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Not sure if anyone can help me with additional information. I was diagnosed with a paralyzed diaphragm (right side) in May of this year. Since early February I had sinus infection after sinus infection which was treated with antibiotics. Each time I get a sinus infection I get a terrible dry cough that lingers for many weeks. This time when I went back to my dr she took a chest exray. She didn't think I had pneumonia, but just wanted to rule it out. That was when she noticed the right side of my diaphragm was elevated. She sent me to a pulmonary specialist and after doing a few breathing tests he sent me the same day for a sniff test. That confirmed my paralysis. He then sent me for a CT scan to see if that showed anything. It didn't, so he told me to come back in a year since the nerve could take up to a year to heal itself, if that happens. We have no idea when my diaphragm was paralyzed. That is why he's waiting a year.  Does any of this sound right. So many people are telling me not to wait a whole year to have it checked again. I spoke to my dr and she said if I want to come back to her in 6 months she would take another chest exray to see if there was any change. I really didn't have any other symptons, but since I've done a little research on a paralyzed diaphragms, seems like I'm noticing shortness of breath more often. I am overweight, not what you'd consider obese, but do not have much energy the way it is. I also don't seem to have a problem sleeping on my back. I do seem to toss and turn a lot during the night though and seem to be tired a lot.

Just thought I'd see if anyone heard of this before or had similar experiences with paralyzed diaphragm. The pulmonary specialist did tell me when I come back in a year if it is still paralyzed we could look into to options to correct it...surgically, I think.

 

Thanks for any advice you can offer.

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I have a paralyzed diaphragm from a nerve which was damaged during surgery. Yes, a year is the typical waiting time to see if the nerve will "wake up" and to see how your body is dealing with the impaired diaphragm. In a lot of people it does repair itself and so by the one year mark they know if it's definitely not going to and can consider surgery - which is a major surgery. Also other muscles take over so you may see improvement without any intervention.
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I have a semi paralysed right diaphragm, with a similar story to Angela. They have no idea when my problem started, or why, though I did have a C6/7 nerve injection a year ago, several months before I first noticed a problem, but they say that the injection should not have gone anywhere near the phrenic nerve. Some days my diaphragm works fine, other days it seems to need to be taught how to work ... by putting my hands on the area just below my ribs on both sides, and feeling for the movement of the diaphragm. I have no idea why that seems to kick start it working again, but it usually does, within half a dozen breaths or so. 

I saw a specialist, and I have had lots of tests, tho no tests on the phrenic nerve itself. The specialist has discharged me back to the care of my own doctor, but I don't think he will do another chest xray for another 6 months...12 months after the first one, because he doesn't think I'm too bad. I have about 80% reduced lung function, and the right diaphragm was sitting several inches too high, right up inside the chest cavity. I think it gets stuck up there...I'm considered obese with most of my excess weight in my abdomen, and have been losing weight in an effort to give my diaphragm more space to move.

I have started a Yahoo group with that spelling, and a Facebook page for people to get to know each other and support each other with the emotional and daily living aspects of living with a paralysed diaphragm. 

I have noticed that a lot of other muscles have taken over breathing assistance, and when I walk, I notice that my shoulder rises to let air in, then drops suddenly to expel air. Has anyone ever heard of that kind of breathing? I call it Shoulder Breathing, but I've never heard of it before.\

Thanks
Vivienne 
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Ross:



My wife is 69; has a frozen diaphragm, probably due to a severed phrenic nerve, possibly from parathyroid surgery over 10 years ago. Can you mention the procedure referenced in your SteadyHealth post of 3/15/10?



Thanks,

Al Simons

Green Valley, AZ
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Hello to all that have been reading about and have an interest in a paralyzed diaphragm.  I have been writing about this and my own journey for the past 16 months. I had a paralyzed diaphragm from surgery to correct a blood flow problem to the right side of my body. During surgery my phrenic nerve was severed leaving me with a paralyzed diaphragm. I was lied to for 3 years and eventually uncovered the problem when I went to a new Dr.
He in turn sent me to the Mayo Clinic, which by the way is a wonderful place, and they corrected the 1st procedure but could do nothing for my damaged nerve. They suggested placation surgery. While I was there for testing to see if I was a candidate we were recalled to home as my wife was diagnosed with cancer. The good news is this story has a happy ending for all.

