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Old 09-09-2012, 09:05 AM   #1
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Please Help ME!~

Hi all,
I just had a laminectomy/disectomy on L5 june 28. And also july 3 do to reherniation a few days later. My back is finally starting to feel good and now I haven't been able to move my neck the last five days. Also have burning sensations shoulder blade, top of shoulder, as well as pain in LEFT deltoid.
I was sent for a MRI of the neck and the nurse called me and told me nothing was wrong. Well, something is wrong, I hurt!
So results of my MRI are as follows. Can anyone help me translate.
FINDINGS: Straightening of normal cervical spine lordosis. NO fracture. No prevertebral soft tissue swelling. Stable appearance of a 1 mm central T2 hypertense focus withing the cervical spinal cord at the C6-C7 level. Multilevel spondylosis. Broad base disk bulges. Unconvertebral spurring. Facet Arthropathy.
C3-C4 Left Neural formal narrowing.
C5-C6 superimposed central/left paracentral disk protrusion. Mild central canal stenosis.

Impression: Stable appearance of a prominant central canal versus tiny syrinx at the C6-C7 level.
Redemonstration of cervical spondylosis.

Should I get a second opinion? I hurt so bad? How can nothing be wrong. Please help.

 
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Old 09-09-2012, 12:51 PM   #2
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Re: Please Help ME!~

Maybe its me but why did the nurse tell you nothing was wrong. It's the doctor that should make that determination. Maybe its me.

I think to put your mind at ease one way or the other, it never hurts to get another opinion.

The MRI is showing something, but I am not the one to say whether the finds are of any significance or not.

Again for peace of mind get the 2nd opinion and maybe an explanation of why you are in pain.

Good luck

 
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Old 09-09-2012, 03:36 PM   #3
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Re: Please Help ME!~

Thanks for the Reply. I realize we are not Doctors. I was surprised as well when the Nurse said my MRI was fine. I work a Respiratory Therapist in a hospital and That is a big NO NO where I work. I was just curious on some MRI interpretation. Again, thanks.

 
Old 09-09-2012, 08:03 PM   #4
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Re: Please Help ME!~

Looking at the Impression of the MRI I am not seeing anything that should be of concern. But I am not the doctor.

I say if it makes you comfortable get a 2nd opinion. But nothing drastic is really striking me.

 
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Old 09-10-2012, 07:11 AM   #5
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Re: Please Help ME!~

It may be that the pain is muscular or other soft tissue contracting and perhaps pulling as a result of the lower back issue. Chances are you have been compensating for the pain that was caused by the herniated disc and perhaps favoring one side, etc.

However, to this layperson's eyes, you have a number of issues going on that could be causing you pain. If the doctor who ordered this MRI isn't willing to speak with you, I would suggest you make an appointment with a different doctor, a spine specialist.

You may not have anything that sends up immediate red flags that a surgical procedure is imminent (which may be all the nurse knows to look for), but you certainly have degenerative issues that bear watching...and treating if the pain is chronic.

What I see are a lot of code words that point to arthritic and degenerative changes -- [B] Multilevel spondylosis. Broad base disk bulges. Unconvertebral spurring. Facet Arthropathy.[/B]

Uncovertebral joint osteophytes (bone spurs), occur where the vertebral bodies of the third through seventh cervical vertebrae meet. Bone spurs are not necessarily painful, but in this level of the cervical spine, where space is at a minimum, they can cause issues.

When bone spurs form in confined areas adjacent to nerve roots or the spinal cord, nerve compression can occur. Bone spurs that develop at the uncovertebral joints can cause foraminal stenosis. Stenosis is narrowing of the foraminal canal or central canal and it can lead to nerve compression. This may show itself by producing symptoms such as localized pain, radiating pain, tingling, numbness or muscle weakness.

Facet arthropathy is often dismissively passed off as spinal arthritis that is a natural product of aging. It may be an ordinary finding to the doctor, but for the patient it can be very painful.

You have some foraminal stenosis in the foraminal opening at the C3-C4 level...the report doesn't indicate how bad it is.

Also at C5-C6 you have some stenosis but in the central canal. Unlike the lumbar area, in the cervical area you have to be more careful with stenosis as the spinal cord runs through the central canal. The spinal cord can be squeezed if the stenosis is bad. This stenosis is a result of a bulging disc at this level. It must be bulging out of the disc space and pushing into the central canal a small amount. (If this were a huge bulge, the reporter would have mentioned that the stenosis was severe.)

It also notes a small syrinx (which is a small cyst within the spinal cord) but states that the central canal is wide enough to accommodate it without the syrinx impacting the nerves.

Have you had a cervical MRI in the past?

 
Old 09-10-2012, 07:20 AM   #6
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Re: Please Help ME!~

Thanks for all the help. No. I have not had a cervical mri in the past.

 
Old 09-10-2012, 08:36 AM   #7
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Re: Please Help ME!~

Im a little confused. Ylour last posted said you did not have an MRI of the cervical in the past.

But your initial post was an MRI of the cervical/neck.

Please clarify

 
Old 09-10-2012, 08:51 AM   #8
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Re: Please Help ME!~

I have had one MRI of the cervical neck. This is the one I am posting about. Sorry for the confusion. Most of my MRI's have been on my Lumbar area due to L5 rupturing and 2 surgeries a week apart.

 
Old 09-10-2012, 09:47 AM   #9
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Re: Please Help ME!~

I gather you have had similar neck pain in the past? But is it now worse since you had the discectomy?

 
Old 09-10-2012, 10:10 AM   #10
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Re: Please Help ME!~

Yes, I have neck pain in the past. But not this long and not radiating to the shoulder and deltoid. Yes, he has gotten worse since surgery of the lumbar spine.

 
Old 09-10-2012, 02:09 PM   #11
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Re: Please Help ME!~

First, I'm sorry you are having these issues.
Early into my pain journy I had xrays, MRI, and whatever the docs could think of. They all showed no problems/nothing wrong. Finally I demanded a Mylogram. That's the old test where dye is injected into the spine and one is tilted up and down. Then they scan the spine to see if the dye has run into any blockages. Mine found a ruptured disk between c-7 /T-1. When the surgeon went in to fuse he had to remove a bone spur before he could get to the disk. None of this showed up on any of the other tests! When I asked why it was like nobody wanted to talk about it.
As advanced as our medicine is getting, it is still a long way from perfect. Also I found out that some labs are sending the pictures to India for reading!
Sometimes one has to get good and mad in order to get anywhere in the system!

Last edited by Frederick123; 09-10-2012 at 02:11 PM.

 
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