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-   -   neurologist or orthapedic? (http://www.healthboards.com/boards/neurology/762758-neurologist-orthapedic.html)

Vickers64 08-10-2010 11:53 AM

neurologist or orthapedic?
 
Just wondering if somebody can help?

Am in the process of being tested for ms, just had a lumbar puncture. Saw my GP today and when we discussed my symptoms - main one being severe pain in my neck radiating into my shoulder blade - she wondered whether I should have been referred to an orthapedic surgeon as a neurologist would only look at the nerve issues rather than bone issues? Would a neurologist not pick up this?

littlehutton 08-10-2010 01:57 PM

Re: neurologist or orthapedic?
 
[QUOTE=Vickers64;4304649]Just wondering if somebody can help?

Am in the process of being tested for ms, just had a lumbar puncture. Saw my GP today and when we discussed my symptoms - main one being severe pain in my neck radiating into my shoulder blade - she wondered whether I should have been referred to an orthapedic surgeon as a neurologist would only look at the nerve issues rather than bone issues? Would a neurologist not pick up this?[/QUOTE]
Hi, im going through the same issues right now, I saw an orthapedic specialist first who could not really help me, so the answer to you question would be yes a neurologist would pick up on your pain, mine certainly did, they dont just deal with nerves, but all underlying causes as well, however seeing both would not hurt. I hope you get diagnosed sooner rather than later, ive been having problems for 5 months and still have no answers, ive been told its not MS but im not so sure, although I have 43 symptoms, so im a bit of a mystery to all concerned. Good luck and I hope it all turns out ok for you.

littlehutton 08-10-2010 02:03 PM

Re: neurologist or orthapedic?
 
By the way, out of interest, do you have any other symptoms apart from the neck and should pain? as this is how mine started, but my symptoms have increased and got worse over 5 months with no remissions, how long have you had your symptoms?

Vickers64 08-10-2010 03:32 PM

Re: neurologist or orthapedic?
 
hi, thanks for your reply. I had a disc removed about 15 years ago and have had intermittent back pain since. Had dizzy spells very infrequently for about 6 years, now have pins & needles in face, head, shoulders, back, hands - sometimes wake up with hands completely numb. Very scary!!

littlehutton 08-11-2010 03:21 AM

Re: neurologist or orthapedic?
 
[QUOTE=Vickers64;4304800]hi, thanks for your reply. I had a disc removed about 15 years ago and have had intermittent back pain since. Had dizzy spells very infrequently for about 6 years, now have pins & needles in face, head, shoulders, back, hands - sometimes wake up with hands completely numb. Very scary!![/QUOTE]

Hi very scary sounds very familiar, I have been living in shire terror for 5 months now, ive had an MRI on my spine and Brain, but no detection of MS was found, im yet to have a lumber puncture, but I will be pushing for this this week. I wish you luck, please do let me know how you get on, and please know you are not alone.

feelbad 08-16-2010 08:13 AM

Re: neurologist or orthapedic?
 
vickers, just where was that disc removed from, what level? was it in your c spine? the one thing i would really try and get referred for at this point is an MRI to be done on the c spine and the brain and with a contrasting agent added to better highlight things that can be somewhat hidden even on an MRI? 'something" IS impacting nerves in you at the sensory level, its kind of a matter of checking out the more common possibles by tracking them back to the source that is simply generating them. in your case, that would be possibly the brain or c spine too? esp if that past surgery was actually done in the c spine level? after any spinal surgery(just assuming from what you stated you had done, they did a decompression/fusion?), the levels above and below it really can and more often than not start to become a bit unstable esp over the more time that has passed? i am kind of "in' that phase right now with things REALLY changing up in my c spine/the insane sensations again and pain and waiting for the referral person at my docs office to call me today to set up yet another MRI actually.

did anything definitive actually show up in that spinal tap or was it normal?

once you can simply obtain the MRI, what the tests will or do not show will kind of tell you just what should be your very next step here. either a neurosurgeon or neurologist. you wont get really good help from only an ortho for THIS level of nerve involvement. but just get that contrasted MRI and see what shows up, or doesn't. this one test simply done on both brain and c spine would either rule in or rule out alot of different possibles. good luck with this and i do hope you can obtain the needed MRI. just DO make certain that anytime a scan is done on your brain that it IS done using a contrasting agent? it really also highlights the vascular levels really well too, which can rule in or out various possible vascular malformations like aneurysm? Marcia


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