HealthBoards

HealthBoards (http://www.healthboards.com/boards/)
-   Spinal Cord Disorders (http://www.healthboards.com/boards/spinal-cord-disorders/)
-   -   Please help me read parts of my MRI (http://www.healthboards.com/boards/spinal-cord-disorders/738697-please-help-me-read-parts-my-mri.html)

MJml 03-06-2010 12:05 PM

Please help me read parts of my MRI
 
I'm so scared. I was involved in an auto accident last week. Went directly to ER had Cscan & MRI -Currently waiting to get in to see neurologist yet having severe tingling in hands, arms and feet. See parts of MRI: C4-C5 there is a posterior disc protrusion with narrowing if the ventral thecal space, but no central canal stenosis or neuroforaminal narrowing. At
c5- c6, there is a posterior disc protrusion eccentric to the right with mass effect on the right aspect of the cervical spinal cord with mild central canal stenosis. There is mild left and no right neural foraminal narrowing. At c-6-c-7 there is no posterior disc abnormality, central canal stenosis, or neural foraminal narrowing. Impression: no evidence of ligamentous injury. I'am trying to stay still yet, it's hard with children. Please help to explain ???

MJml 03-06-2010 01:36 PM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
[QUOTE=MJml;4198859]I wanted to let you know that my first available appt to see a Neurologist is in 3 weeks

PNo 03-06-2010 09:31 PM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
Hi! Three weeks isn't that long, sometimes people wait for 2 months so consider yourself lucky! I saw your post in the other thread to so I am going to combine my answer. So sorry you had an automobile accident. It kind of sounds a little like you have a whiplash type injury. Where your head yanked and that is probably how you got the disc bulge protrusions. Because you don't have bone spurs which would indicate an older injury - it does appear this came from the accident.

There is a ligament that runs the length of our spine that helps hold everything in place - they are saying there is no injury there! Central canal is the middle where the spinal cord runs.

Tingling and numbess are quite common when you have anyting touching/rubbing against the spinal cord. That is what is happening to you. The disc bulge is compressing your cord ("mass effect"), but it does not say to what degree or measurement. Even very tiny rubbing or compression can cause symtpoms. The 6th nerve root could cause sensory loss or tingling on the lateral surface of the left arm and/or weakness of flexing at the elbow.
Ventral is just where on the cord on the anterior side - toward front side I think is how to describe it.

I see you have kids. The best thing to do is try to rest as much as possible, let them help you if they are old enough. Don't lift, try not to bend with your head down. Sometimes those bulges shrink back off the structures. See what the neurologist tells you. The good news is it appears like no disc fragment leaked out and into that ligament which is not good and usually needs surgery. Post when you get more info.

MJml 03-07-2010 03:12 PM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
Thank you for the reply . My concern is the nerve root 6 - I have severe tingling on the left side of my body mainly hands, fingers, legs and feet. How large does the mass have to be in order to have complete sensory loss? I also have severe tingling in my right hand and leg & just now noticed my right hand was a little puffy. why is this? What do I need to be watching out for? Should I be back in er requesting another MRI? I took about 600 mg of ibuprophin that does not seem to help. I'am also taking flexiral. My fam phy recommended physical therapy- should I be moving so soon? With all of this going on.

rose4me 03-07-2010 04:12 PM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
Hard to say what you need to do at this point, other than to keep a journal of some sort of your injuries, when each change in your sensations occured. You will have a lot of things that will run together in the months to come, this will help you to stay focused and not get anxious because you forgot an 'important' fact when you are visiting with the neurologist.
I would suggest that the PT for your cervical injury needs to be handled on the top tiers of your care - what I mean is, do not let your primary doc administer PT, when you have not been evaluated by the nuerologist yet. Your specialist doc will order the necessary testing and three or four weeks out of your accident, they don't usually order another MRI. I know that the primary care docs have their own little PT/OT centers set up,but for spinal - especially cervical spine areas - this is too delicate an area to leave to chance.
This is something I strongly believe in. I have a disc herniation and a disk tear from a t-bone auto accident in 07. I trust my spine doc absolutely, the PM doc - not so much. She never even asked to look at the MRI, could of cared less about the other treatments I already had gone through with the spine doctor and wanted to write a script for PT ... I told her no, that I was in good hands with the orthopedic spine doctor. No chiropractors either for cervical spine - that is a big no no.
Take it one day at a time, you have wonderul resources here on this board and give each one some thought. You will get through this, however overwhelming it may seem at this time. We are here to help.
Rose

PNo 03-07-2010 09:44 PM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
Very good advice. I defintely wouldn't really proceed without direction from the neurologist. Continue to do the things you are doing. Another MRI isn't going to help at this point until you see the neuro. The biggest warning signs to drive you to the ER urgently would be loss of bowel/bladder control. Or complete loss of function in your limbs etc. Otherwise, keep doing what you are doing - and try to rest - ice/heat on your neck. My dr. lets me take 800mg of ibuprofen - you can ask if that is ok, and also if you are in severe pain talk to your personal doctor about your pain level.

