![]() If you have questions about it, please ask. I recommend reading through the MFR discussion and watching videos there of John Barnes treating a patient and explaining the process. If a PT can just stretch on the skin surface without any force put on your spine, your doctor may accept that. You probably have orders for no twisting, bending, lifting, etc. I did use my hands to gently pull on the skin downward with out moving anything in my neck which helped relieve the pressure. My PT would not touch any part of my neck until I was fused, and the pain from the tightness was driving me crazy. ![]() Did you have a fusion or artificial disc replacement? Because a fusion takes a long time to heal and begin to fuse (perhaps 3 months or more), you may need to wait to do PT until after that time has passed. It's likely that at this early stage, your surgeon would put limits on what a physical therapist could do. Myofascial Release Therapy (MFR) for treating compression and pain: It helps me a lot, and you may want to try it. I have done this MFR for years for thoracic outlet syndrome (TOS), and after my cervical spine surgery. The beginning pages have lots of links to information. Here is our discussion on myofascial release or "MFR". You may want to call your insurance and find out how much PT they would cover. ![]() You wouldn't need to make a return trip for an exam. Insurance doesn't always cover it if it is stated as being myofascial release, but the PT's know how to code this as manual therapy units and other physical "re-education". My suggestion is to contact your surgeon on the patient portal and ask for a physical therapy script for treatment of the pain. There is a physical therapy technique called myofascial release that can stretch out and "release" the tight fascia. It tends to tighten up and create tension in the body and it can cause pressure on something else like a nerve. At 6 to 8 weeks post surgery, the incision has healed and formed scar tissue, not just on the skin, but internally in the connective tissue known as fascia. If the pain started with the surgery and was continuous since then, I would think it was a side effect of the surgery. A blue light filter system highlights the the presence of fluorescein.That is a very important clue that your pain started a couple months after your spine surgery. The CSF appears fluorescent green due to the administration of fluorescein through a lumbar drain. ![]() This video depicts endoscopic visualization of a skull base defect with an obvious CSF leak. In the past, this required open brain surgery (i.e., craniotomy) for repair, but today, almost all CSF leaks can be closed by working through the nose and sinuses with endoscopic instruments (i.e., no external incisions). In some patients, the CSF leak occurs spontaneously that is, the leakage of spinal fluid starts without an easily identifiable cause.īecause untreated CSF leaks can lead to meningitis and brain infection, repair of CSF leaks is recommended. Causes of CSF leak include trauma and both sinus and brain surgery. For a CSF leak to occur there has to be a breakdown in the barrier that separates these two spaces. The leakage of cerebrospinal fluid (CSF, more commonly known as spinal fluid) occurs when there is an abnormal connection between the CSF-containing space around the brain and the paranasal sinuses.
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