KathyIL
12-29-2006, 07:59 PM
13Nov2006 4:11pm Exam: MRI CSP & THSP wo
Indications: mri cap/tap - spinal stenosis^cervical; pain thoracic spine.
ORIGINAL REPORT - 13 Nove 2006 4:36PM GONDA
MR cervical and thoracic spine without contrast.
Stable when compared to prior evaluation dated 10/19/05.
Reversed lordosis, apex at C6. Spondylotic changes at C3-4 through C6-7, with moderate to severe central canal stenosis at C5-6 and C6-7, due to osteophyte disk complex, and without cord parenchymal signal change. Mild to moderate left neural foraminal narrowing at C6-7. Remainder of the cervical examination is otherwise unremarkable.
Focal annular tear at T7-8, with disk material contacting and without deformation of the ventral cord. Mild endplate osteophytic changes at T3-4 and T4-5, result in mild effacement of the (con't below) subarachnoid space. The thoracic cord appears intrinsically normal.
I am having significant pain and muscle spasms in my mid to lower back. The pain is there daily and brought on by sitting. It started suddenly and I have had it for about 6 months now. It is interspersed with burning, stabbing. and band like tightness and is not being completely controlled despite 1000 mg of Relafin, 8 mg of Tizanidine, 60 mg Cymbalta and the Tylenol that I have been supplementing all of this with. I have also continued to utilize the new therapy pool at our local YMCA several times a week
Could either the cervical or thoracic findings account for this? What else could I try? I am 45. Does it sound like surgery is in my future?
All comments are welcome.
Indications: mri cap/tap - spinal stenosis^cervical; pain thoracic spine.
ORIGINAL REPORT - 13 Nove 2006 4:36PM GONDA
MR cervical and thoracic spine without contrast.
Stable when compared to prior evaluation dated 10/19/05.
Reversed lordosis, apex at C6. Spondylotic changes at C3-4 through C6-7, with moderate to severe central canal stenosis at C5-6 and C6-7, due to osteophyte disk complex, and without cord parenchymal signal change. Mild to moderate left neural foraminal narrowing at C6-7. Remainder of the cervical examination is otherwise unremarkable.
Focal annular tear at T7-8, with disk material contacting and without deformation of the ventral cord. Mild endplate osteophytic changes at T3-4 and T4-5, result in mild effacement of the (con't below) subarachnoid space. The thoracic cord appears intrinsically normal.
I am having significant pain and muscle spasms in my mid to lower back. The pain is there daily and brought on by sitting. It started suddenly and I have had it for about 6 months now. It is interspersed with burning, stabbing. and band like tightness and is not being completely controlled despite 1000 mg of Relafin, 8 mg of Tizanidine, 60 mg Cymbalta and the Tylenol that I have been supplementing all of this with. I have also continued to utilize the new therapy pool at our local YMCA several times a week
Could either the cervical or thoracic findings account for this? What else could I try? I am 45. Does it sound like surgery is in my future?
All comments are welcome.