Comments on: Upper Cervical Spine Injury – An Overview http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/ Orthopedic Care and Consultation Fri, 10 Feb 2012 00:06:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Dr Arun Pal Singh http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-4448 Dr Arun Pal Singh Tue, 22 Feb 2011 02:00:13 +0000 http://boneandspine.com/?p=1843#comment-4448 @stephanie oneal-guertin, Did you see spine specialist. Was an MRI or CT done. Does collar alleviates pain or reduces it? @stephanie oneal-guertin,

Did you see spine specialist. Was an MRI or CT done. Does collar alleviates pain or reduces it?

]]> By: stephanie oneal-guertin http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-4361 stephanie oneal-guertin Wed, 09 Feb 2011 14:40:26 +0000 http://boneandspine.com/?p=1843#comment-4361 I am a physical therapist and I suffered an injury in 2005 where a suitcase fell on my head in an airplane and have since had significant issues. I have seen specialists and they note that the radiographs are unremarkable. My issues are that my upper cervical pain results in severe headaches which are only relieved by manipulation- strong right end range rotation(pain is on left side upper typically). I have had facet injections, trigger point injections and all forms of PT including traction. I have not gotten any relief from any of it. It occurs with lifting and poor posture/positioning i.e. falling asleep on couch, or also if looking to one side for prolonged periods(I was watching TV at an angle while working out on an elliptical). It has also occurred multiple times on a boat when in rough water. I am desperately seeking answers to fix this issue as it happens frequently- 2-6x month. It seems to get worse with time. I have taught my spouse to do the manipulation so we can self manage at home. Help! Who do I turn to for help? Thanks! It is affecting all areas of my life including my career. I am a physical therapist and I suffered an injury in 2005 where a suitcase fell on my head in an airplane and have since had significant issues. I have seen specialists and they note that the radiographs are unremarkable. My issues are that my upper cervical pain results in severe headaches which are only relieved by manipulation- strong right end range rotation(pain is on left side upper typically). I have had facet injections, trigger point injections and all forms of PT including traction. I have not gotten any relief from any of it. It occurs with lifting and poor posture/positioning i.e. falling asleep on couch, or also if looking to one side for prolonged periods(I was watching TV at an angle while working out on an elliptical). It has also occurred multiple times on a boat when in rough water. I am desperately seeking answers to fix this issue as it happens frequently- 2-6x month. It seems to get worse with time. I have taught my spouse to do the manipulation so we can self manage at home. Help! Who do I turn to for help? Thanks! It is affecting all areas of my life including my career.

]]> By: Dr Arun Pal Singh http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-4210 Dr Arun Pal Singh Sat, 22 Jan 2011 07:58:44 +0000 http://boneandspine.com/?p=1843#comment-4210 @Brad Foxx, As for as temperament is concerned the concussion ot the head could be the cause or the stress of the trauma can result in behavioral changes. His heart and blood pressure can be due to injury in the neck. If they are not severe they should go with time. Follow your doctor's advice. @Brad Foxx,

As for as temperament is concerned the concussion ot the head could be the cause or the stress of the trauma can result in behavioral changes.

His heart and blood pressure can be due to injury in the neck.

If they are not severe they should go with time. Follow your doctor’s advice.

]]> By: Brad Foxx http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-3984 Brad Foxx Wed, 05 Jan 2011 22:19:14 +0000 http://boneandspine.com/?p=1843#comment-3984 hello. i'm asking in regards to my brother-in-law who suffered a mild concussion back in october due to a bad fall. he has now been diagnosed with a ruptured c1 and c3 and a herneated c2. what i need to know is if this could be the cause of his recent heart and blood pressure problems as well as his temperment changes. lately since the injury he's been much easier to get stressed out and lose his temper. i feel that this also could be connected to the ambien that his doctor prescribed him. but i'm no professional. all i can do is pay attention to changes in his personality and try to care for him as best i know how. and answers or suggestions would be greatly appreciatted hello. i’m asking in regards to my brother-in-law who suffered a mild concussion back in october due to a bad fall. he has now been diagnosed with a ruptured c1 and c3 and a herneated c2. what i need to know is if this could be the cause of his recent heart and blood pressure problems as well as his temperment changes. lately since the injury he’s been much easier to get stressed out and lose his temper. i feel that this also could be connected to the ambien that his doctor prescribed him. but i’m no professional. all i can do is pay attention to changes in his personality and try to care for him as best i know how. and answers or suggestions would be greatly appreciatted

]]> By: Dr Arun Pal Singh http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-2962 Dr Arun Pal Singh Sat, 28 Aug 2010 16:18:05 +0000 http://boneandspine.com/?p=1843#comment-2962 @Michele Humbertson, Please go through this article http://boneandspine.com/spine/cervical-spine/what-is-os-odontoideum/ @Michele Humbertson,

Please go through this article
http://boneandspine.com/spine/cervical-spine/what-is-os-odontoideum/

]]> By: Michele Humbertson http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-2886 Michele Humbertson Thu, 19 Aug 2010 23:18:48 +0000 http://boneandspine.com/?p=1843#comment-2886 Please explain what an ununited dens, or os odontoideum, with a result of stenosis of the carniocervical junction. What can be done if anything also how serious is this. I had a c1-c2 fracture in the past,currently have cerclage wiresfusing that area. any help at all would be greatly appreciated. Please explain what an ununited dens, or os odontoideum, with a result of stenosis of the carniocervical junction. What can be done if anything also how serious is this. I had a c1-c2 fracture in the past,currently have cerclage wiresfusing that area. any help at all would be greatly appreciated.

