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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Balance Of Movement After A Broken Neck At C4 And C7?

I broke my neck the c4 was broke in 2 places and my c7 was disintegrated every since I broke my neck I have not had the urge to go to the restroom to have a balanced movement is there no nerves in the next that would give me the sense to go or that controls the sense for me to go
Tue, 29 Dec 2015
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Neurologist, Surgical,  's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. As you are having cervical region fracture, it can cause involvement of all limbs. But first we have to evaluate C4 and C7 fracture whether they are causing spinal cord or nerve compression. If it is present, then decompression of canal/cord is needed. It will prevent further damage, relieves swelling and if damage is temporary, it will reverse it. Decompression can be achieved by surgery. Sometimes stabilisation of spine with instrumentation is also done to prevent further damage.

Drugs are not very effective. Only steroid like methylprednisolone can help to some extent, if it is given in high dose and within 8 hours of injury. After that, there is no use. There are few drugs like methylcobalamine, free radical neutralisers but role is not established. But if you are having stiffness, then
: Baclofen tablet can relieve it. Usual dose is 10mg thrice a day what I prescribe.
: Tizanidine.
: Clonazepam
: Botulinum injection in muscle
: Baclofen pump implantation.
You can discuss it with doctor and take medication after proper prescription. Do not self medicate.

Physiotherapy which involves strengthening of muscles and stretching to relieve spasm. It involves moving all joints' there complete range. You can take help of physiotherapist. It can only be started after neck stabilisation.

Thanks. Hope it will help you. Take care.
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What Causes Difficulty In Balance Of Movement After A Broken Neck At C4 And C7?

Hello. Thanks for asking from HCM. I can understand your concern. As you are having cervical region fracture, it can cause involvement of all limbs. But first we have to evaluate C4 and C7 fracture whether they are causing spinal cord or nerve compression. If it is present, then decompression of canal/cord is needed. It will prevent further damage, relieves swelling and if damage is temporary, it will reverse it. Decompression can be achieved by surgery. Sometimes stabilisation of spine with instrumentation is also done to prevent further damage. Drugs are not very effective. Only steroid like methylprednisolone can help to some extent, if it is given in high dose and within 8 hours of injury. After that, there is no use. There are few drugs like methylcobalamine, free radical neutralisers but role is not established. But if you are having stiffness, then : Baclofen tablet can relieve it. Usual dose is 10mg thrice a day what I prescribe. : Tizanidine. : Clonazepam : Botulinum injection in muscle : Baclofen pump implantation. You can discuss it with doctor and take medication after proper prescription. Do not self medicate. Physiotherapy which involves strengthening of muscles and stretching to relieve spasm. It involves moving all joints there complete range. You can take help of physiotherapist. It can only be started after neck stabilisation. Thanks. Hope it will help you. Take care.