52 yr. old male - recently involved in rear end collision I was the automobile that was hit from behind. Current symptoms = numbness in fingers, soreness in left side of back behind shoulder blade, soreness in back of neck, slight throbbing in left arm.
MRI results =
C3-4 - possible moderate bilateral foraminal narrowing due to uncovertebral hypertrophy.
C4-5 - moderate bulging disc osteophyte complex, effacing the entire thecal sac.
C5-6 - possible central disc protrusion.
C6-7 - mild bulging disc.
Possible central HNP at C5-6.
Possible bilateral moderate neural foraminal narrowing at C3-4.
Moderate multilevel spinal canal stenosis.
Mild disc space reduction is noted at C5-6 and C6-7.
My chiropractor seems to think that she can treat the spinal stenosis and relieve the numbness in the hand. Should I see an Orthpedic back/neck specialist and/or should I also see a Neurosurgeon?
Last edited by arefsnider; 02-22-2010 at 04:46 PM.
Hello - I am curious how long ago was your auto accident? Some of this stuff is not from a recent accident. It is a very curious way your MRI report has been written with the word "possible" in there so much. We don't usually see them written this way. It makes me think maybe a junior radiologist read the report and you got an early copy? Most of the time a 2nd experienced radiologist will approve the final report.
I feel you know the answer. No offense at chiro but your spine is nothing to mess with and with so many levels with "possible" stuff - I would see either an orthopedic spine or neuro and get them involved in your care. If your condition is not treated well it could cascade in the future to be a much bigger problem for you. So why not get the highest level care possible now!
I definitely concur with 'neckpatient', seek a higher authority when dealing with the spine, and certainly with the cervical area. Too delicate an area to go with the chance you will be helped. Dont' be afraid to ask questions until you get satisfactory answers.
I am not as seasoned in back issues as many on this board, as my injuries are fairly recent and still not resolved, but everything that I know to be true about good medicine is to stay away from a chiropractor for your cervical spine -
Keep us posted
i would have to agree with NP up there? you have WAY too many 'possibles" going on in that report to realistically even KNOW for certain just what the heck you are even dealing with here? NP?? do you know what that 'HNP" actually is? never saw that abbreviation before in an MRI report.
the one HUGE thing i would NOT even think about until you have at least seen a good neurosurgeon and get HIS expert "second real read' of your films is go to ANY chiro for this level of c spine issues with some that are just not really even clear here? while chiros DO have their place, i personally would stay away when it even involves something like the c spine level at all.
you also do have the thecal sac compression going on here too that makes doing ANY real 'adjustments' done by any chiro much more risky since that just possibly could even push that whole area even closer to your spinal cord? chiro adjustments are what are called 'blind' adjustments, meaning they cannot even see what it is they are actually 'moving either forwards or backwards within that spinal column? kind of dangerous just moreso with that thecal sac finding. you just have both a bulge there and a what appears to be large amount of bone spurring there too(the 'complex'?)? that is what is pushing up against that outter covering that surrounds the actual spinal cord itself. there is a cushion of fluid there too but it gets a bit skinnier as it passes thru that area too.
you most definitely NEED to seek out what NP suggested. personally i would seek out an actual neurosurgeon for that particular area, but thats just me. just do not seek out a plain old ortho surgeon for this area at all. if anything you would need a very highly trained form of an ortho spinal specialist or the NS i mentioned. you just DO need that eval and consult before really 'doing' anything to that c spine area. i would only seek out any chiro if my surgeon who knows the level of injuries here actually thinks it would be a good idea first, and still i would be kind of apprehensive about it. just because it IS the c spine at all thats involved here. good luck with this and please do keep us posted. 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.
I concur with those above that a chiropractor is not a medical doctor! I would never let a chiropractor touch any cervical issue. People are too quick to think a quick fix can alleviate pain initially but can cause longterm problems later on. People with any spinal condition should always keep in mind that an injury or insult to the spinal cord can affect any body process below the level of injury, dependent on the severity. I personally saw a chiropractor as an early adult and he even xrayed my spine at that time. It was many years later that I received a whiplash from a rear end collision (sound familiar) that I was properly evaluated and it was discovered that I had a congenital fusion of C5-C6 that was never disclosed to me by the chiropractor. I was instructed at that time to NEVER allow any manipulation of my spine by any non-neurological person. I agree wholeheartedly that I would get with a neurosurgical specialist immediately and follow his lead as to whether any manipulation would be detrimental in your case. I think you know the answer. Here's sending well wishes for your continued care.