]]> By: Upper Cervical Injury – Rupture of Transverse Ligament | Bone and Spine http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-2046 Upper Cervical Injury – Rupture of Transverse Ligament | Bone and Spine Sun, 31 Jan 2010 03:31:43 +0000 http://boneandspine.com/?p=1843#comment-2046 [...] presentation would be like other injuries of upper cervical spine. The xrays may reveal anterior subluxation of ring of C1 on lateral views in [...] [...] presentation would be like other injuries of upper cervical spine. The xrays may reveal anterior subluxation of ring of C1 on lateral views in [...]

]]> By: Dr Arun Pal Singh http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-2008 Dr Arun Pal Singh Tue, 26 Jan 2010 04:09:27 +0000 http://boneandspine.com/?p=1843#comment-2008 @Cindi Larouche, What is being told to you does not make much sense. It is quite difficult to make on xrays that atlas or any other vertebrae has rotated unless the rotation is substantial. Only way to confirm is to get a better investigations like CT. I am surprised that somebody suggested that one can realign vertebra manually. It is something that is difficult do even during the surgery. Position during the surgery cannot cause change in the vertebral alignment. It does not happen like that. Our body is quite strong to bear all this. Otherwise, one would have problems every morning after sleep. So I do not understand what is being done. Moreover, do not put yourself at risk with getting your neck maneuvered. I have seen very bad outcomes of neck manipulations. <B>What should you do</B> Visit your doctor and tell him about the symptoms. Get investigated and diagnosed. However, if you still want to investigate your atlas rotation, a CT would help. @Cindi Larouche,
What is being told to you does not make much sense. It is quite difficult to make on xrays that atlas or any other vertebrae has rotated unless the rotation is substantial.

Only way to confirm is to get a better investigations like CT.

I am surprised that somebody suggested that one can realign vertebra manually.

It is something that is difficult do even during the surgery.

Position during the surgery cannot cause change in the vertebral alignment. It does not happen like that. Our body is quite strong to bear all this. Otherwise, one would have problems every morning after sleep.

So I do not understand what is being done.

Moreover, do not put yourself at risk with getting your neck maneuvered.

I have seen very bad outcomes of neck manipulations.

What should you do

Visit your doctor and tell him about the symptoms. Get investigated and diagnosed.

However, if you still want to investigate your atlas rotation, a CT would help.

]]> By: Cindi Larouche http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-1986 Cindi Larouche Wed, 20 Jan 2010 17:06:46 +0000 http://boneandspine.com/?p=1843#comment-1986 I had surgery to remove a substernal goiter several years ago. I have had pain, dizziness, tremors and visual distrubances ever since. I have been to numerous pain clinics resulting in no relief. Recently, I went to see an upper cervical chiropractor and he took x-rays that showed that my Atlas (C-1) was rotated 7 degrees. He has been trying to re-align it with no success. Whenever he does align me, I have terrible side effects including burning on both sides of my neck which travel down my spine, into my legs, all the way to my ankels. My shoulders, arms and face also burn. He is definitely stimulating my nervous system, but it is not helping. He believes that the position of my neck during the surgery caused my Atlas to rotate and my cervical vertebre is irritating my sympathetic nervous system. If he is correct, is there anyway to correctly diagnose the rotation of my Atlas using radiographic techniques and do you have any suggestions of treatment for my symptoms. I had surgery to remove a substernal goiter several years ago. I have had pain, dizziness, tremors and visual distrubances ever since. I have been to numerous pain clinics resulting in no relief. Recently, I went to see an upper cervical chiropractor and he took x-rays that showed that my Atlas (C-1) was rotated 7 degrees. He has been trying to re-align it with no success. Whenever he does align me, I have terrible side effects including burning on both sides of my neck which travel down my spine, into my legs, all the way to my ankels. My shoulders, arms and face also burn. He is definitely stimulating my nervous system, but it is not helping. He believes that the position of my neck during the surgery caused my Atlas to rotate and my cervical vertebre is irritating my sympathetic nervous system. If he is correct, is there anyway to correctly diagnose the rotation of my Atlas using radiographic techniques and do you have any suggestions of treatment for my symptoms.

]]> By: What Is Open Mouth View Xray? | Bone and Spine http://boneandspine.com/spine/upper-cervical-spine-injury-an-overview/comment-page-1/#comment-1748 What Is Open Mouth View Xray? | Bone and Spine Mon, 16 Nov 2009 15:24:38 +0000 http://boneandspine.com/?p=1843#comment-1748 [...] It is a very useful view in traumatic injuries of upper cervical spine. [...] [...] It is a very useful view in traumatic injuries of upper cervical spine. [...]

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