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Thread: Lesions at C2, Ruptered disk at C3 and compressed disk C5 C6

  1. #1
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    Lesions at C2, Ruptered disk at C3 and compressed disk C5 C6

    I have a friend who was having some tingleing in his fingers. He works as a paramedic and was having difficulty finding pulses. He had an MRI and right now it looks like he has two lesions by C2 a possible ruptured disk at C3 and A compressed disk at C5 C6. He had fallen off his truck this fall, but also has crohns disease.

    He is wondering what his outlook is. Will his condition worsen? should he have surgery? he said he was reading that in this area surgery is less than 6% successful in relieving symptoms. He is scared as he does not know what to expect. He is seeing a specialist in Milwaukee on the 17th. He is a vet so he has to go there. Anyone have any experience with this? Any suggestions or comments would be helpful. Thanks.

  2. #2
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    I've heard good things about the SCI clinic at Milwaukee, and he should ask his questions of them.
    Don - Grad Student Emeritus
    T3 ASIA A 26 years post injury

  3. #3
    Did this happen on the job? Does he not have any other health insurance?

    I would strongly recommend that he have at least two surgical opinions from separate organization neurosurgeons. Surgery is sometimes indicated, but your friend is right, often surgery is not successful in getting full return. Surgery is usually done to prevent things from getting worse, but even then outcomes may not be good. The VA is one place to start, but I would also recommend that he see an outside neurosurgeon.

    Unless he has been officially diagnosed with a SCI, he is unlikely to be seen in the VA SCI clinic in Milwaukee, although he can ask for a referral there for management of any neurologic deficits not corrected by surgery or therapy.

    (KLD)

  4. #4
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    Not an on the job injury. I think he does have other insurance but it covers very little. He saw a local neurosurgeon in the Soo, who is refering him to Milwaukee. Not sure that he has been officially diagnosed with a spinal cord injury. I will forward him your response and let him know he should get as much info as possible before making a decision.

  5. #5
    He would be seen by neurosurgery or ortho first and depending on his spinal cord involvement would see SCI or rehab if indicated.
    CWO

  6. #6
    I agree he should be seen first by Neurosurgery or Orthopedic Surgery, be examined and have his diagnostics reviewed. In many cases EMG (Electromyography or nerve conduction testing may also be ordered.)

    I also agree he should have opinions from two different surgeons if one suggests surgery off the bat. If he had to pay out of pocket for that second opinion its money well spent.

    Conservative treatment is often very successful, even when numbness and tingling are present. He should be offered conservative care first. This can include any or all of the following: Medications for inflammation/ pain, epidural steroid injections, and physical therapy. Often physical therapy can include cervical traction. Some patients are able to do this at home with home traction units.

    He is wise to seek care and treatment early on. Spinal surgery should be elected only in a last resort so please encourage your friend to try conservative treatment first.
    1FineSpineRN

  7. #7
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    Just an update. After seeing the neurosurgeon, the plan of treatment is therapy. Right now with a new MRI, he does not see any lesions. He sees an old rupture and a more recent one. With proper therapy the sypmtoms should subside.

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