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Old 05-24-2010, 09:40 AM   #31
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Re: Please help me read parts of my MRI

Hi yall, I have C-spine herniation and one thing that helps me when in bed (which is a LOT) I have one of those travel neck thingys so that you can sleep sitting up? Well I use that while sitting up in the bed. I have an adjustable bed but still can't get quiet enough support behind the neck (C5/6) and this really helps. Also I put a pillow under the laptop to keep it up a little more eye level and I'm not having to look down so much.

Hope this helps.

CJ

 
Old 05-27-2010, 08:47 PM   #32
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Re: Please help me read parts of my MRI

Hi MJml - so glad feelbad was up to replying. Good stuff. I've had an EMG - of my arms - looking for cubital tunnel symptoms and and found carpal tunnel too - It did aggrevate the already irritated nerves in the arms - The next day, was physical therapy for my arms and a wonderful massage. The EMG is not awful, and honestly I don't think it is any more irritating than any of the other dozens of testing that we have to endure - If your doc after talking to you thoroughly, believes it will be a useful diagnostic tool - I would at least consider it. Only you know how you feel and you must speak up - from the sound of it - you are speaking up - good for you.
Since I've not had an EMG of the cervical spine (yet), I cannot comment on that specific experience
Hang in there - we're here for you.
Rose

Last edited by rose4me; 05-27-2010 at 08:48 PM.

 
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Old 06-01-2010, 09:33 AM   #33
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Re: Please help me read parts of my MRI

Hello everyone. Returned back from pt & my x- Ray requested by my pain specialist came in - here is what the read says - my MRI after the accident was posted at the beg of this thread - so have things gotten worse ??? Better ?? Findings : disc space narrowing is seen @ c4- c-5. Moderate endplate spurring posteriorly along the interior aspect of c-4.. Minimal endplate spurring at other levels. Preservation of vertebral body height. Mild kyphoscoliosis centered @ c4- c-5. No sublaxation on flexion and extension. There is minimal anterolisthesis of c7 on T 1 which remained stable on flexion and extension. No significant neural foraminal narrowing. Impression: multilevel degenetrative change mist prominent at. C4 - c5 as above ... & that's it - so now this is just from an x- Ray so what I was told today is that my pain specialist & pt & ot people will refer me back to my neurosurgeon to review these findings w/ me & then order another full MRI . So I'm waiting again ...what is spurring ? This was not present in the first MRI ? Should I of had surgery right away? Let me know what you think I'm hoping marcia & rose & everyone will have time for me.

Last edited by MJml; 06-01-2010 at 09:34 AM.

 
Old 06-02-2010, 05:19 AM   #34
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Re: Please help me read parts of my MRI

Xray report indicated above in thread please help

 
Old 06-06-2010, 11:37 PM   #35
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Re: Please help me read parts of my MRI

Mjml - I wish I were more knowledgeable about the technical discriptions of your spine. I have enough knowledge to be a bit 'dangerous' , which cautions me to wait on FeelBad's or other's reply. I do apologize for not checking up on you sooner - I am borrowing my daughter's computer, as she used mine and some sort of virus, trojan and malware mysteriously appeared on mine ... A bit pricey - It's at the computer hospital, awaiting discharge - hopefully tomorrow.
Who can say whether or not immediate surgical intervention would of been better or not. The human body is so complicated. I am interested in FB's feedback on this - but would imagine that these things always involved hindsight and the frustration of the no foreknowledge as well.
My family and I have been moving these past few weeks/ selling a home, relocating to another part of the state, new jobs (thankfully) and settling in - I feel a bit distracted - but am trying to make the time for the things /people that count - I'll try to check back in a bit more regularly.
Rose

 
Old 06-10-2010, 02:40 PM   #36
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Re: Please help me read parts of my MRI

I so greatly appreciate your time. I'm waiting for some more replies not sure how to post a new thread I think it went to a message board - I'm thinking since I was so far down feelbad & some others who have been helping me along have not seen my recent post. Hope to hear from someone soon

 
Old 06-10-2010, 08:09 PM   #37
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Re: Please help me read parts of my MRI

Hi,

Well I didn't want to leave you hanging out there but I also am not one to know anything about the xray results except the spuring is just bone overgrowth I believe. This comes from tendons/muscles or whatever soft tissues rubbing that area and it causes it. There are some good websites out there with this to read up on but I cannot even refer or hint to them or I will get fussed at .

Just search spine bone spur (there is another name for it but can't spell it right I think its osteophyte) and it can cause some pain. I don't think they do surgery on just that but if you have to have surgery for something else they will clean those up.

Just take those keywords like "anterolisthesis" out of the reading of the xray and put them in your search engine. Hopefully you will find a good spine site. Wish I could point you to one.

Hope this has helped a little.

The biggest point I would like to make is to avoid surgery at all costs. See that Pain Management Specialist, get those injections, it will take time to get things calmed down. Surgery can cause scare tissue, not with everyone but it can. Do a search for "Failed back surgery syndrome". Not trying to scare you but if you can avoid it do so.

CJ

 
Old 06-12-2010, 08:33 PM   #38
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Re: Please help me read parts of my MRI & direct me on what I need to do

Have new info pno - r u around ?

 
Old 06-13-2010, 10:03 AM   #39
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Re: Please help me read parts of my MRI & direct me on what I need to do

hi MJ, god i am so sorry i have not been down here or even ON here lately. i am kind of dealing with my own crappy stuff here lately so i am kind of hit or miss on the boards depending. soory for such a loooong wait hon. and npo appears to have become "inactive" so i have not seen her on here for a very long time and i DO miss her alot trust me.

the actual 'endplates' are the end of the verterbae surfaces? the areas that actually 'touch the discs themselves? the tops and bottoms of the vertebrae kind of thing?? the actual "spurring even being there usually is more from an ongoing type of more chronic condition as opposed to what real 'trauma' would actually even tend to 'do" to an endplate? this just may have been missed before on the MRI initially depending upon just how truely noticable it was then? things having to just even "do' with ANY of the more solid boney structures will almost ALWAYS show themselves much much more clearly upon any type of actual x ray or a CT since they both use radiation vs the magnatism that an MRI uses? so they may have just not shown up on that initial MRI as clearly defined, and the fact this was done after a trauma, they may have simply tended to look for the more severe and prominent findings there given the cicumstances it was done for? but its like a boney overgrowth ON your endplates vs like the outter edges of the verts where it creates what is called "lipping" cuz it tends to just 'lip out' and looks that way? that just much more commonly seen there and not so much where yours actually is right now?

have you had that full spinal MRI done yet hon? and this most CERTAINLY does NEED to be a full spinal on you only because of the widespread upper and lower torso types of ongoing symptoms? they just NEED to also look at the areas that were NEVER even MRIed after a traumatic MVA that just can create problems/spinal injuries within that lower spinal from the different forces involved and esp if you were also wearing that seatbelt too? while i advocate seatbelt use soo much just really "seeing" the difference they actually make working ems and alot of trauma over the years when i still had my life, they can depending upon the situation also create some injuries too, but at least you are still alive and not thru your windshield if you did not actually bother to use that seatbelt, ya know?

knowing if you have gotten that full spinal done yet and what the actual summary is would really help here. make certain to actually get your own copy of that report. but just really seriously DO ask the doc to do that full spinal vs "only' c spine, mostly becasuse it has NEVER actually even been looked at yet or cleared of any possible damage for alot of months here too and combined with the ongoing symptoms within those feet too. it is that crucial to have that "unknown" as of yet area fully scanned for ANY possible damage mj, it NEEDS looking at, finally. they just should have actually done this right when they did your c spine which i just really do not understand with an MVA?

and no, i really don't think your initial presentation post MVAwould have been a 'have to do any surgery right now" type of situation, mostly since alot of what even will show itself with spinal, in most cases does tend to best show itself with certain injuries over time? your injuries that showed up then really were not like having major cord compression or fractured vertebrae which are more the bigger things that would be a much more urgent need for intervention and stabilization type of thing? you just need that MRI and to find out what the heck is impacting nerves to the legs/feet here and that IS looking at the areas that have not been checked out,ever??

just for now, work on getting that good full spinal MRI going with your doc. and also let me know if you have actually seen that neurosurgeon too and his overall impressions given those feet symptoms?? thats what I really want to know too, just what actually IS creating THAT particular symptom? have you had ANY new symptoms decide to pop in here at all or is everything else still pretty much the same? please DO keep me posted hon. hopefully i will be able to get back here MUCH sooner. just dealing with my ongoing stuff gets a bit overwhelming at times then my depression kicks in, ya know? but it DOES help ME when i can help someone else with that part anyways.

by the by here, great explanation of the spurring up there cj. 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.

 
Old 06-14-2010, 09:34 AM   #40
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Re: Please help me read parts of my MRI

feelbad thanks for the info I went to see the neurosurgeon today & he said based upon my xray - he shows severe ligament damage & this is something that cannot be fixed on it's own. He said based upon my x ray the c4 c5 area the ligaments are stretched so far that they can't rebound...He wants me to have fusion surgery - I am waiting on another MRI he wants to be sure this is in fact all we will be dealing with. What do you think my options are? 2nd opinion. I did see the vertebre had significant spacing in between them on the xray. I believe that was what he was referring to & he mentioned this will cause problems on the spine. He wants me in a collar until surgery can be scheduled.

 
Old 06-14-2010, 09:47 AM   #41
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Re: Please help me read parts of my MRI

Hey,

I don't know what FeelBad would say but all my Spiney friends ALWAYS say get 2nd and even 3rd opinions w/ fusion surgery. Did he say it would be from front or back and/or what type? Knowing this kind of stuff ables you to research it even more in my mind. Did he say how many levels? I've never had it done just have read so much about it on another board. I think to you ask what kind of hardware they use. Maybe you can look in some other threads about fusion surgery and find this out.

Also, they recommend no smoking, getting on a certain vitamin regimen and this is to help with the actual fusing of the bones. Have to be careful as to what vitamins, that is very specific. I think Vit D may be one of them, your Dr. may suggest this.

CJ

 
Old 06-14-2010, 10:29 AM   #42
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Re: Please help me read parts of my MRI

i ALWAYS would recommend getting at least one more opinion only becasue of the mere fact that not all specialist who even 'do" the same specialty are ever created equal? the overall experience and knowledge that just gets gained over treating many many patients over time is seriously what really gives ANY specialist "their real' abilitys/knoweldge? whatever YOUR particular issues are and what that particular specialist has just done the most of with YOUR situation is always the best way to go.

i am thinkin the reason for that "spacing' you have there has alot more to simply do with the endplate spurring since that just IS what would be between the endplate end and the actual disc itself? its just 'where" you happento have the spurring at all?

the one really important thing that simply HAS TO be done before anything else here tho would be that FULL spinal MRI just to see EXACTLY what just is creating that symptom wayyy down in your feet? if that spinal below the c spine shows no real issues, then it very well just could be the c spine stuff you have there? but "something' simply would have to be truely impacting that cord to a certain degree in order to even do that? when that NS did his regular hands on eval on you at some point, when he tapped that little hammer under your kneecap? just how quickly did that lower leg bounce out? was it 'normal and subtle" or more quick and 'brisk" and not normal? did he say the word hyper reflexia or reflexes at ALL to you at any time? just exactly what were HIS impressions of the symptom in both feet even being there at all? thats what I would like to really know here? what does HE feel is creating THAT symptom in you? if he has not said anything about that at all to you and you HAVE mentioned this to him, it definitely would be reason enough to simply seek out that second opinion from another neurosurgeon.

at this point, since this appears to be taking forever to simply get done when it should have been done wayyy back when your MVA occured? i would simply ask your own primary to simply refer you for that one full spinal MRI so it CAN finally get looked at and anything that should have been picked up back then finally just gets that deeper look in there now? like i said hon, this should have simply been done by now already? given the symptoms just even being in your feet at all IS a good solid and very valid reason to have had this done at all here by now? just DO NOT simply "settle" for the c spine only no matter what any doc tries to do here? it needs to be done. you just simply do not even know what may even be going on in any area of your body til it simply gets that scan done to possibly find something or at least rule that area out as a potential generator. with the many different forces that get exerted upon our bodies that ARE coming from different directions during most MVAs, it needs some checking before ANY potential surgery is even considered here?

just really work on getting that MRI done now and possibly seeking out that second opinion if you really feel its needed. while some surgeries are pretty straight forward in procedure to some degree, and this one more than likely would be, what YOU feel about any surgeon and more importantly what needs repair or decompressing and just how truely basic or more complicated it really is more the reason to really seek out that second opinion?

i sought out three with my cord surgery but what i had was sooo freaking insane and a rare place to even have what i had inside of my spinal cord? but i also got two totally differing scenerios from the first two and NEEDED not only that tie breaker opinion, but HAD to have an NS who simply truely KNEW and had many many seen and treated in HIS practice to even GO into my dang spinal cord. luckily i found that one amazing NS at the U of MN here and man was that ever lucky for me. this man just had well over 30 years of experience and dealt with 'my' particular ick hundreds of times and just knew howthey were and what my prognosis would be with another bleed or having it removed. it was the worst decision i have EVER had to make in my life since either way,there was going to be alot of damage to me and my cord.

so it really does come down to the overall complexity of what YOUR needed interventions just are when seeking out a surgeon. once you also obtain that full scan, which will also be a good comparritive from the c spine angle, you just WILL know alot more about what just IS really going on within that c spine much better now that time has passed as well and some things that do not always show up immediately post MVA kind of would now? but DO get that full MRI hon. i know i must sound like a broken record here, lol. but it just IS that crucial for you. esp now that a possible surgery has been mentioned too?

i cannot seem to recall off the top of my head here, but did that area that has the problems up there actually contact even close to your cord at all? like i said, i have not gone back to reread it and should have. its just been awhile since i actually even read that initial report. i will have to pop back in on it again. my lil brain is having problems remembering even little things anymore, lol. keep us posted hon, 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.

 
Old 06-14-2010, 07:54 PM   #43
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Re: Please help me read parts of my MRI

Just a quick post tonight & I will give more info tomorrow / neurosurgn did mention my reflexes have changed that was one of his reasons for surgery - he also showed me the photos of the flexion xray whiched showed a widening of the interspinous distance - which is caused by a severe cervical ligament strain - I believe that is what he called it - he said that is why I have tingling in my hands and feet - he said they did not see the sprain/tear in the MRI - due yo the inflammation - he said this happens in about 9% of mva w/ whiplash injury - I'm a little freaked out - he's hoping the MRI comes back w/ no other surprises then what wad originally seen in feb. I googles some things about my area c3. C4 Like locked facets or unilateral / or billateral locked facets - could I lose all my motor senses - the tingling is not stopping & due to the xray it showed radiculopathy I believe & the spurs - all a cause of this widening due to the ligament - i'm saying a prayer for my MRI - because I also googled that if my issue is associated w/ a herniated disc it makes the outcome of the fusion on c3 c4 worse - & the would have to maybe go in posterior & anterior - please post me

 
Old 06-16-2010, 06:29 PM   #44
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Re: Please help me read parts of my MRI

Feelbad -/- help freaked out in hard collar my vertebre are severely spaced due to lig damage, @ ddd this has caused a narrowed space in between c4 - c5 - I'm freaked because if I move the wrong way or have inflammation or something - will that make the vertebre break & cause paralysis? I'm worried about how to sleep - I already have severe tingling in hands arms and feet - what should I do ??? I have an emergency MRI scheduled for Tomorrow night - hopefully someones around w/some advice on how to sleep - I'm making my self sick w / woory and don't want to do that due to the bending.... I hope someone is around tonight

Last edited by MJml; 06-16-2010 at 06:30 PM.

 
Old 06-21-2010, 10:04 AM   #45
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Re: Please help me read parts of my MRI

i am sooo sorry i could not get to your post sooner hon. just how are you doing right now? the only real 'comfortable way' i found to even TRY and sleep with the hard collar on was more 'upright" or if you happen to have a recliner availiable, that really does help with the 'right" posistion too? and of course those handy hand towels to tuck in all the right spaces that just make having to wear that collar and sleep an issue too. they are really helpful along with usually a 'flatter" type of pillow? thats what worked best for me. did ANY of your more pronounced symptoms get at ALL worse or did any new ones just start appearing once that hard collar was placed on you? if anything actually changed for you, that collar may be just a bit too big for your particular neckspace?? just making certain that esp with what you have going on, that at least that collar is fitted appropriately for YOU. its just really important with what you just have there hon.

up until i reread your initial report a few days ago, i had completely forgotten that you just DO also have some level of cord contact too? that really was a bad bad idea for them to have even thought that doing ANY actual traction on you was even a good idea, at all? it could have definitely exascerbated what was already damaged and contacted? but all depending upon just HOW impacted ypour cord realistically just is,that could definitely explain the feet symptoms. when you mentioned the changes in your reflexes? are they now more 'quick" or brisk as opposed to the more the normal little 'bounce out' that would be what you would just 'normally have"? if the change is 'quicker", then you would more than likely have more impact at that cord level finding now than you did initially? if this changed FROM normal over time, i really am wondering if that traction they 'decided" to do on you was responsible here? you just never know what traction will do to any damaged area.

if you just have that hard collar on at all mj, i really would not overly worry about 'movements' creating what you are more worried about? that is what that collar being on you at all is trying to prevent you from actually inadvertantly even 'do' since it just does restrict your movement for a good reason? just make certain for your own sake that it just IS a good fit for you. do yopu know what brand name that collar actually is? mine for instance was called the "miami j' peds collar"? and yes, i do have a tiny neckspace, lol.


did you get that MRI done then?? have you found out ANY results yet? make certain to obtain your very own copy of that report so you can post the summary(word for word as the rad wrote it?) here for us to just see? again, i am so sorry i was not here or even got here when you needed some help mj. i DO hope you were able to at least find a tolerable and more comfotable way to just find some sleep with that stupid collar. let me know what you found out and how you are doin there hon, K? i am just worried about you, 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.

Last edited by feelbad; 06-21-2010 at 10:09 AM.

 
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