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Even the hubby said I might just need to go to Mayo. Spinal fusion is a common form of back surgery used to treat several kinds of back problems, including scoliosis, vertebral weakness, and herniated discs. What you should do is get together copies of all of your imaging before and after your spine surgery. WebA physical therapist will help you regain muscle and joint strength and restore full range of motion in the cervical spine. The hospital team will monitor several metrics to determine the best time to discharge you. WebIn the end, after recovering from anterior cervical fusion surgery, most patients report significant improvements and a decrease in pain. Disclaimer. It is possibly you might have a tad of permanent nerve damage but you won't know for many more months. Now, 6 months later, Im told my by my surgeon my fusion is healing perfectly and xray confirms this. When I do things with friends and family, I pay the price dearly. PMC Thank you for choosing Dr. Corenman as your healthcare provider. But you cant know this for sure until almost a year has passed. Its a slow healing process, but in the end, the operation may end up being successful. Permanent Restrictions After Spinal Fusion Three to six months after surgery: You can advance your level of activity but avoid lifting, twisting and bending in combination. Some patients may need to start physical therapy about a month after ACDF and continue it for a couple more months. Operative outcomes for cervical myelopathy and radiculopathy. Here are a few of the findings: CLINICAL INDICATION: Radiculopathy, cervical region ACDF spanning C3-C6. Along with the neck pain, I am also having shoulder pain. I don't feel like I had spine surgery, and I feel much younger than when I was living with the pain from the spine problem. As I told you before I have a bad neck too, but PT seems to help, but my back is a mess. 2002 Jun;22(2):179-86. doi: 10.1055/s-2002-36541. Facet generated pain will not be demonstrated by an MRI and has to be diagnosed by facet blocks (see website). WebTypical Physical Therapy after ACDF This is what the patient can typically expect at physical therapy: Pain relief and inflammation are the key concerns at first. Tagged:Shoulder supraprinitus tear after ACDF and increasing thoractic pain. I've asked my surgeon if that same procedure can be performed along my shoulder blades, sides of my neck and other shoulder as I have the same symptoms as you describe in these areas. Hello, I am currently 6 months out from a two level ACDF (c4-c6). In some cases, however, patients go home the same day. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Posts: 55. The expected length of a hospital stay after an anterior cervical discectomy and fusion usually overnight for one or two level procedures. ACDF Recovery Tips. WebThe orthopedist sent Tom for an MRI and, the same day, referred him "right away" to Michael Kachmann, MD, a neurosurgeon with Mayfield Brain & Spine. This inflammation can impact the nerves and cause some numbness. Rheumatoid arthritis of the cervical spine. Small disc protrusions mid and lower thoracic spine w/o mass effect. From my first cervical procecure, I lost complete use of my left arm, which eventually led to shoulder surgery to remove significant inflamation. Before I stumbled across these postings this am and I was like WOW I am not alone.. and I am NOT crazy! You also have surgical scar tissue in an adjacent area if you had a frontal approach in your surgery. Here are a few of the findings: CLINICAL INDICATION: Radiculopathy, cervical region ACDF spanning C3-C6. Findings: The thoracic vertebral bodies are aligned with normal marrow signal. I knew the pain was temporary healing pain, and for awhile, I was tired because my muscles had atrophied, but gradually muscle came back because I was using it. I asked my surgeon what I could do that would lessen my chances of needing his services again, and he told me to build core strength. In some cases, however, patients go home the same day. -Mild degenerative changes of the left AC joint. Number one, you should always be concerned about non-union of the bone graft. Anterior cervical discectomy and fusion without instrumentation. It was from C4-C6 with two spacers and a plate with six screws. Drs fail to tell patients this, instead they go by what they read in textbooks in school. The .gov means its official. Some patients can to return to their daily activities within a week after the ACDF surgery. I had a MRI with contrast on the left shoulder in January to see if it might show something noteworthy and different than the one I had in August. Of course I will be discussing this with the surgeon on Monday but wondered if anyone had thoughts on this image. Results: THE PAIN RETURNED ABOUT 6 WKS AFTER SURGERY. You might want to look at our MFR discussion for information. 2 Anteriorly and 1 posteriorly. I HAVE STABBING PAIN BETWEEN MY SHOULDER BLADES AND SEVERE MUSCLE SPASMS AND PAIN FROM THE BASE OF MY SKULL THROUGH MY SHOULDER AND DOWN INTO MY RIGHT ARM TO MY ELBOW. A thoracic MRI would reveal this disorder. If you had a bone graft taken from your pelvis, you may experience pain, soreness, and stiffness at the incision site. I HAVE STABBING PAIN BETWEEN MY SHOULDER BLADES AND SEVERE MUSCLE SPASMS AND PAIN FROM THE BASE OF MY SKULL THROUGH MY SHOULDER AND DOWN INTO MY RIGHT ARM TO MY ELBOW. My range of motion is normal except that I cannot touch my chin to my chest when I tuck my head, but it is darn close. Keep in mind your body has to heal on the inside & calm down from the trauma of Cord terminates at T12. WebHeadaches after ACDF surgery. She did note I do still have weakness and that because of that, I could be having the pain that I am (i.e. WebThe ACDF helps to relieve symptoms such as neck pain, numbness and tingling in the arms, shoulders, or hand, shooting pain in the arms, weakness of hands, or lower extremities. I've already looked at them, as I have a copy of the disk. Do not use nicotine for at least three months. My therapist told me it is related to my surgery (the doctor didnt do anything wrong). Following surgery the body begins its natural healing process and new bone cells grow around the graft. So far a teny tiny bit of releife. I don't know what ACDF means. It did help get rid of the pain in my left arm and neck for a little while. cervical disectomy fusion c4-5, c 5-6, severe cervical arthr, post anterior cervical disectomy recovery concerns, Numbness post-op c-5 c-6 cervical spine surgery, still in pain after anterior cervical disectomy, Pain in between shoulder blades following Anterior Cervical Discectomy Fushion Surgery-2 weeks Post, post ACDF 4-5,5-6 - still haveTerrible Pain, Anterior cervical fusion c3-4, c4-5, c5-6, Advise of post op symptoms Anterior Cervical Decompression, Cervical spine disectomy, fusion and titanium plate at C6-C7, 7 weeks post-op posterior cervical spine surgery, acdf 2 yrs-chronic shoulder and neck pain, Pain after anterior cervical diskectomy with fusion (ACDF), Neck, shoulder elbow pain. Bone healing may take as long as 12 months, but generally, activities are unrestricted after 3-6 months. I had a choice of fusion or artificial disc, but I wasn't a great candidate for the artificial disc because of 2mm of instability at C5/C6. My neuro has advised that he has fixed the cervical herniations and is at a loss as to what to do for my chronic pain/muscle spasms. Six month after surgery to this day I have pain across my upper back. She is now working the pec area and the arm. If you want to get notified by every reply to your post, please register. You could have thoracic outlet syndrome in addition to the other issues you mentioned and it causes arm and hand pain, and TOS is more common with spine injury patients. 2. If you have pain early on, that can actually just be part of the operation. Here is my patient story. No large paralabral cyst is seen. This surgery involves the removal of a protruding disc from the spine for relief of pressure on the spinal nerves, followed by reconstruction. When I came to Mayo for my workup, first I saw a neurologist from the spine center who ordered tests based on his exam and those were blood tests, nerve conduction EMG, MRI so we had complete imaging of the entire spine to rule out any non-cervical problems, testing in the Doppler lab for thoracic outlet syndrome which they confirmed by testing and the neurology exam, and a follow up with a thoracic surgeon about the TOS, and the exam with the neurosurgeon where he discussed my MRI imaging with me and told me his recommendation. To me, it looks like one of the screws is pushing into an area that maybe it shouldn't. Method: Three years after ACDF about two-thirds of the patients had remaining deficit with regard to pain intensity, Neck Disability Index, Distress and Risk Assessment Method and general health. Welcome to the board. I tend to think that is what I have going on again. I understand your concern with that image. Typically this is nothing to be concerned about. It might. WHEN I STRETCH, IT FEELS LIKE I AM SEPERATING MY SPINE AND I HAVE INTENSE PAIN WHEN RETRACTING FROM THE STRETCH. @amywood20 When Mayo is open again for appointments, I think that would be a good decision to go there. Incorrect Screw Placement Screws and plates are utilized to stabilize the neck during Cervical Fusion Surgery. THANKS FOR ANY REPLY! It's incredibly weird, as so many movements hurt. If you have trouble breathing, call 911 or go to an emergency room immediately. Different Treatment Options For Neck Pain: How Effective They Are? If the cervical facets are causing pain, it is possible that they are referring to the mid thoracic spine but less