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Thread: Old/New second SCI C5/6, 1985, L2 2019

  1. #1

    Old/New second SCI C5/6, 1985, L2 2019

    I'd like to think I'm special but how many of my fellow SCI'ers have broken a vertebra later on? I flipped back hard enough for my backrest to collapse forward and squish me, L2 got squished. Hurts pretty bad despite the fact that practitioners think that because I'm paralyzed already, I don't feel it... Oh I feel it alright! As close to an aneurism I ever want to have. Its amazing that even my bowel regimen has drastucally changed (contractions gone, blafdder AD gone, yet they say no cord compression, spinal shock without compression? Gettong up and laying, nightmarish.

    Good news is, the backrest collapse quite possibly saved me. The push handles got caught on home lift bars on way back, triggering the release/collapse of backrest, had it not my C2 would have hit the bar even harder than it did!

  2. #2
    I assume then when you say you have a L2 injury that this is your vertebral injury, not the damage to your cord? If so, then it would be likely that you actually have a cauda equina injury now in addition to your cervical injury. This would explain the loss of reflex activity including AD from bowel/bladder/genital stimulation that you may be experiencing now. Have you been able to adjust your bowel management to this new situation successfully?

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  3. #3
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    There was an American member on Apparelzyed (can't remember his nickname) who had an incomplete Thoracic injury and a few years later injured C5/C6 while surfing.
    T4 complete since 30 April 2012

  4. #4
    Hi KLD, without seeing the MRI myself, the compression fracture did not include the cord (but my current MD said there was, I think he has little experience in SCI). And no, I have not rectified my intestinal problem. I'm going on 11 days with my bowels, unfortunately. I have been taking Miralax quite a few times as well as suppositories. Without having a stethoscope, I think I hear bowel sounds, but while on the toilet, nada as far as contractions even with my dill stick. My abdomen is large and turns into a rock only when I sit up or lay down, ie times when my back pain is maximal, otherwise pretty squishable and not painful to palpate. Fingers crossed for another try tonight. I agree on the cauda equina, and still wanting input on my ligaments though with both types of injuries, I'm quite curious how to proceed? I do not know if rest or movement better, now have a referral to a neurosurgeon, hopefully too, a neurologist as well. Thoughts? My blood pressure is all over the place and I had a dangerous event one night trying to get on the toilet, pain-induced vasoconstriction in my head, a pain I have never had and one that left me shaking violently for an hour.THX for suggestions!
    Last edited by cadamson; 09-26-2019 at 10:34 AM. Reason: re-read what Primary care email vs radiologist

  5. #5
    Quote Originally Posted by TheVillageIdiot View Post
    There was an American member on Apparelzyed (can't remember his nickname) who had an incomplete Thoracic injury and a few years later injured C5/C6 while surfing.
    Apparelzyed and I are polar opposites, but we are both surfers, crazy lives

  6. #6
    If you have no muscle tone or spasm in your external anal sphincter, digital stimulation is contraindicated. Most people who have a lower motor neuron bowel just use manual removal of stool and straining to remove stool from their rectal vault, sometimes after using a suppository to move stool down.

    A cauda equina injury will not cause loss of peristalsis, but if you are taking opioid pain medications, this can be the cause of constipation. How much Miralax? How often? How much fiber are you getting in your diet? Are you also taking senna? How much fluid do you take daily?

    If you have gone 11 days without a bowel movement, you probably will need to bring out the big guns to get unplugged (and likely deal with bowel accidents): I like using Lactulose, 1 tablespoon every hour until you have a large bowel movement. This pulls water from your body into your stool. Combine that with senna (Senakot) to increase peristalsis.

    What do you do for bladder management?
    Has your spasticity subsided in your lower extremities?

    You may want to see a good SCI physiatrist in addition to the neurologist. A neurosurgeon is not likely to the best specialist for managing a lower motor bowel/bladder injury.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  7. #7
    Hi, I am taking no opioids, I do not tolerate them well, a glass of wine and a warm shower, or a warm blow dryer calms most AD for me, less so since the new injury. It's almost like my back spasms and clamps down on my distal colon region, as I am simply empty when I check. Prior to this fracture, I had contractions and could do a heaping Tbsp the night before, start with a Dulcolax the next night, chill for 45 min and go but always used dill stick, # of times varied. I've always been lazy on diet, water intake most at night, yes I am trying to drink more now. No additional fiber needed except after a gall bladder removal 15 years ago. The last two days, I've taken 100 grams, two doses today, one yesterday. Took other big doses (100g) Sat and Monday

    I had a bladder augmentation in 1990, with a continent nipple, ie intestine piece used for cathing intermittently, it stretched out over the years and it got too risky to cath on the fly, so foley change 1/week and clamp it except to drain. Spasticity is back up in my legs and abdomen, but its origin feels like it starts in my back, then turns my belly into a bowling ball, rock hard

    I was concerned that the PEG might be too forceful if I had a true block, tonight might tell, wish me luck

  8. #8
    Senior Member
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    Quote Originally Posted by cadamson View Post
    Hi, I am taking no opioids, I do not tolerate them well, a glass of wine and a warm shower, or a warm blow dryer calms most AD for me, less so since the new injury.
    it is funny how different we can be. I tolerate a very low dose of opioid, but wind kicks my spasms into high gear.

  9. #9
    Does anyone know a good radiologist near CT that does kyphoplasty, I'm losing height in my L2, (.5cm in about a week), and with this a tremendous amount of pain... also opinion on effectiveness?
    Last edited by cadamson; 10-18-2019 at 02:44 PM. Reason: more Q's

  10. #10
    Most experts in kyphoplasty are orthopedic spinal surgeons, not interventional radiologists. Find one through you closest university hospital or trauma center.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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