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Old 01-11-2007, 08:23 PM   #1
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John1962 HB User
Dizzines, neck pain, nubmness and MRI result

Hi all,

I am a 44 year old male. I am having some difficulty relating my symptoms with the MRI result. My problems are:
(1). Mild dizziness several times a day;
(2). Low tone ringing in the ear (I cannot tell which ear);
(3). Neck pain for about five months this time.
(4). Pain in the shoulder blade area on and off about five years and
quite constant in the last 6 months;
(5). Numbness or weekness in my hands and arms (worse in the right hand);
(6). A little dull pain in my legs;
(7). Pain in my heels after getting up in the morning;
(8). Strange feeling in my middle finger;
(9). headache when my head is in certain position or orientation.
(10). Mild pain in my back when I breathe.
(11). Feels like a little off-balance when walking.

I was so scared of stoke and asked my doctor to order a MRI on my brain and neck. The brain MRI with and w/o conrast came with normal except for a "small polyp or mucous retention cyst is present within the right maxillary sinus". But the cervical spine MRI came with some problems:

TECHNIQUE: Multiplanar multisectional MRI of the cervical spine without contrast.

FINDINGS:
The cervical spine is in anatomic alignment. The cervical body heights are well maintained without compression fracture. The bone marrrow signal is unremarkable in appearance. The intervertebral discs demonstrate no eveidence of desiccation. The posterior fossa midline structures are unremarkable in appearance. The cervical spinal cord is normal in caliber and signal characteristics. Note is made of mild to moderate overall narrowing of the cervical central canal secondary to congenitally shotened pedicles.

C2/C3: There is no disc bulge or herniation. No central canal or foraminal stenosis is present.

C3/C4: A small broad-based disc bulge is present with complete effacement of the ventral thecal sac causing a moderate to severe focal cnetral canal stenosis when combined with the underlying congenital stenosis. No significant foraminal stenosis results.

C4/C5: There is a small broad-based disc bulge with moderate to severe effacement of the ventral thecal sac causing a moderate focal cnetral canal stenosis. No significant foraminal stenosis results.

C5/C6: A small to moderately sized broad-based disc bulge is present with complete effacement of the ventral thecal sac causing a moderate to severe focal canal stenosis. No significant foaminal stenosis results.

C6/C7: There is a small broad-based disc bulge with moderate effacement of the ventral thecal sac causing a mild focal central canal stenosis. No significant left foraminal stenosis is present, however a mild to moderate right foraminal stenosis results from adjacent uncovertebral hypertrophy.

C7/T1: There is no disc bulge or hernition. No central canal or foraminal stenosis is present.

My PCP said nothing to worry and just stop working long hours at the computer. I can tell some people on this board know better than my PCP on this subject. I greatly appreciate people in the community gives me feedback and comments on the MRI readings and help me understand the state of my illness. I can tell I need ACDF at some point but not sure when. Currently I am taking asprin on a daily basis on my own and researching on the web. Any comments will be appreciated.

Thanks,

John

Last edited by John1962; 01-11-2007 at 08:34 PM.

 
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Old 01-12-2007, 05:51 AM   #2
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sunshine221 HB User
Re: Dizzines, neck pain, nubmness and MRI result

"My PCP said nothing to worry and just stop working long hours at the computer"

John -- there might be a small amount of truth in the above, not that its a practical answer to stop working at the computer. In my case, there was no known cause for my stenosis other than 20+ years of sitting at a computer screen (which I find hard to believe "caused" this). That said, I have invested in a better fitting chair and check my posture, etc. If your keyboard is not the "correct" height I would fix that too (I forget the inch measurement that's recommended.)

Good luck and remember that with so many levels of stenosis ACDF may not be the best choice if needed - look into laminectomy and other alternatives.

 
Old 01-12-2007, 03:02 PM   #3
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quilter58 HB User
Re: Dizzines, neck pain, nubmness and MRI result

Try ALL non surgery treatments first.......physical therapy, traction, injections,.....it doesn't sound like there is a compresion on the spinal cord,,,, I AM NO DOCTOR........Traction helped me for a long time.......it "sucks" the disks back in to place.......Your MRI stated a mild to moderate bulging.......traction might help........I don't think any of us want surgery without trying everything els........other treatments do help a lot of people.....

