXXX XXXX
doctor
Answered by Dr. Erion Spaho 10 hours later
Brief Answer:
Instability at C1/C2 very unlikely.

Detailed Answer:
Welcome back.

Don't worry, there is not an increased risk of C1-C2 instability, unless any violent trauma or rheumatoid arthritis.

This because of the anatomical specifics of this level.

Even if any instability happens for a reason ( congenital instability for example), there are no instant events, symptoms start gradually.

So, in my opinion, you shouldn't worry about any instant event.

Hope I helped you.

Kind regards.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3861 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Rheumatoid arthritis

doctor1 MD

Hi, my name is Julie and I am 54 yrs old. On the 22 oct 2011 I had a TIA which lasted a few hours, I was subsequently hospitilized for 4 days. I...

doctor1 MD

I have a very itchy rash all over my body since July 2011. Raised areas, sometimes vesicular. I also have had rheumatoid arthritis for 32 years....

doctor1 MD

I am 51, weight 125 lbs, and have the first sypmtoms of Rheumatoid Arthritis, mostly in the heels of my feet. The last couple of days, my knees are...

doctor1 MD

My Mother recently is diagnosed with Rheumatoid Arthritis 6 Months back. Doctor has prescribed 1)Folitrax 15mg once a week 2)folic Acid 5mg once a...

doctor1 MD

My Mother is 67 years old. For past few months, she has been suffering from black patches and itching in her lower right leg. She consulted an...

doctor1 MD

If I have rheumatoid arthritis , what is safest medication that also helps osteoporosis? How can I reduce swelling in feet and hands? I'm taking...

doctor1 MD

The joints in my hands have become very painful. Only my left thumb swells (I'm right handed) and does not have full movement. this has been going...

Get personalised answers from verified doctor in minutes across 80+ specialties

194 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Erion Spaho
  • Q - What causes tingling and pins and needle sensation on the left side of...

  • Q - What causes numbness in feet and ankles?

  • Q - What causes mouth spots and pit in forehead?

  • Q - What causes tingling feeling in shoulder?

  • Q - Suggest treatment for panic attacks, non functional rectum and memory loss

  • Q - What causes numbness in the right side of foot and leg?

  • Q - What causes burning sensation and tingling in hands and feet?

  • Q - What does my CT scan suggest?

  • Q - What causes shortness of breath in a patient with fibromyalgia?

  • Q - What causes severe muscle twitches at night in shoulders and arms?

backtotop2