While sitting with my wife during her chemo -therapy I continued my search for my problem. I had grown worse and was limited in what I could do. I knew that Mayo Clinic offered a solution but not a cure. I had read the results were somewhat limited and after meeting and building a friendship with a person on line that had the surgery I'm glad that I did not. Turns out later on I found out I was not a good candidate anyway.

In January of 2010 I found Dr Kaufman on line. He had performed a limited number of nerve transplants. I decided to contact him. I spoke to his office and they took some information. The next day Dr. Kaufman called me and we spoke at length about my problem and what lead to it. He asked me to gather what records I could and send them to him. About a week after doing so he asked if I could come to NJ. to have some tests run and meet with him to discuss the results. He felt I was a candidate and told me to take some time to think about if I wanted to have this procedure. I took the leap of faith as I was only #13 to be performed and he told me that length of time that my nerve had been damaged was not favorable but I still had some life in it according to the tests that had been performed.

On March 5th 2010 I had the procedure done and Things were worse that he expected. My diaphragm had made it up to my chest cavity, next to my heart , but this explained the other problems I was having. ( always feeling full and not wanting to eat, having to use a c-pap to sleep, not being able to run but 50 or 60 ft w/o being out of breath and many more problems) A nerve was taken out of my right leg and transplanted to the damaged nerve and connected to the diaphragm. when a signal was received the original nerve was cut. Now there is a bit of a recovery period that seems to last forever. Even though the nerve is connected at each end there is a regrowth period that takes  6 -14 months. In my case it was 11months. At this time my diaphragm began to have spasms. I thought something was wrong so I called the Dr office which was very excited because to have spasms the diaphragm had to be getting a signal. went 7 days a week ( over kill most likely) and worked hard on conditioning. In April I went to visit my daughter in CA. We entered a 5k and I finished in the middle of the pack #228 out of 500+. I was very happy. When I returned home I decided to enter a local 5k. I did even better and won the 55 and over group. Now here is where not being stupid comes in. I entered a 3rd right away and got off of my training routine. I pulled up lame and had to walk the final 2 miles. I continued to aggravate the injury and have had to slow things down for 3 weeks to heal. 

The happy ending is My wife is now cancer free and we are  continuing to work out together. Nothing limits what I can now do. I have repelled 17 stories into a mine shaft. Climbed steep hills, multiple flights of stairs, walked in the mountains on rugged trails. All of this would not have been possible without the care I received from Dr Kaufman. I have not made a complete recovery as of yet and may never do so! But I have so much more that I can do now I cant say that I'm still not doing more that I would have if I had never had this problem. I joined a gym and lost 30 lbs. Probably never would have done that but fate lead me there.

There are many causes of paralyzed diaphragms. For this "I suggest you speak to your Dr. I do know that Dr, Kaufman has helped people that have  had other causes than a bad surgery that paralyzed the diaphragm. You will be hard pressed to find anyone else that know this problem and the treatments than him. I looked for 5 + years and he was the only Dr that had a solution.

If any one else need more info do not hesitate to write. I hope this offers not only hope but motivation to call NJ and talk to the Dr. -Ross
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Guest wrote:

ROSS:  Did you by chance go to The Plastic Surgery Center - Michael Kaufman, M.D. in Shrewsbury, New Jersey?  My husband and I will be traveling there for the same type of procedure on his right phrenic nerve on 10/31/2011.  Can you tell me if you had the Diaphragm EMG performed prior to the surgery?  Please tell us if you had any bad experiences with any of the facilities they referred you to if this was in fact the place that treated you. 


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Hi,

Yes I did have my diaphragm repaired by Dr. Kaufman. Prior to the surgeryIi was refered to Dr Cole whom did  nerve study to see if I was a candidate. To date I am doing well. My diaphragm does function but to date not a complete recovery .I had to over come of 5 years of atrophy and was not considered the best candidate. That being said I would do this again w/o any hesitation. I was unable to sleep on my back or sleep for any period oftime w/o the use of a c-pap. I could not tie my shoes becasue it required bending over to do so. To day I sleep w/o my c-pap, tie my own shoes and sleep flat on my back.

