Thursday, May 7, 2015

PC3 Positional cervical spinal cord abutment

I've been watching videos from "offerutah" on YouTube. They are an advocacy group for fibromyalgia and chronic fatigue syndrome. There is a lot of good information on the videos by doctors who have been specializing in this area. A couple of the videos discuss positional spinal cord abutment. This is a situation where discs or other spinal components bump your spinal cord as you move your neck around. When your spinal cord is touched, it sends a message to your brain stem which sets off your fight or flight response. This raises blood pressure and temperature and causes severe flushing of entire body. It's very uncomfortable and heightens your pain.

This is what I have been experiencing since my neck injury while getting a root canal on December 29, 2011. This did not show on an MRI or CT Scan because those tests have you lay in a stable position and nothing is wrong when your neck is perfectly aligned.

The video I watched from Offerutah discussed a functional MRI where your head is flexed and extended so they can see this abutment. The doctor on the video, Dr. Andrew Holman, said that this abutment diagnosis can only be fixed with surgery.
There is one MRI in the St. Louis area that has this flex/extension capability. I'm working on getting an appointment to verify that I have this condition.  Then, if I can get this one thing fixed, then I'll know what's left to deal with.

Absent of this diagnosis, this doctor advocates using Mirapex for pain that is set off by autonomic nervous system disregulation. He says that this medication was beneficial if the patient does not have spinal cord abutment or sleep apnea.

I am not the expert here but his discussions make a lot of sense. If you think any of these issues apply to you, watch his two videos. The first is "Fibromyalgia: A Unifying Theory".  The second is "Treatment Pearls: Fibromyalgia".

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