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  • How often do people not have surgery with CSM?

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    Old 04-26-2015, 03:09 PM   #1
    Scelte
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    How often do people not have surgery with CSM?

    Hi - me again. Wondering if there is data out there that discusses those of us who are trying to put off surgical intervention for csm; or probable csm.

    I am waiting for appointment with pain management specialist.

    Due symptoms from myelopathy come and go, or is that more radiculopathy?

    Is it possible for debris from herniation of degenerated disc to shift away from cord without decompressive interventions?

    Thanks again for your responses!

    Last edited by mod85; 04-28-2015 at 02:23 AM.

     
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    Old 04-26-2015, 09:51 PM   #2
    teteri66
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    Re: How often do people not have surgery with CSM?

    Have you already been evaluated by an ortho spine or neuro surgeon? You can get some basic information from a pain management doc. but the spine specialist is the place to go for an accurate diagnosis, plan of treatment and answers to your questions.

    Disc material can be re absorbed and move off the central canal. It is a possibility but it does not always happen.

     
    Old 04-26-2015, 10:59 PM   #3
    ChuckStr
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    Re: How often do people not have surgery with CSM?

    My problem is the arthritic bone spurs that come with disk degeneration. My surgeon, who is rated one of the 50 best in the country, told me those will not go away but that working on my posture, small neck muscle strength etc. could stabilize the process and keep things no worse than they are for some time. With herniated discs, they can be re absorbed and moved off the canal as Teteri66 says.

    Symptoms from myelopathy can come and go as well. The typical pattern experienced by up to 75% of people is periods of more intense symptoms followed by less symptoms with an overall accumulation of deficits over a long period of time. 20% suffer step wise degradation where symptoms come sporadically but once they do they stay. 5% experience rapid progression where symptoms come quickly.

    The consensus seems to be that those with few/minor symptoms of CSM can take a wait and watch approach which is what I have done. Not all surgeons agree with this approach (my main surgeon does not) but for me at least I think it is the right one for now.

    I don't think they like us posting links in these messages but there is a good article on CSM at the national institute of health (nih) site.

     
    Old 04-27-2015, 02:41 PM   #4
    Scelte
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    Re: How often do people not have surgery with CSM?

    Hi - thank you so much for your responses. Yes I have seen a nuero surgeon and he says it is probably myelopathy. He had me read about CSM to inform myself what to look for. My problem is that I have lower back issues, and many lingering issues from shoulder surgery - so it is difficult to state which causes which. I am not sure that he truly read the mri - only because he referred to the disc that had a typo on it in report and not the one that was noted in findings (where typo was corrected). I have DDD C4 - C7 and have some narrowing of foremina; multiple herniations. The one causing moderate to severe stenosis is the one I was told could be compressing ... well, taking into account the typo.

    He is too far and did not seem interested in providing interim care. So - I will see the pain management specialist and hopefully be referred to a local neurosurgeon.

    In the interim I have changed diet and begun getting back into motion. I was told to do nothing until had evaluation. That meant weight gain and poor diet. The tension felt out of fear alone hurt and kept me awake for about ten days after I heard about the CSM. Now I am working toward resolving the fears and being pro-active. Chuckstr has been wonderful and full of suggestions. I will check out the NIH - perhaps a pm with more detail. Trying not to be online too much - that does cause discomfort at moment.

    Short term steroids may calm things down, or perhaps trigger point injection. Honestly, I prefer a holistic approach and am hoping to stick to moist heat and the like.

    So many questions and it is wonderful to hear from people who have been on this journey for a while.

     
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