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Dr. Donald Corenman is one of a handful of individuals that are both an MD and doctor of chiropractic (DC). His practice with the Steadman Clinic in Vail, CO serves the Vail Denver area and patients traveling from the US and abroad seeking resolution for chronic back pain and failed surgical treatment.

This video is Part 2 in the Series covering inflammatory, autoimmune, infectious diseases that mimic lower back pain.

VIDEO 2 of 3 in this Series (http://neckandback.com); Dr. Donald Corenman, MD, DC is a spine expert in Colorado working at the Spine Institute at the Steadman Clinic in Vail, CO. Dr. Corenman recently launched a spine resource site on the Internet for patients, physicians and other spine surgeons seeking additional information. You can visit his website at http://neckandback.com to learn more about his expertise and about all spinal conditions and surgeries.

Dr. Corenman, spine expert in Colorado, is a passionate researcher, lecturer and educator on all areas of the spine. He is also an expert on topics associated with inflammatory, autoimmune, infectious diseases, as they are common diseases that can be causes of lower back pain and also mimic neck pain, leg and arm pain and other symptoms associated with conditions of the back.

This lecture video is designed for the professional (M.D., D.O., Chiropractor or Physical Therapist). This is the second part of a three part lecture on diseases that mimic back pain or causes lower back pain that need to be considered in the differential diagnosis of these symptoms. This video discusses the various inflammatory, autoimmune, infectious diseases that can mimic these pains.

You can view more spine related presentations for public viewing by visiting: http://www.slideshare.net/neckandback ; For spine images, visit: http://www.flickr.com/photos/neckandback/ ; To visit Dr. Corenman on LinkedIn, visit: http://www.linkedin.com/in/drdonaldcorenmanspinesurgeon

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This talk on specific pathological disorders of the spine will be getting into the meat and potatoes of the spine. This discussion is not going to be fully engrossing, but rather an overview of the things that can go wrong.

The topics that are covered during this lecture include: facet injury and degeneration, degenerative spondylolisthesis mechanics, spondylolisthesis canal changes, degenerative spondylolisthesis symptoms, ganglion cysts due to facet failure, lateral recess stenosis, extension narrows the lateral recess and foramen, central stenosis (narrowing of the canal and changes with flexion and extension), CT myelogram of stenosis, isthmic spondylolisthesis late findings loading and slip, spondylolisthesis with slip (late diagnosis of spondylolysis, Pars stress reactions (prior to a fracture), initial onset of Pars fractures, Pars fractures with displacement and spondylolisthesis with Pars atrophy.

Dr. Corenman dives into a discussion regarding herniated discs with leg pain. Many patients will have back pain for months to years. They may bend forward and feel a “pop in their back” and feel jolted. For a day and half, patients are thrilled until the inflammation of the nerve comes on and their leg is on fire. This is a common scenario. Be very wary if a patient comes into your office and says, “I got a pop in my back and now they feel great.” In two days, if they aren’t complaining about leg pain, they won the lotto; however, most of them will have a leg herniation.

There are two nerve roots at any disc level that can be affected. More topics highlighted in this lecture include: HNP locations and root involvement, herniation causing central stenosis (note flexion of spine and CT myelogram), antalgia, femoral nerve HNP (L2-4), foraminal collapse, bent knee flexed forward stance/gait, causes hyperlordosis, hyperkyphosis of the thoracic spine, osteopenic khyphosis from the loss of vertebral body height, Scheuermann’s disorder (which occurs in young kids with soft bones), sagittal alignment (flat back syndrome) and DDD, new annular tears, thru and thru annular tears, and causes of annular pain.

Unfortunately, we are designed to have back pain which is a problem. Dr. Coreman elaborates on the beginning of degenerative changes (normal disc versus annular tear). So what happens over years and years with these degenerative changes? The disc can erode away and disappear. Dr. Coreman finishes his speech talking about Lumbar DDD (narrowing/measurement of the disc space), Isolated Disc Resorption (IDR), Modec Type I and II changes, myelopathy, Diffuse Idiopathic Skeletal Hyperostosis (DISH), arachnoiditis, hip pincer and CAM lesions, hamstring apophysitis, sacroiliac joint, metastatic disease, conus syringomyelia, and intrathecal tumors.

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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.
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