Neck Archives - Michigan Head & Spine Institute Blog


Spinal fractures can be extremely painful. Often, osteoporosis or osteopenia can be the cause of these compression fractures within the vertebra of the spine. These are sometimes referred to as osteoporotic compression fractures due to loss of bone strength in the mid to lower back.

Women more often than men experience these fractures. This condition can occur without a specific injury or be caused by trauma or cancer of the spine. Older women in the Midwest, who have less exposure to the sun and absorb less Vitamin D, are more likely to experience compression fractures.

Kyphoplasty is a painless procedure performed in the office under local anesthesia. Compression fractures often cause a decrease of height or forward rounding of the spine. Kyphoplasty can quickly relieve the pain caused by this condition.

To learn more about how compression fractures affect the vertebrae, watch this educational video.

Todd Nida, M.D., explains the procedure of Kyphoplasty, “First, a balloon is used to expand the disc and vertebral space and removed. Then a surgical glue or cement is used to ‘unscrunch’ the compressed area of the spine.” Dr. Nida says, “the pain is almost immediately relieved, and most patients return to their regular activities the next day.”

Dr. Nida explains the minimally invasive procedure that treats spine fractures caused by osteoporosis to provide rapid back pain relief and straighten the spine.


Christine, a patient of Daniel Fahim, M.D., explains her experience with Kyphoplasty after experiencing seven very painful compression fractures in her mid and lower back brought her life to a halt. After Kyphoplasty, she says, “I’m back” with the goal of walking 20 miles a day in a local breast cancer fundraising walk.

Watch Christine’s story below:

If you have osteoporosis or osteopenia with sudden onset pain in the mid or lower part of the spine it could be a compression fracture. To request a consultation with an MHSI neurosurgeon, call 248-784-3667 or request an appointment at

Chiari MalformationIn her early thirties, Amy experienced very bad and massive migraine headaches. At that time, she went to see a neurosurgeon and was diagnosed with Chiari I malformation. Amy was told she could have brain surgery, but it was an elective surgery. She was told if it’s not bothering you – you shouldn’t fix it. Fast forward to now at age 43.

Amy is a kindergarten teacher of 27 students in her classroom. She would be exhausted and fight to stay awake. Everyday would be a challenge because of fatigue, headaches, and continuous scratching herself to stay awake. Five minutes driving in the car would be very stressful for her and falling asleep at the wheel was becoming a serious issue for Amy.

Chiari malformations are structural defects that occur in the cerebellum, the part of the brain that controls coordination and muscle movement. Previous estimates were that malformations occur in about one in every 1,000 births, but increased use of diagnostic imaging indicates that the disorder may be more common than once thought.

What is Chiari Malformation?

Holly Gilmer, M.D., neurosurgeon and a leading expert in Chiari malformation explains that older children experience headaches, dizziness, ringing in the ears, and problems with vision. One of the most frequent presentations is scoliosis with none of these symptoms except infrequent headaches. Some children may not have noticeable symptoms until adolescence or adulthood. In teen and adult years, problems can include persistent headaches, neck pain, and weakness and/or numbness and tingling in the arms and legs.

Adult symptoms include neck pain, balance problems, muscle weakness, numbness or other abnormal feelings in the arms or legs, dizziness, vision problems, difficulty swallowing, ringing or buzzing in the ears, hearing loss, vomiting, insomnia, or headache made worse by coughing, laughing, or straining. Hand-eye coordination and fine motor skills may be affected. Symptoms can change over time depending on the build-up of cerebrospinal fluid and pressure on the brain, spinal cord, and nerves.

Dr. Gilmer says that “surgical treatment to correct the compression involves removing a portion of the skull and usually part of the C1 vertebra. The cerebellar tonsils are usually partially removed. We always open the covering of the brain (dura) and use an expansion graft to make the dura larger and give the brain more room to expand.”

“It only takes one person to change your life and I’m very grateful to Dr. Gilmer and Michigan Head & Spine Institute,” says Amy.

To refer a patient for diagnosis of Chiari malformation or evaluation for decompression surgery, call 248-784-3667.


Because two thirds of us will experience neck pain – we know it’s not fun! When the muscles, tendons and ligaments around the cervical spine or the upper spine and neck constrict from tension or activity it’s time to take assessment of your activities.neck pain