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Old 04-18-2008, 04:51 PM   #1
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Location: Fort Lauderdale, FL
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bk845 HB User
Would like advice on MRI and looking for Fort Lauderdale area members.

Hi there. I'm a new member and love the great thorough information the members have been providing in this forum.

Would love any help with a couple of things here. I recently received an MRI and had the following impression on my C5-C6:

1. Central to paracentral left disc herniation at C5-6 with compression of the ventral thecal sac and suggestion of early cord compression

2. There is straightening and reversal of the cervical lordosis consistent with paracervical muscular spasm.

I generally understand these results and have met with one Neurosurgeon in Fort Lauderdale yesterday that says that my disc is ruptured and that I have lost some reflex and strength in my left arm (although my right arm causes the intense pain). He prescribed 3 weeks of physical theraphy with heat/massage/gentle traction and said that if I get worse or if no improvement to come back before my next appt in 3 weeks. His surgery recommendation is an Artificial Disc Replacement with titanium plate.

Any comments on these results and recommendation would be appreciated.


My second question is for anyone out there that might be from the Fort Lauderdale area. Since I am brand new to the area, I am in the dark on who to go to for my 2nd opinion, etc. My neurologist (Scott Pearlman) recommended the Neurosurgeon (Matthew Moore)that gave the recommendation above. I have been unable to find any reviews online and don't have any patient referrals at this time. If there are any members that in FL out there.. I'd appreciate any advice. Thanks again.

 
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Old 04-19-2008, 05:15 PM   #2
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Re: Would like advice on MRI and looking for Fort Lauderdale area members.

Hi

I had my surgery done at CC weston and they seem to keep changing surgeons there. HMMMM.

The NS I originally was supposed to go to had too long of a wait list but he is now in private practice in a partnership with his own spine center . His name is Melvin Whitfield and the nurses at Cleveland Clinic thought he was great.

If you can travel to Jupiter, David Campbell has a fabulous reputation (unfortunately he was not on my health plan) and I know 4 people who have had ACDF surgeries without complications, 3 are playing golf within 6-8 months.

I used the physical therapist that Campbell sends his patients to and he says he is very conservative and technically brilliant.

Moist heat with an electric heating pad with the sponge insert( insert wet)
works GREAT for the muscle spasms.

Good luck!

July

 
Old 04-20-2008, 11:40 AM   #3
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Location: Fort Lauderdale, FL
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bk845 HB User
Re: Would like advice on MRI and looking for Fort Lauderdale area members.

Thanks so much for your reply. I look forward to researching your suggestions. Its great to have a supportive group of people helping out.

 
Old 04-20-2008, 01:02 PM   #4
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Re: Would like advice on MRI and looking for Fort Lauderdale area members.

Hi - if you didn't have any other pathology in there, like ridging, bone spurs (osteophytes), slipping etc. then I would wait it out for a while. How long has this been going on for you? Many times one herniation will heal itself wih conservative therapy (rest, PT, oral steroids, etc.) before even moving on to other treatments like ESI injections. 3 weeks of conservative treatment is not that long. Some people wait 3-6 months. I would def get a second opinion somewhere else as a comparison - and not a doc your NS that wants to operate refers you to. Find another good one, The surgeon you are seeing is a DO specialist in NS. I would recommend you find a Board Certified MD Neurosurgeon for your 2nd opinion.

The things I would research about this doc recommending the artificial disk is to make sure they have been doing them a long time. There aren't that many doctors doing them yet, and you don't want to be an early patient for a new doc, or be rushed into it as a practice patient!!! This isn't very commonly offered yet.

Most of use the goal to avoid surgical intervention as last resort. For your particular problem you might want to research Florida minimally invasive there is a good center accessible to you called LSI in Tampa. This is a good alternative if you are a candidate to having a disc replaced which you may not need if you are a candidate for their less invasive alternatives.

Last edited by PNo; 04-20-2008 at 01:03 PM.

 
Old 04-20-2008, 07:09 PM   #5
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bk845 HB User
Re: Would like advice on MRI and looking for Fort Lauderdale area members.

Hi,

I had an original herniation about 4 years ago while living in St. Louis and chose conservative therapy and had a good outcome with only minimal pain over the next few years. However, over the past few months I was driven to go back to a neurologist after having increasing radiating pain in my right arm with numbness and tingling in both arms. Prior to my MRI, I had ENG and NCS testing a few weeks ago and it showed that my arms themselves did not have any nerve damage in the ulnar nerves, etc. The tingling began about a year or more ago but I thought it might have been a side affect of my topamax (for migraines) so I ignored. The increasing radiating pain has been a couple of months and my neurologist referred me to the NS a few weeks ago after seeing my MRI. The NS said the disc was ruptured and that I had weakness in my left arm with no reflex on some testing.

*one side note I previously didn't mention is that my feet fall asleep when sitting in certain positions.

I am currently taking my MRI films to the NS tomorrow because he said he wanted to see the actual films rather than just the computer disc I gave him. I am also researching my choices for second opinion at this time. Also just to clarify, both my neurologist (DO) and first opinion neurosurgeon (MD) are board certified.

Once again, thanks for all your help.

Last edited by bk845; 04-20-2008 at 07:25 PM.

 
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