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Old 12-21-2009, 03:58 PM   #1
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Help to understand MRI

Problem: Patient with neck pain radiating to top of head and also into arms.
Test: Mri cervical spine without contrast

Results: C3-4 shows a right paracentral bar (disc-osteophyte complex) compressing the right side of the cord and narrowing the right neural foramina. This is causing high-grade right neural foraminal narrowing.

Is physical therapy generally effective?
Is surgery the most used treatment?
Is laser surgery common for this condition?

 
Old 12-24-2009, 06:37 AM   #2
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Re: Help to understand MRI

so this is actually compressing your spinal cord? does it state just how much compression is actually present there at the contact point(s)? do you have the actual MRI report in your possession so you could at least type out that summary at the very end where it lists ALL the hard findings and perhaps a bit more detail about the cord contact area? it really is much much more helpful(for you and for us here) to actually read thru that summary as the radiologist actually wrote it word for word. the types of wording and findings really tell a bigger picture and how impactful they just would be too. do you know if the word 'myelomalacia' is listed as a finding at all in that report? this one thing would show true hard level of impact upon your cord.

honestly, with what you have going on there from what you have just stated here, it realistically would be more of a surgical level of intervention to really get that cord decompressed. once anything actually is contacting the cord level, surgery is usually the only real choice. you really must have one heck of a very large bone spur going on at that level for it to be doing what it is down to your cord area. one HUGE thing considering what you have right there, is to please STAY AWAY from ANY chiro adjustments right now. it really could be a disaster for this type of cord contact going on if you chose that route. just wanted to mention that just incase you may be considering it?

but if you could just post the whole summary from that report, it really would help us to help you in the best possible ways. marcia
__________________
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.

 
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