What causes malalignment of the cervical spine?

default
Posted on Wed, 6 May 2015 in Bones, Muscles and Joints
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.
doctor
Answered by Dr. Suresh Heijebu 3 hours later
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.



Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
default
Follow up: Dr. Suresh Heijebu 53 minutes later
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.
doctor
Answered by Dr. Suresh Heijebu 11 hours later
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.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3656 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Medical Procedures
Lab Tests

Recent questions on  Stiffness

doctor1 MD

I get pain and stiffness in the back of my thighs after extensive sitting. I also have had sciactica problems in the past and wonder if there is a...

doctor1 MD

I had an anterior elbow dislocation five weeks ago. I can touch my shoulders with my injured hand right now but I still can t fully straighten my...

doctor1 MD

After a tremendous amount of stress all at once. 3 weeks into all this I started to experience upper back and neck stiffness and pain. Now 4 months...

doctor1 MD

hi i m having a neck pain. it s a case of neck stiffness i suppose. the reason was that i was playing FIFA 12 strday non-stop for 6 hours sitting...

doctor1 MD

What can cause all over body pains so severe walking and movement are difficult (dressing, showering, getting out of bed). I also have chest and...

doctor1 MD

I have been having a stabbing pain upon waking up on both sides of my back, but it goes away after being up a while. What is that?

doctor1 MD

I'm a 30 year old female with no prior health problems. For the last year or so I have had bouts or severe pitting edema in my legs and feet to the...

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

121 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2