 
Old 01-12-2007, 07:58 PM   #4
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John1962 HB User
Re: Dizzines, neck pain, nubmness and MRI result

Thanks you all. You are truly great and understanding. I am scared of laminectomy as well. I am the sole breadearner in the family with a very young kid. I am worried about being disabled or being fired because of the work inefficiency due to these neurological problems. I will certainly try traction before anything. I saw some traction machine on sale.

I have one more question. Do you think my pain on my back is caused by some stenosis in my thoracic spine which I did not have MRI for?

John

Last edited by John1962; 01-12-2007 at 08:02 PM.

 
Old 01-12-2007, 08:26 PM   #5
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ShepherdLady HB User
Re: Dizzines, neck pain, nubmness and MRI result

I saw some traction machine on sale. >>

Don't ever try traction of the cervical area on your own.

Also the heel pain you are having is most likely plantar faciitis. It hurts like hell, I know. I have it in both feet.

I never ever go barefoot now and I also use a product called "superfeet" that I put inside my shoes.

The buzzing you hear could be caused by the aspirin.



Good Luck!
__________________
Severe Stenosis thanks to C4/5, C5/6 and C6/7 herniated disc's into my spinal cord.

 
Old 01-13-2007, 06:51 AM   #6
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Re: Dizzines, neck pain, nubmness and MRI result

What kind of doctor have you been seeing about this so far?

Reason I ask is because you can go get other opinons about this from surgeons. Don't let this freak you out because surgeons manage the concervative treatments, You'd have to be pretty bad off for them to say you had no other options. They will often send people to physical therapy and can offer injections and all that. If you see a couple or more, you might start getting the understanding of where you stand and what can be done or what could happen in the future, or what you can do to help prevent yourself from getting worse. Just ask lots of questions - don't be afraid to ask or afraid to ask about other possibilites. Good luck and many blessings to you!

 
Old 01-13-2007, 02:39 PM   #7
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John1962 HB User
Re: Dizzines, neck pain, nubmness and MRI result

Thanks, PearlDoves. I have only seen the PCP so far. I am gathering information on some good NS in Texas. I am planning to make an appointment with Dr. Youngblood in San Antonio who has done some neck surgeries for WWE wrestlers. I also found out of state NS names such as Dr. Jho and Dr. Bonati who all do minimally invasive surgeries. But I am not sure my insurance will cover out of state medical treatment.

John

Last edited by John1962; 01-13-2007 at 02:41 PM.

 
Old 01-13-2007, 03:38 PM   #8
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Gina164 HB User
Smile Re: Dizzines, neck pain, nubmness and MRI result

Quote:
Originally Posted by John1962 View Post

Hi all,

FINDINGS:
The cervical spinal cord is normal in caliber and signal characteristics. Note is made of mild to moderate overall narrowing of the cervical central canal secondary to congenitally shotened pedicles.

John
This 'overall findings' statement shows that the canal stenosis noted at each level is not due to degenerative disease, but to a congenital issue -

GOOD NEWS: you should not expect it to worsen ANY TIME SOON, as long as you stay healthy and practice perfect posture...

BAD NEWS: the symptoms will not go away, since it's congenital, and not an inflammatory process, and may worsen, in time.

What I have read about traction: studies are non-conclusive on traction...positive effects, if any, are brief - very brief...
PLUS, traction is not good if you have ANY bone spurs!...it can harm nerves...


Quote:
Originally Posted by John1962 View Post
C2/C3: There is no disc bulge or herniation. No central canal or foraminal stenosis is present.

John
YIPPEE!


Quote:
Originally Posted by John1962 View Post
C3/C4: A small broad-based disc bulge is present with complete effacement of the ventral thecal sac causing a moderate to severe focal central canal stenosis when combined with the underlying congenital stenosis. No significant foraminal stenosis results.
John
That one means there is the possibility of cord damage (irreversible) IF you EVER get anymore bulging, or a herniation, of that disc in time.