In my case the elevation was sever. my diaphragm was in my chest cavity thus compacting ll my organs which left me with many other problems. To keep this short i no longer have those problems either. I am more active than I had been becasue I coud not run more that 50 ft w/o being out of breath. Today I run in 5k's and have slowly increase my times. (right now 36 min is my best) When I started i was in the 50+ min time. Keep In mind /i used to be a runner capable of times in the low 20's so I;m happy yo be working back  to better health. I also repelled 17 stories into an abandoned mine shaft. i have taken day trips in some med difficult terrain. What else can I tell you? I am excited you found Dr. Kaufman. Just out of curiosity how did you find him?

In closing can I offer some advice for New Jersy. If our not from there the driving is crazy. If ou are flying and have an flexible schedule you might try Priceline for air fare and hotels. The week I had my surgery I was able to stay at a very nice Sheridan Inn for $50.00 a night. I was originally goingto drive from Michigan but a snow storm moved into Pennsylvania so I booked a flight 10 hours before and was able to get that for $200.00 round trip. I do not recomend waiting that close though. I also noticed Southwest is now flying to Newark to. Do not rent a cr at the airport. Fees are outragious. Enterpise will pick you up at the lower level and take you to there lot. They were the best. I booked a car through hot wire and the rental company stiffed me and said "oh well". Enterprise you can bib on also on Priceline.

I hope i answered all your questions and probably told you more than you wanted to know.

Good luck,

Ross

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I am very interested in what you've posted Ross.  I had lung surgery a year ago and the bottom lobe of my right lung was removed as it was cancerous. It was contained there and it was stage one so I was very fortunate there.  However, I was told after that by the surgeon that I have a paralyzed diaphragm and it is hard to breath when doing anything the least bit strenuous.  I was told nothing can be done for this.  I'm very happy you have accomplished what you have!  I've been praying for a miracle for me!
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I had since found out that there is nothing that can be done with my diaphragm.  Due that the nerves are damaged to the right side of my body from a accident many years ago.  The drs at Mayo were wonderful.   I wasnt able to get the answers I wanted but they did clear up alot of questions i had.  Until then life goes on , slow but it does go on.

God Bless each of you in your journey

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Might I suggest that your prayers may have lead you to this page. I don't know if the process I went through is for you or not. That is a decision that only you can and should make based on the facts relating to your own individual diagnosis. I do suggest gathering ll your possible options , weigh the facts and do whats best for you. I chose surgery. It has worked out a lot better than I could have hoped for based on time and severity of my problem. Currently I am writing to from my hotel room in Sault Ste Marie , My wife and Basset Hound took a weekend journey to The Pictured Rocks and Taquomin Falls. We hiked 3 miles w/o snow shoes to the falls. I really recommend the snow shoes. I did 200 stairs to go to the bottom an back of the falls. These are things that I could not have ever dreamed of doing prior to the surgery. Call Dr. Kaufman, in NJ and find out if there is a chance of if it is worth being tested. Since the surgery I 've lost 40 lbs too. Let me know if I can answer anything else . I wish you well.
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This pain that some of you talk about in your neck sounds so much like the pain i have down the right side of my neck. For me, it's from the muscles that end up pulling so tightly that they compress the nerves, both at the C3 level (the phrenic nerve) and also at C6/7, causing dagger like pain in the inner part of my shoulder. If i can relieve the tension in that spasming muscle, then my breathing is better. Chiropractic has helped a bit, but also stirred it up so my vertebral joints aren't as stable as they were. Who knows.
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what kind of treatment are you on. do you take meds for your condition?
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Kordelia's Grandma, Have you talked to Dr Kaufman? He might be able to do something for you as he does nerve transplants, something I don't think Mayo know anything about.
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I JUST HAD SURGERY FOR PARALZED DIAPHRAGM----CAUSE WAS FROM PREVIOUS SURGERY. I WOULD BE HAPPY TO HELP YOU
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i just had surgery for paralyzed diaphragm i am just recovering on one day i did have severe neck pain some years ago i toohad a whiplash. my dr. treated me with a regimen of 4 tlylenol every 4 hrs. amazingly my pain was gone after 12 hrs.
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