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Panorama Orthopedics & Spine Center has been a trusted provider of orthopedic care in metro Denver for more than 70 years. With more than 30 orthopedic surgeons, we are one of the largest and most specialized orthopedic groups in the United States and are known as a leader in orthopedic care. We offer highly trained surgeons and
specialists in sports medicine, spine, joint replacement, orthopedic trauma, foot and ankle, hand and wrist and non-operative pain management. We are committed to excellence in everything we do. That’s why patients of all ages — from children to seniors — trust Panorama Orthopedics to help them get them back to doing the things they love.
Have Questions? Contact Our Office Today! (303) 233-1223

Locations

Golden Office

660 Golden Ridge Rd., Suite 250

Golden, CO 80401

Phone: (303) 233-1223

Westminster Office

8510 N Bryant St. #120

Westminster, CO 80031

Phone: (303) 233-1223

Highlands Ranch Office

1060 Plaza Drive

Highlands Ranch, CO 80129​

Phone: (303) 233-1223

Westminster St Anthony North Office

500 West 144th Avenue, Suite 120

Westminster, CO 80023

Phone: (303) 233-1223

Castle Rock Office

4350 Limelight Ave. Suite 100

Castle Rock, CO 80109

Phone: (303) 233-1223

 

265 Tanglewood Lane. Suite  E-1

Silverthorne, CO 80498

Phone: (970) 262-7400

Matt Boyd

People I know in the medical field who have seen my xrays can’t believe how well I am doing.

Matt Boyd
Patient of Dr. Lodha

Blog

Unraveling the Mysteries of Neck Pain

Posted on November 29, 2018

Do you experience tingling or burning sensations in one or more of your arms or wrists? Is it sometimes challenging to button your clothes or hold coins in your hand? Do you feel numbness or shooting pains in a leg or even experience trouble walking? You may be surprised to learn that any one of these symptoms could be caused by a problem in your neck.

According to Thomas Puschak, MD, an orthopedic surgeon at Panorama Orthopedics, people with neck conditions can experience a wide variety of strange sensations in addition to pain. Some patients report feeling as if ants are crawling on their skin or as if someone is pouring hot or cold water over an arm or a leg. Others describe a profound sense of weakness in one isolated muscle.

Because your neck is connected to your spine, it can send signals down your spinal column to other parts of your body. Pain that originates in one part of your body but is felt in another is called “referred pain.” According to Dr. Puschak, the top two neck conditions that trigger referred pain are cervical herniated discs and cervical spinal stenosis (cervical means neck):

  1. Cervical Herniated Disc (also called a slipped or ruptured disc): a condition in which one of the discs in your spine bulges beyond its hard outer coating, irritating nearby nerves. Herniated discs are usually caused by injury, arthritis or aging. Patients with a herniated disc often experience pain, tightness or cramping in the neck and shoulder areas or tingling, burning or numbness in their arms, wrists or hands.
  2. Cervical Stenosis(also called cervical spinal cord compression): a condition in which the spinal canal in your neck is narrowed due to injury, arthritis or aging. This narrowing causes pressure on your spinal cord or on a nerve root, which can result in a combination of numbness, tingling, weakness or pain in one or both arms, hands or legs.

    Treatment:herniated discs and cervical stenosis are diagnosed and treated similarly.At your first appointment, Puschak will order an X-ray to rule out a fracture. He will also recommend physical therapy (PT) and medications designed to reduce inflammation or to calm nerve hyperactivity. Approximately 60 to 70 percent of patients respond to this treatment within six to twelve weeks.

    If you don’t respond to PT or medications, Dr. Puschak often recommends a corticosteroid epidural injection to relieve pain and reduce inflammation. He may also order an MRI (magnetic resonance imaging) to learn more about the condition.

    If corticosteroid shots don’t work within five to six weeks, Dr. Puschak will consider surgery to relieve the pressure on your nerves. Surgery for both a herniated disc and for stenosis is minimally invasive and involves inserting a small wedge of bone through a tiny incision in the front of your neck. The bone is then fused into place to permanently decompress the area. (In the case of a herniated disc, the damaged disc is removed first.) Both procedures require an overnight stay in the hospital and recovery can take from two to twelve weeks.

    Whether you suffer from a herniated disc, stenosis or another orthopedic condition, Dr. Puschak wants patients to know they have his undivided attention when they come to him. “I take the time to listen and answer all of my patients’ questions carefully,” he says. “It’s very important to me that they understand their condition and all of their treatment options.”