Dear Doctor Sood,
I agree with a combination of Kevin Reece's e-mail and a comprehensive
overhaul of the patients muscle control around his upper quadrant. As for
surgery rather him than me.
Simon on Chris McLean's e-mail address
> -----Original Message-----
> From: Sood [SMTP:[log in to unmask]]
> Sent: 08 September 1999 19:18
> To: [log in to unmask]; indiaorth; [log in to unmask];
> manual-therapy; [log in to unmask]; [log in to unmask];
> [log in to unmask]
> Subject: Painless prolapse
>
> Dear friends,
> Opinion of house is sought ,regarding following
> case ;
> 45 yrs old male ,nondiabetic ,non hypertensive well
> built (!02 Kg) shopkeeper
> was asymptomatic 9 month back when he developed pain and
> weakness
> in both knee ,with numbness on medial sides of both
> thieghsfor which he consulted his family doctor who advised some NSAIDS
> and Vitamins.About 2months back he developed numbness in the Rt. forearm
> on medial side and 4th & 5th finger followed by left arm .45 days back
> he felt sense of constriction on tightness with numbness around
> umbilical area.For which he consulted a neurosurgeon who ordered a MRI.
> Upon Examination there is NO pain in any part of body.Range
> of motion of cervical
> spine is normal.Their is no muscle wasting or loss of power ,or
> tremors.No bladder or bowl symptoms.
> No history of fever or trauma.No relevant past or family
> history.ESR;21,Blood Sugar Level fasting 98.MRI Report;
> Right paramedian herniation of the nucleus Pulposus(Extrusion) C5-C6 disk
> and causing impingement on the cord and the right C6 nerve root.
> Neuro surgeon advised him;Surgery i.e Ant. C5-c6 discoidectomy with iliac
> Crest fusion.
> Patients has come to me with request to save him from surgery.Can We
> help him without knife?
> Dr.Sarveshwar Sood
> Orthopaedic Surgeon & Head Department of Physical
> Medicine & Rehabilitation
> S.B.L.S.Hospital
> 812/1,Housing Board Colony
> Model Town,Jalandhar city
> Punjab State.India
> E-mail [log in to unmask] <mailto:[log in to unmask]>
>
>
>
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|