likely. WebMuscle pain after Cervical Fusion Surgery may be due to a new shoulder injury. X ray of T-spine is negative for any issues there. This is the most common question after three-level cervical fusion surgery. I also work and stretch pec minor because that is a compression point for TOS, and have found some tools I can use to press and stretch it as I roll onto it with my body weight. That is roughly where my pain/stiffness is located (between shoulder blades/thoracic), but Im wondering if the pain is stemming from directly below the fusion site and if that maps to my shoulder blades/rhomboid area. You also have surgical scar tissue in an adjacent If you see a neurologist who specializes in spine issues or thoracic outlet syndrome, that would be best. Along with the neck pain, I am also having shoulder pain. I had acdf at C5-C6. Coronado RA, Devin CJ, Pennings JS, Aaronson OS, Haug CM, Van Hoy EE, Vanston SW, Archer KR. I really haven't had many problems since the surgery, other than my neck being stiff. Back on feb 28 i have 2 disc fusions in my c5/7. WebPain in the back of the neck and between the shoulder blades is common after ACDF surgery. Its a slow healing process, but in the end, the operation may end up being successful. HE SAID THAT SHOULD BE A SMOOTH CURVATURE, NOT A HUMP, BUT CAN'T DO ANYTHING ABOUT THAT AND NOT EVEN SURE THAT IS CAUSING PROBLEM. After surgical intervention (ACDF), 48 patients (68.6%) noted the cessation of shoulder symptoms (pain, weakness, and numbness) during their last visit. It feel like I have done 500 pushups or really strenuous exercise every single day. WebThe ACDF helps to relieve symptoms such as neck pain, numbness and tingling in the arms, shoulders, or hand, shooting pain in the arms, weakness of hands, or lower extremities. No evidence of hardware complication. Maintaining stability of the spine. I think we need to come together and figure this thing out. Compared with the results before surgery patients had improved in pain intensity (p = 0.001), neck pain (0.001), numbness (p = 0.02) and were more 'satisfied' with having their neck problems (p = 0.01). I do have extra tightness on one side of my neck and shoulder that pulls into my rib cage. Confusing MRI, cervical disectomy and fusion surgery complications, C4/5 & C5/6 Fusion with TM100 Plate and Screws - Still pain, numbness much improved, Winged scapula (RH side) following C5 C6 Anterior disectomy, longterm pain after anterior cervical fusion, anterior cervical discectomy and fusion C5/6. I had acdf at C5-C6. Rothman Orthopaedic Institute offers several options for patients with spine disorders. They had to remove the first plate. Most of head turning is done by C1 & C2, with a little bit of movement from C3 & C4. @lindyflock Thank you for asking. If the surgeon doesn't think the cervical spine is causing my ongoing issues I guess I will go back to the shoulder doc to get his thoughts. Complications with anesthesia. Answer: C4-C5 bilateral facet joint injection temporarily alleviated the patients pain, confirming the source of the pain as the hypermobility at C4-C5, rather than pseudoarthrosis. Under these circumstances, you may need an Anterior Cervical Discectomy and Fusion . During the surgery, the spine surgeon accesses the cervical vertebrae from the front of the neck. WebIt is not uncommon to have pain in the neck following fusion surgery which slowly gets better over 12 to 18 months. After 7 months, I have not been able to return to work. Patients may continue to feel some degree of pain three to six months after spinal fusion. To minimize discomfort, avoid sitting or lying down for long periods; change position or take a short walk every 20 minutes or so. I did all the conservative treatment (shots, PT, traction) and finally after 2 years gave in and had the ACDF. You also have surgical scar tissue in an adjacent and transmitted securely. Chiropractic treatment can be effective if this is the case. On Sunday, I rode about 20 miles on hilly terrain and was really exhausted after that because of not riding for months during winter, but now, I feel much stronger. Three years after ACDF about two-thirds of the patients had remaining deficit with regard to pain intensity, Neck Disability Index, Distress and Risk Assessment Method and general health. @amywood20 I'm sorry you are having issues. Neck pain again a year after acdf surgery. It was as close to a miracle I've ever experienced. Cervical fusion is generally considered safe, however, it is major surgery. Long-Distance Consults & Medical Legal: 888-888-5310, Request a Diagnostic or Surgical Second Opinion, Thoracic / Shoulder Blade pain after ACDF 6 months post op, Shoulder supraprinitus tear after ACDF and increasing thoractic pain. After several rounds of facet joints injections, constant NSAIDS and muscle relaxers, my symptoms in my original post have persisted.