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Question
Dear Dr. Gillman,
My father who is 50 years old and is a computer engineer, has back pain at the C6 – T1 level during the last 6 years.
The MRI shows dorsal hernia of the C5-C6 and C6-
C7 intervertebral disc not involving the spinal cord.
First of all, what is the C6-T1 level? and C5-C6, C6-C7?
Also,Which clinical explorations can be used?
Many thanks,
Yvette
Yvette,
These are the discs in the lowest few vertebra of the neck. If the discs are not toughing the spinal cord or any of the nerves, then he likely does not need surgery. He simply needs to try manual therapy, including joint manipulation, mobilization, manual tractioning, exercises, and ergonomic changes (e.g. not sitting at a computer all day). If these do not help, then he needs to see a Physiatrist or other "Interventional Pain Management" specialist. These are MD's that do injections into different joints of the neck with the goal of knocking out the pain. Some patients do the injections and the manual therapy together.
'Hope this helps,
Dr. G
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Answers by Expert:
- Scott F. Gillman, DC, DACBSP
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Scott F. Gillman, DC, DACBSP
Expertise
21 Years in practice: I can answer any question regarding chiropractic and sports medicine treatment. Mostly, I can help the unknowing public understand what is safe, valid, reasonable and evidence-based, and what kinds of unscrupulous chiropractors and fraudulent methods to stay away from. I have an advanced specialty degree in Chiropractic Sports Medicine. I have experience treating elite and Olympic athletes.
Experience
Experience:
- 21 years in practice;
- Pan American Games, 2011: Official Medical Staff for the Pan Am Games.
- Beijing 2008 Olympic Games: World Olympians Associan and International Sports Chiropractic Association Healthcare Team;
- International Chiropractic Sports Sciences Diploma;
- Official Provider: Jamaican Track and Field team for Penn Relays (2009-2011)
- Experience with USA Gymnastics Healthcare team and International Powerlifting Association Medical Staff;
- 300 hour chiropractic sports medicine diplomate degree (DACBSP); International Chiropractic Sports Sciences Diploma (ICSSD)
- Healthcare Consultant: Century, Ty-Wood Corp. Holliston, MA (2005-2007)
- Team Chiropractor: Boston Bulldogs USL D-3 & Boston Renegades USL W-1 League (1999-2004)
- Independent Examiner: Scope Medical and The Physician's Network
- Professional/Clinical Monitor: Affiliated Monitors, Inc.
- Board of Directors: MetroWest Chamber of Commerce (Massachusetts)2000-2006
- "The Impact of Chiropractic Manipulative Therapy on Chronic Recurrent Lateral Ankle Sprain Syndrome in Two Young Athletes" J. of Chiro Med , Fall 2004
- "Work Related Injury;" The Hanover Report, June, 1993
- "Long Lasting Analgesic Effect of Oxymorphonazine in Rats;" Agonists and Antagonists III, n.7675, 1985
- BS Biology, Doctor of Chiropractic: Northwestern College of Chiropractic,
- Diplomate: American Chiropractic Board of Sports Physicians (DACBSP)
Education/Credentials
Doctor of Chiropractic Diplomate: American Chiropractic Board of Sports Physicians
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