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Old 09-08-2007, 03:42 PM   #1
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can anyone shed some light on this?

Hello there. I have never posted here before, Im usually on the MS board, because I do have an MS diagnosis, but something happened yesterday which makes me think maybe you all can help...
I had been for my 6 month MRI, this time it was specifically a C-spine because Ive been complaining about major pain in my left shoulder and down my left arm.also pins and needles in my left fingers...(I also had a brain MRi which is standard for MS).

The MRI came back Clean as far as MS legions go; however it was noted that C-3, C-4,C-5 had some broad based disc bulging and bony spurring. There appears to be a small central disc herniation as well. There is mild canal stenosis as well as left foaminal narrowing due to ncoverebral and facet joint hypertrophy. The right neural foramen is patent.

what does this mean in plain english? Having read everything I can today about herniated discs, im wondering if my problems arent from this, instead of being MS related like I first thought...Im seeing both a Neuro and MS Specialist- neither of them seem too concerned about this report, however Im in excruitiating pain most of the time in this area, on the left side...

Does anyone have any advice, and should I possibly consult with an Orthopedic doctor, or what kind of doctor? Obviously the MS based Neuros arent going to pursue this...can I do anything besides motrin to help ease the pain? SUggestions, really welcome!
Nikki
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Old 09-08-2007, 05:31 PM   #2
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Re: can anyone shed some light on this?

You certainly have enough evidence on your MRI to warrent follow-up with a surgeon. With a clean report on the MS your symptoms are very likely to be from the degenerative changes in your spine. I would push your docs to move on this, send you to the surgeon who has the most experience in this area. Good luck...

 
Old 09-08-2007, 05:36 PM   #3
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Re: can anyone shed some light on this?

thanks John. I am new to this...should I be seeing an Orthopedic Surgeon or a Neuro surgeon?
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Old 09-09-2007, 08:15 AM   #4
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Re: can anyone shed some light on this?

john just gave you excellent advice.i do think that seeing a neurosurgeon for any problem within the c spine area is better than just an ortho,but that is just my opinion.alot of people also have orthos do their c spine procedures.but considering the MS i would seek out an NS over an ortho.but thats just me.the c spine is just a bit different than the rest of the spine in that there are many more nerves and nerve junctions up there then compared to say the lumbar area.i personally would prefer an NS for my c spine and really would not have too much of a problem using an ortho for the rest.i just think an NS has much more experience in dealing with the c spine and how it relates to the brain.there are alot of connections up there to be cautious of.but overall experience and knowledge are really the biggest things with any surgery/surgeon.you can ask when calling any NS or ortho just how much experience they have,some you can even look up at different places on line now.but like i said,that overall experience with the area you need the surgery on is the biggest determining factor for me anyways.there are other options besides just surgery that could help with your pain issues.other options should always be tried befroe any surgery gets considered.i really do wish i had tried more different things before going right to the surgery.i just figured i would get rid of the problem and move on.big mistake there for me.just make sure you are given all options before doing anything like a surgical procedure.speak with that NS and see what he has to say once he does his evaluation of you and your c spine issues.he will also do a second read of your MRI films himself.that is good for you,trust me.i do wish you luck witrh this.please let us know how things are going.K? marcia
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Old 09-09-2007, 10:38 AM   #5
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Re: can anyone shed some light on this?

Thanks Marcia, but what confuses me is I have a Neuro-surgeon who is overseeing my MS -locally. Hes the one who sent me for the MRI to begin with. of course he was looking for legions on my spinal column which might have been MS related....having found this newest spine issue (the radiologist actualy pickd it up) he didnt seem overly concerned. But, its not his area of expertise, and hes more concerned with the progression of my MS...(which appears to be under control for now).
I take meds for MS, and am very stable at this point; however the pain radiating down my shoulder, the pins and needles feelign in my hand....its all overwhelmingly painful. All along, Ive been told its MS related.
I think Ill start with a local Ortho Surg who is in network for me, and see if he feels this should be explored further...if he does, I will take your advice and look for a neuro who is more "back" related!
Thanks for your thoughts..
Nikki
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Old 09-10-2007, 08:39 AM   #6
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Re: can anyone shed some light on this?

Sounds like a good plan.the one big thing about neurosurgeons and any other surgeons really,is that they all tend to specialize more in one area than another.i cannot find another NS for me right now that even has the same level of expertise and actually has knowledge of spinal cord surgery side effects and possible outcomes.and this was at the U of MN where my other NS worked for over thirty years and did my surgery then retired on me two years later.i really am having trouble finding anyone who was THAT good for all my spinal and SNS damage crap.it sucks til you find that "perfect" one for your particular problem.like you stated,your particular NS specializes in MS,not c spine issues or any other types of actual surgerys for them.you could see another NS who does this work for a living.just remember,just because a particular surgeon actually 'does" a particular type of surgery,does not always mean that they specialize in them.just a rule of thumb to live by.but you DO need that second opinion by someone who knows c spines and does the surgerys,alot.good luck and please keep us posted,Marcia
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3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 09-10-2007, 09:26 AM   #7
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Re: can anyone shed some light on this?

Thanks Marcia. Im going to try to hang in and do nothing for a few weeks. Im up to my neck in doctors appointments this fall with my MS stuff. I have to see Neuro-Opthalmologists, get more tests done for my MS progression status, and Im starting PT for my hand (also MS related). SO, Ive decided to try to hold out until the end of the year. I have another MRI on my Cspine scheduled in March- if I can, waiting until that is done might be optimal. IM just overwhelemd and trying to hold down a fulltime job, raise 3 kids and take care of a needy husband right now...and today, my hot water heater blew up! Just more aggravation. Whow knows? If the pain gets that bad, Ill be making an appt sooner than later...but for now, I need to TRY to hold off...
thank you for your words of wisdom.
N
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