It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Back Problems Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 12-18-2012, 01:32 PM   #1
Junior Member
(female)
 
Join Date: Dec 2012
Location: McDonough, GA, USA
Posts: 19
Tammy3234 HB User
Exclamation MRI findings... HELP!!!

--------------------------------------------------------------------------------

Was in a car accident 3 months ago and have the MRI results back. Have severe RT side neck, arm shoulder and rib cage pain. Cant lift my arm completely anymore. MRI shows:
C3-4 minimal broad based disk bulge
C4-5 broad based disk bulge with flattening of the thecal sac and minimal flattening of the cord without cord signal abnormality. Minimal uncovertebral joint and fact arthropy
C5-6 disk-osteophyte complex, facet and athropy and ligamentum flavum hypertrophy noted. Flattening of the thecal sac and mild cord deformity with no cord signal abnormality.
C6-7 disk osteophyte complex fattens the thecal sac without cord deformity or cord signal abnormality. There is greater minimal left greater than right neural foraminal narrowing.

I am miserable and continue to feel worse all the time... Can anyone offer any suggestions or explain what all of this means. I am not a candidate for cervical epidural injections. They are sending me to a surgeon, however I dont want to have surgery unless its a last resort.

Thanks so much for any help!!!

 
Old 12-18-2012, 04:46 PM   #2
Senior Veteran
(female)
 
Join Date: Nov 2010
Location: USA
Posts: 6,451
teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
Re: MRI findings... HELP!!!

I feel more comfortable discussing lumbar issues, since that is where my problems are...but I can give you a general idea. Basically from what you have copied from the report, I cannot tell the "how bad" the items that are mentioned are -- usually there are words like "minimal, mild, moderate or severe" or measurements to indicate the amount of a disc bulge/herniation, amount of stenosis, etc.

As you see at C3-4 and C4-C5 the disc bulge and facet arthropy are described as mild. This means that while there are disc bulges at these levels, they are unlikely to be causing any issues that are impacting the spinal cord or nerves.

[B]C5-6 disk-osteophyte complex, facet and athropy and ligamentum flavum hypertrophy noted. Flattening of the thecal sac and mild cord deformity with no cord signal abnormality.
C6-7 disk osteophyte complex fattens the thecal sac without cord deformity or cord signal abnormality. There is greater minimal left greater than right neural foraminal narrowing.
[/B]

I would not think that the changes noted here are a result of the accident. Simply put, disc osteophyte complex, facet arthropathy and hypertrophy are degenerative changes that are an indication of arthritis. There are some small bone-spur type bone growths and the facet joints are enlarged which results in less room for the spinal nerves. It can also press into the thecal sac and can cause less room for the spinal cord...which is the case at C5-C6.

This is also going on at C6-C7 but the cord is not being affected. However, at this level this enlargement is causing some stenosis in the foraminal openings. The foramen are the openings at each vertebral level that the spinal nerves pass through from the spine out to the body. When the space is narrowed (due to a bulging disc, or enlarged joints, etc.) it means that there is pressure on the nerves. I imagine this is where the majority of your pain is coming from -- and the MRI states the narrowing is worse on the right side at C6-C7.

If you find a "dermatome map" online, you will see that the C6 and C7 nerves innervate the shoulder and the lateral part of the arm...running down the outside to the thumb (C6) and the next 2 fingers (C7).

I think the chest pain may be a result of the impact....the spine specialist will be able to correlate the results of the MRI to what he/she finds upon physical exam, basic neurological exam, and upon reviewing your description of pain and other symptoms. Don't be afraid to see a spine surgeon...be sure it is an orthopedic spine surgeon or a neurosurgeon whose practice is limited to the neck and back...(no general surgeon, or orthopedic surgeon who also replaces joints, sets broken bones, etc.). These two specialties have the most education and training in the mechanics of the neck and back and are the best place to get an accurate diagnosis. They will suggest conservative methods of treatment, with surgery only being considered as a last resort. I don't think you'd be a candidate for surgery based on what this part of your MRI indicates...but of course I am not a doctor...

 
Sponsors Lightbulb
   
Old 12-18-2012, 06:06 PM   #3
Junior Member
(female)
 
Join Date: Dec 2012
Location: McDonough, GA, USA
Posts: 19
Tammy3234 HB User
Re: MRI findings... HELP!!!

Thanks so much for your response... I hope that they can fix whatever it is. I didnt hurt like this until after the accident, however, theat may just mean it aggravated things right?
I am supposed to see a surgeon who specialises in this stuff, but they are also sending me to pain management. Ive been in OT as well as seeing a chiropractor since Oct 8 and had truly hoped that would help.
Any suggestions on medications that may help in conjunction with the continued PT?
Thanks again!!
Tammy

 
Old 12-18-2012, 09:26 PM   #4
Senior Veteran
(female)
 
Join Date: Nov 2010
Location: USA
Posts: 6,451
teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
Re: MRI findings... HELP!!!

The impact probably stretched tendons and ligaments that help to hold everything in place. I don't see how the arthritis could develop since the accident...but it probably just wasn't apparent until you developed swelling after the impact, etc.

I'm sure they can do things to help you to feel better.

When do you see the surgeon?

 
Closed Thread

Tags
help getting pain management, mri report interpretation, pain



Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is Off
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Ibuprofen
Lyrica
Morphine
Neurontin
Oxycontin
  Percocet
Soma Tylenol
Valium
Vicodin




TOP THANKED CONTRIBUTORS



teteri66 (1120), gmak (131), SweetPeainSF (78), maltluver (71), twohands (64), pebblebeach3 (63), cheryl1213 (51), Moldova (46), ibake&pray (41), workinmom572 (40)

Site Wide Totals

teteri66 (1180), MSJayhawk (1004), Apollo123 (903), Titchou (847), janewhite1 (823), Gabriel (759), ladybud (754), sammy64 (668), midwest1 (668), BlueSkies14 (610)



All times are GMT -7. The time now is 03:05 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!