Re: C4/5 issues looking for answers please.
one thing about lyrica,which i have taken myself? it can create some really insane types of side effects, much more so for me than with any of the other types of meds in that same med group i have also tried. some can go away eventually, but this affected my eyes, legs, and my kidneys pretty severely so i had to go off of it. it is kind of up to you and how well this is working and or impacting you as to whether to just stay on it or try something more like neurontin? or one of the other anti siezure type meds that just can help with the more radiculopathic types of symptoms you are experiencing.
the one thing i see here in that rad report is really kind of odd to me. where it states that your symptoms actually correlate to the MRI findings you have only at c 4-5? the odd thing about this particular statement is that c 4-5 do NOT actually really go down far enough to actually even innervate the hand at all. once you hit the c 6 area, THEN you have actual hand/ finger innervation, but not before then, espescially with the type of full sensory loss you had at what is innervated more in the sensory at the actual c 7-8 level?
all you have to do here is just look up a few things and you will see what i mean. first, simply look up what are called the "dermatomes'? the dermatomes are nerve innervation distribution of the skin areas the nerves actually innervate. this will be a diagram of a "person" showing with lines just exactly what nerve innervates what area. then, looking up what makes up what is called the "brachial plexus" which is all what actually innervates from the arm down thru the fingers, and also REALLY look into the "peripheral nervous system". THAT is where you will see really well just how that arm down thru the fingers really are innervated. that c 4-5 just does not 'fit' with your actual symptoms, espescially at the last two fingers with sensory?
did you have ANY findings at all beyond the c 4-5 that went as far as the T 1? that T 1 also innervates the fingers too tho it is not part of the actual c spine. the one huge thing you also need to keep in mind here is that there is ALOT of real crossover or 'play' that goes on within all those last c spine nerves and that T 1 too. this just means that some of the nerves that innervate specific dermatoimes, also carry fine motor abilitys with innervation too, so you can feel or not feel certain things when it comes to the nerves that make up fine motor and the sensory in the hand and fingers. if i remember correctly, that c 5 does go down the arm but kind of stops short of the hand? but there are some 'support" muscles it does govern, but there is NO sensory innervation from that or below it and the c 4 only innervates around kind of the neck to very upper shoulder area?
see, this is what just does not sound 'right' about that report where it just correlates the level impacted with your last two finger symptoms(sensory in those fingers is usually the c 8/ulnar nerve). it just does not make real sense there. just look up what i mentioned above and you will see what i mean. but knowing if there just IS any hard findings beyond the c -4-5 would really be more likely or logical. i just do not quite get why the radiologist seemed to think this was correlated at all there. while it IS a pretty profound area of involvement you have at the level, something just does not sound 'right" there with it. while not everyones actual anatomy is always going to be "dead on target textbook", thats alot of difference between overall levels of how things are just innervated up there and in that hand/finger area, ya know what i mean? unless that c 6 is also involved, it would not involve that c 4 in any way shape or form to the fingers. maybe the rad could have missed that first level, since c 1 can sometimes be missed and not counted in some people or with an inexperienced radiologist too. just one thought. and then read the levels wrong?
if you have your MRI report in your posession, could you type out just what was actually found in that summary at the very end? it may help to clarify some things? but for your own knowledge, DO look up what i mentioned up above and get somewhat aquainted with this just so you can understand this a bit better yourself. trust me, it does help to know this stuff when you have something going on up there. marcia
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.