Quote:
Originally Posted by John1962 View Post
C4/C5: There is a small broad-based disc bulge with moderate to severe effacement of the ventral thecal sac causing a moderate focal central canal stenosis. No significant foraminal stenosis results.
John
Ditto.


Quote:
Originally Posted by John1962 View Post
C5/C6: A small to moderately sized broad-based disc bulge is present with complete effacement of the ventral thecal sac causing a moderate to severe focal canal stenosis. No significant foaminal stenosis results.
John
basically the same....


Quote:
Originally Posted by John1962 View Post
C6/C7: There is a small broad-based disc bulge with moderate effacement of the ventral thecal sac causing a mild focal central canal stenosis. No significant left foraminal stenosis is present, however a mild to moderate right foraminal stenosis results from adjacent uncovertebral hypertrophy.
John
This one explains your right arm/middle finger pain.



Quote:
Originally Posted by John1962 View Post
C7/T1: There is no disc bulge or hernition. No central canal or foraminal stenosis is present.


John

YIPPEE!!!!


Quote:
Originally Posted by John1962 View Post
My PCP said nothing to worry and just stop working long hours at the computer. I can tell some people on this board know better than my PCP on this subject. I greatly appreciate people in the community gives me feedback and comments on the MRI readings and help me understand the state of my illness. I can tell I need ACDF at some point but not sure when. Currently I am taking asprin on a daily basis on my own and researching on the web. Any comments will be appreciated.

John
YEP ...your PCP is not wise to not refer you to a spine surgeon, an expert.
Good to see you'vee lined that up! I do, however, hope that you are going to see one who doesn't ONLY do surgery...as he/she may be too willing to agree to it.

I differ in opinion with the member who said 'avoid surgery, if there's anything other to do'...because the reality is:

Your spine WILL age - ALL people have degenerative disc disease if they live long enough, and your having a congenital deformity makes it much more likely that your 'natural' degeneration may cause 'more than natural' ' for your age' symptoms...as it is now doing.

PLUS, all of the therapies take time and energy...DAILY time...
and avoiding surgery has it's own risk - that of risking spinal cord damage, in time, if you do not open up the canal...

So, RESEARCH, as you are doing...read some books on spine surgery:

A great one: "Do you REALLY need spine surgery."

...make your decisions in an informed manner, and don't worry about time....you have time, it seems, to REALLY research!

So, just stay safe, for now...no wrestling matches, and perhaps wear a soft cervical collar in the car, to avoid any whiplash-causing spinal cord problems from the moderate canal stenosis.

Also - my opinion on the asprin - take Tylenol instead, and try to eat more 'anti-inflammatory foods"...


CONGRATS on looking after your health, and being your own advocate!
I know you'll make the right choices for you...it's obvious from your post

Gina

PS - KEEP THE NET FREE!

 
Old 01-13-2007, 03:42 PM   #9
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Tucsonlady40 HB User
Re: Dizzines, neck pain, nubmness and MRI result

Hi John,

The best advice I could give you is to get a referral and have a consult with a spine specialist. Pcp's even though are good Dr.s, don't specialize in the spine and you need someone to explain your findings in their terms.

Please don't do traction to your neck until you have an appointment with a specialist first, and definately not alone.

Take care and please let us know what you find out,

Bernie

 
Old 01-13-2007, 08:12 PM   #10
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John1962 HB User
Re: Dizzines, neck pain, nubmness and MRI result

Thanks Gina for your comments and advise especially when you are only one week after your surgery. I am glad to hear from your own thread that you are recovering well.

Best wishes to you !

John

 
Old 01-14-2007, 05:24 PM   #11
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Gina164 HB User
Re: Dizzines, neck pain, nubmness and MRI result

Quote:
Originally Posted by John1962 View Post
Thanks Gina for your comments and advise especially when you are only one week after your surgery. I am glad to hear from your own thread that you are recovering well.

Best wishes to you !

John
You're very welcome, John.

 
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