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Pastimes : Don't Ask Rambi -- Ignore unavailable to you. Want to Upgrade?

To: jpmac who wrote (43825)	12/22/1999 5:17:00 PM
From: Crocodile	Respond to of 71178

Sounds like fairly good news to me.... Of course, it would have been nicer if a simple magical spell could put everything right. However, in the absence of an effective spell, this sounds quite acceptable.

To: jpmac who wrote (43825)	12/22/1999 6:11:00 PM
From: Ilaine	Read Replies (1) \| Respond to of 71178

Think you left out a word in the following sentence, probably "herniated" ~ Moderate to large left paramedian and left lateral discs are present at C6-7 and C5-6 probably should read Moderate to large left paramedian and left lateral herniated* discs are present at C6-7 and C5-6*, right? So the working hypothesis is that the herniation is impinging on the nerve roots?

To: jpmac who wrote (43825)	12/22/1999 6:42:00 PM
From: Ilaine	Read Replies (1) \| Respond to of 71178

Quick anatomy lesson from "The Adult Spine - Principles and Practice," 2d. ed., Volume 1, pages 1328-1329: "The C5 root involves the shoulder (deltoid muscle - shoulder abduction). The C6 root primarily supplies the elbow flexors (biceps and brachialis muscles) and the wrist extensors (extensor carpi radialis longus and brevis and extensor carpi ulnaris muscles). The C7 root is basically the antagonist of the C6 root (elbow extension - triceps muscle, wrist flexion - flexor carpi radialis and flexor carpi ulnaris muscles), with with addition of finger extension at the metacarpal phalange (MP) joints. The C8 and T1 roots primarily supply the hand extrinsic muscles, with the C8 roots primarily responsible for flexion at the MP joints and the T1 roots supplying the abductors and adductors of the fingers." (Snip) "The cervical nerve roots exist above the corresponding vertebral body. For example, the C5 root exists above the C5 vertebral body. Therefore, a disc rupture of the C4-C5 intervertebral body will usually compress the C5 root. Because the C8 root comes out above the T1 body, the relationship of the nerve root to the disc space is different below the cervical-thoracic junction. As previously noted, patients with cervical radiculopathy have a predominance of proximal pain and distal parethesias. Therefore, a patient with cervical degeneration at C5-C6 with compression of the C6 root tends to have pain down the lateral arm, with paresthesias in the lateral forearm down to the thumb. In addition, the patient may have weakness of the elbow flexors and wrist extensors with hyporeflexia of the biceps and/or brachioradialis reflexes." One thing to keep in mind is that, while the nerves from one nerve root generally innervate a specified part of the body, this does vary somewhat from person to person. If you take the above passage, and compare it with an anatomical representation of the muscles of the body, it should make perfect sense. The MP joints of the hand are the ones between the fingers and the hand.

To: jpmac who wrote (43825)	12/22/1999 7:10:00 PM
From: JF Quinnelly	Read Replies (1) \| Respond to of 71178

Soooo.... You don't have a ruptured disc, but rather some sort of constriction through the cervical tunnel.. and you had this since you were a child? So it's likely not an injury, but instead a defect in the vertebra itself? It sounds promising. Once they get the pressure off of that nerve you will forget you ever had the injury. I forget my old C5 injury unless I try to carry a satchel, and I can live with that.

To: jpmac who wrote (43825)	12/22/1999 9:55:00 PM
From: Ish	Read Replies (1) \| Respond to of 71178

<<Selected parts from "Findings": Limited evaluation of the posterior fossa demonstrates a normal-appearing cerebellum (normal-appearing?). The inferior brainstem is normal (inferior?). Gross alignment is normal (they could stand to change some language, I think)>> Jeez, glad I never had that test done. The good news is scary. Normal-appearing? Inferior brainstem? and they renewed your contract? So you have a C5-7 problem. No bigie, unless you don't have insurance. Like I know a C5-7, but it sounds ok, especially if you have insurance. <<The simple, which he recommends unless we find reason to think it won't be enough, would get me home the day after, with 3 weeks in a brace. >> Wife stepped off a horse and had 10 days in the hospital and 4 months with a brace. No getting up either. She will live through it as you will. Whatever, I sure do hope the slice and dice works out ok. I've had several friends who have had similar on their lower backs and they are happy.

To: jpmac who wrote (43825)	12/23/1999 10:17:00 AM
From: Rambi	Respond to of 71178

jp, trying to work my way through all the medical stuff, and gave up. It sounds as if this will reverse the damage? That the neck pressure may be causing the nerve problems with the arm/hand? If you can correct that, and regain the strength it your hand, it is worth however many months in a cast. DOn't even THINK about what you can't do for three weeks, or even three months, think about what you will be able to do for years after... But you may come here and bitch and we will agree with you and love you and call your doctor names or whatever you need. THough I have never played pool, I will mourn with you, and agree that life without it is meaningless and I don't know how you'll stand it. I love friends who say, yeah, you;re right, no matter what. I have a great friend who always asks, do you need an objective opinion, or do you want a friend? Because most of us already know the facts, and don't want opinions, I usually opted for the friend. Who needs to be told to have a stiff upper lip? That's for public show. DAR is for the quivery lip times. Sounds like good news overall, though. Love ya!