Spinal Disorders and Diseases | Neuropathic Pain Examples and Treatment | Spine Doctor | Vail, CO

#spinedisease #neuropathicpain #spinedoctor
https://neckandback.com/studyspine
Dr. Corenman discusses Neurological and Non-Degenerative Spinal Disorders and Diseases. His favorite quote by Osler is “You see what you look for and find what you know.” If you are not aware that these disorders occur, you will never think about them and won’t know what to do.

The first one is quite common unfortunately: neuropathic pain. This is pain generation without current nerve or tissue injury. You have chronic pain signals delivered like a doorbell with a short circuit but no tissue damage. This occurs because the nerve itself can become crushed, stretched, inflamed or a have a vascular injury to the nerve. A “leaky” nerve membrane or a sodium/potassium pump failure may occur. The patient may experience a burning pain, constriction (“tight band), allodynia (pain generated from innocuous stimulation (touch or pressure) is common, and hyperalgesia. The nerve damage pain signals are relentless and become amplified known as the “rock in the sock. This is worse at night by can be affected by activity.

One easy way to remember which abdominopelvic organs are retroperitoneal is to use a mnemonic such as SAD PUCKER:
S = Suprarenal (adrenal) glands.
A = Aortal/Inferior Vena Cava
D = Duodenum (second and third segments)
P = Pancreas
U = Ureters
C = Colin (ascending and descending only)
K = Kidneys
E – Esophagus

The other topics highlighted include: referral and cyclical patterns of various retroperitoneal organs, history/physical examination of neurological disorders, myelopathy, multiple sclerosis, polio, Tabes Dorsalis, amyotrophic lateral sclerosis, Parkinson’s disease, Charcot Marie tooth disease, Lyme disease, Guillain Barre Syndrome, Herpes Zoster (Shingles), Parsonage-Turner Syndrome, Diffuse Idiopathic Skeletal Hyperostosis (DISH), Autoimmune Vertebral Involvement (Spondyloarthropathies), Unilateral SI Involvement (Seronegative Spondyloarthropathies), Ankylosing Spondylitis and physical exam findings,, Ankylosing Spondylitis II, Reiter’s Syndrome, Psoriatic Arthritis, Enteropathic Arthritis, and Rheumatoid Arthritis.

Dr. Corenman talks about Polyneuropathy (peripheral neuropathy). This is length dependent: nerve of equal length are equally involved (symmetric). Sensory loss equal in both feet and ascend up the legs equally. By the time the numbness gets to the knees, the bilateral hands become involved (fiber-length dependent). There are also metabolic peripheral neuropathies.

Lastly, Dr. Coreman touches on RSD/CRPS (Complex Regional Pain Syndrome) of which there is no cure. He closes on myopathies, fibromayalgia and medico-legal considerations.

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With more than 30 years of experience, Donald Corenman, MD, DC, is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. His training as a Doctor of Chiropractic early in his career did not satisfy his desire for a deep understanding of the mechanics of the spine. This led him to medical school where he completed his Doctor of Medicine, Orthopedic Surgery Residency and Spine Surgery Fellowship. His study of spinal disorders and deformities brought him to Vail, Colorado where he joined The Steadman Clinic in 1994. With personalized clinical care a cornerstone of Dr. Corenman’s practice, he has been awarded the “Top 10 Doctor Award”, “Patient’s Choice Award”, “Compassionate Doctor Recognition” and is consistently recognized by Becker’s Spine Review in “Top Spine Surgeons to Know.”

Dr. Corenman has published two books: for patients, “Everything You Wanted to Know About the Back: A Consumers Guide to the Diagnosis and Treatment of Lower Back Pain” and for the medical community, “The Clinician’s Guidebook to Lumbar Spine Disorders: Diagnosis & Treatment”. He is passionate about educating patients on spine anatomy and disorders, so they have the ability to partner with their physicians in finding the most effective treatment for their back pain and disorders. His focus on peer education earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles.