I have a question for the esteemed group members out there: Is there a possible connection between cervical spine issues and central apnea?
Yesterday I went to the orthopedic urgent care in Columbus (a rather novel concept) - as both my shoulders were bothering me, last weekend I had replaced the AC compressor in my wife's car and I thought I had just over done it. When the sympoms of pain in may neck, shoulders and upper back would not resolve, and 550 mg of naprosyn would no longer touch it, I decided to go in. After a pretty complete history and physical I had related to the orthopedic a lengthy history of shoulder problems, headaches and upper back and neck pain. I also indicated a family history of osteoarthritis and cervical spondylosis in both my mom and dad. In addition to a right and left shoulder series they ordered a A/P and lat c-spine
This xray indicated (see above), as he dictated his report in the room, severe cervical spondylosis at the C5-7 levels. Additionally there are bone spurs and degenerating discs between C5-C6 and C6-C7. From my anatomy classes I know the some of the phrenic (breathing) nerves come out between C4, C5, and C6. What is the possibility that the swelling and pinching in this area have something to do with my rising central apnea? Over the past two weeks, as my neck has been getting worse, my central apneas have been going through the roof- normally my AHI is about 1.5 to 2.5, now it is 12.5 to 15 with most of it being central apnea's.
I am going to try to get in with my wife's neurosurgeon this week and possible my sleep doctor if warranted. Currently the orthopedic put me on prednisone for inflammation and told me to follow up with my primary care and possibly a neurosurgeon or spine specialist as well. Anyone else experienced anything similar?