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Old 01-16-2012, 08:23 PM   #1
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Help with X-ray results

Hi ~

I'm having quite a bit of neck pain, it's just about all I can do some days to hold my head up. I have horrible ringing in my ears, and tingling, like pins and needles in my hands and feet, which recently has gotten much worse.

Ive seen my GP. He sent me for some X-rays. He gave me the results today, and has referred me to a pain center. All he told me was that I'm bone on bone in several places in my neck. I see the pain dr on the 9th of feb. I'm unemployed, and really don't know if I could work like this if I could find a job.

Cervical spine findings: 3mm anterior subluxation of C4 on C5. C5-C6 and C6-C7 disc space narrowing and endplate osteophytic ridging

Thoracic spine findings: mild reverse S thoraxolumbar curvature. Minimal degenerative disc space narrowing and endplate osteophytic ridging.

Lumbar spine findings: thoracolumbar levocurvature. Mild endplate osteophytic ridging and facet arthrosis. L4-L5 mild disc space narrowing.

Impression: Degenerative cervical, thoracic and lumbar spondylitis, greatest at the C5-C6 and C6-C7 level.

Minimal C4 spondylolisthesis

Thoracolumbar reverse S curvature.

I would just like a little help understanding what all this means besides bone on bone that my GP told me. Any and all help would be greatly appreciated.

 
Old 01-17-2012, 08:20 AM   #2
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Re: Help with X-ray results

Welcome to the board. In addition to what your GP has suggested, I would encourage you to make an appointment for a consultation with a spine specialist. You want to look for a fellowship-trained orthopedic spine surgeon or a neurosurgeon who limit their practice to issues of the neck and back.

I know from personal experience that you can waste a lot of time working around the edges of the issue rather than going to the specialist that has the training and experience to properly diagnose you right off the bat. Spine specialists will refer you to the appropriate resource if they are not able to help you...but you will at least know that you have a good idea of what is wrong with your back. Also if your issues should worsen, you will already have a spine surgeon lined up and you'll be able to get an appointment more quickly.

Degenerative spondylitis is mentioned on the report as being a problem in all three areas of the spine, but it is most prevalent in the cervical spine, particularly at the C5-C6 and C6-C7 levels.

Degenerative spondylitis is a chronic inflammatory disease that primarily causes pain and inflammation of the joints between the vertebrae of the spine.

I would imagine the spine specialist will want you to get a MRI so he/she can see what is going on with the discs, nerves and soft tissue. X-ray is good at imaging bone, but doesn't reveal much about soft tissue.

Good luck to you. I hope you will make an appointment with a spine specialist before you move ahead with pain management.

 
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Old 01-17-2012, 11:22 AM   #3
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Re: Help with X-ray results

Thank you so much for your response, it's nice to hear from people who know what this is like. I live near Phoenix, so hopefully I can find a good spine dr here. I've only lived here a year, so I'll start my search on the Internet.

I wasn't really crazy about the pain management route because it doesnt really address the problem. My GP seemed to think that what I have isn't going to get any better without surgery, and he told me I was way too young for that. I'm 51 btw. I've been managing the pain with Vicodin, but it just takes the edge off. M what is really starting to bother me is the tingiling, pins and needles sensation in my hands and feet. Now I've started to have ringing in my ears a lot. well on with the search!!

 
Old 01-17-2012, 01:18 PM   #4
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Re: Help with X-ray results

There is a gal on the board, SpineAZ who lives in Phoenix and has had lots of surgeries (not all spine). Maybe she can tell you where to start looking.

The pins and needles is a sign that a nerve is being compressed in the cervical area. There is less room there than in the lumbar area, so compressions can can worse in a hurry.

There is another board, the Spinal Cord Injury board, where most of the cervical patients hang out. You might want to post there, too.

 
Old 01-17-2012, 03:28 PM   #5
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Re: Help with X-ray results

Nittany: phxortho has 3 great spine surgeons in the practice, located near Banner Thunderbird hospital and near Arrowhead hospital. Landsman did mine, Ehteshami is good as well, then there's a 3rd new one.
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Old 01-17-2012, 03:33 PM   #6
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Re: Help with X-ray results

I can also give you at least two to avoid, Pitt and Yeung (2) so I guess that's 3 total to avoid since Sr and Jr of Yeung should be avoided.
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C5-C7 foraminotomy 08

 
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Old 01-17-2012, 03:44 PM   #7
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Re: Help with X-ray results

Thank you soooo much. I'll check to make sure they take my insurance, then get ahold of them. I'll let you know how it turns out.

 
Old 01-17-2012, 03:50 PM   #8
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Re: Help with X-ray results

I have been very pleased with all of their surgeons and actually have made friends with two other patients who use them! Once people find out about them they rave about them. Landsman loves Big 10 football so if you see him and you are a PennState fan he'll be happy :- assuming since your screen name is Nittany)
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Rt&Lt thumb arthroplasty 2012 ; RT TKR & Bilat CTS 2011
Fusions: L5-S1 (87), L4-S1 (93), C5-C7 ('06), L3-S1 ('10)
C5-C7 foraminotomy 08

 
Old 01-17-2012, 04:19 PM   #9
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Re: Help with X-ray results

My hubby is a penn state fan. Does it take quite a while to get in for a consult? I live in Surprise so their office isn't too far. Thanks for the reccomendation and advice. It's hard when you don't know too many people here.

 
Old 01-17-2012, 04:37 PM   #10
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Re: Help with X-ray results

Actually it shouldn't take long to get a consult. All 3 of their spine surgeons are good. Landsman will do a cervical fusion revision on me but likely later 2012 or early 2013 (only 45 but just had a knee replacement in September). Don't let my surgical history worry you, it's not typical, I have very lax ligaments and tendons leading to tons of joint problems which have become worse over time. Add to that Young did my first cervical fusion and I now find out it was clear in post op xrays that it wasn't holding. Ehteshami has done a cervical fusion and lumbar fusion on a friend of mine and really advocated for her needs when she was in the hospital. Ehteshami was in on my lumbar fusion as he was new to the practice and had a recommendation of a unique method to doing so, which I agreed to. I have not yet met the 3rd spine surgeon in the practices but so far am hearing good things.

If you do choose to do pain management there is a good PM doctor closer to your end of town (I can get the exact name but I think, and this is probably spelled wrong, Putlitz). Landsman/Ehteshami use him for referrals, and I have one friend who sees him). I have one at 101 and Tatum as well. I'm not too familiar with Surprise (I know where it is, but not details). I'm in North Central phoenix (I-17 and Tbird).
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Rt&Lt thumb arthroplasty 2012 ; RT TKR & Bilat CTS 2011
Fusions: L5-S1 (87), L4-S1 (93), C5-C7 ('06), L3-S1 ('10)
C5-C7 foraminotomy 08

 
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