The swelling might be because you are using that side more because your left is hurting so bad. I think this is more the cause.

There is no specific "size" of compression that would cause loss of function (by the way it is rare for someone to have full loss), usually it is more specific to a muscle group. All this stuff is really dependent on a person's anatomy.

I really can't stress enough that you need rest right now until you see the neuro.

MJml 03-08-2010 09:08 AM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
I cancld my pt appt & will rest rest - what is the best way for me to do that - what position? I lay on my couch w/ my head propped up a bit - yet when I get up that is when I feel the pain in my back - like a burning pinch that seems to appear when I stand. I try to move my hands & feet around just because the tingling is uncomfortable. Also should I schedule a vist w/ an othopedic spine center since I'm basically just sitting & waiting until I see a neuro which is 16 days away?? Also I have been using a heating pad Only ---now I will rotate cold hot 10 min for one & 10 for the other but, how many times a day ?

MJml 03-09-2010 09:27 AM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
Hi Rose--question - when my pt called me today due to my cancellation she stated that they would work with lumbar stabilization exercises which decrease what is pushing on the disc as well as the nerve ? Will this make me feel better? Should I ask about possibly making my situation worse with the protrusions which needs rest rest. I just don't feel right without a specialtist referral - yet can you help w/ what she Is suggesting? What does she mean?

PNo 03-09-2010 01:55 PM

I personally would not go to PT until I saw the neuro. The PT is motivated to get you in there to have a patient to treat but your MRI has not been reviewed by the specialist to even say they want you to have the PT. I would not go because family physician referred you to go. This is not just a simple muscle pull. Really! Wait until you see the expert!

You have something pressing (mass effect) on your spinal cord - personally if it were me, I wouldn't let anyone touch me without the neuro saying what they want done. My neuro personally ordered the type treatment they wanted which did not include lumbar stabilization, it was only light electrical stimulation treatments, ice, heat at the beginning. Truthfully I find that kind of crazy what the PT said. When it comes to the spine, I am [B]ultra [/B]careful and only want my care directed by the highest skilled medical professional. Plus your neuro may have a specific PT they use that is a specialist in spinal care.

Just take it easy - 3 weeks is not going to hurt you - where the wrong move could really hurt you long term.

There is no specific protocol for the ice heat/ just don't leave the ice on your skin longer than around 10-20 mins and don't put directly on your skin use, a cloth in between. Keep your head in neutral positions - no kinks or bending down with your head leaning down.

Stop trying to second guess yourself - these things take lots of time to heal. Get used to this idea. Nothing you do it going to speed it up, your body is going to work on it's own time. In 3 weeks you are not going to become totally deconditioned. and the best thing you can do it take care of that neck. Believe me, you want to work to try to prevent long term problems. Instead use your energy to get your neuro appointment moved up, ask the scheduler to put you on wait list for cancellations - they happen all the time.

Listen to your instincts they are correct. Take care!!!

rose4me 03-09-2010 05:35 PM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
[QUOTE=MJml;4200484]Hi Rose--question - when my pt called me today due to my cancellation she stated that they would work with lumbar stabilization exercises which decrease what is pushing on the disc as well as the nerve ? Will this make me feel better? Should I ask about possibly making my situation worse with the protrusions which needs rest rest. I just don't feel right without a specialtist referral - yet can you help w/ what she Is suggesting? What does she mean?[/QUOTE]

As others say here on this thread - please be cautious - and do not work with the PT folks UNTIL you are evaluated by the neurologist. Don't let them sweet talk you with fancy words that you have no idea what they mean. This is all new, overwhelming and as many of us, now know - not a quick fix. I do not mean that you will be bedridden or anything like that - but if you do not follow your gut and keep on the right track - you can be injured by the PT folks - I know all about that. Some of them are just worthless - sad but true, others are fabulous - I never did tolerate traction very well for the cervical spine - I just hit the little panic bell and they stopped the machine. Some folks really like it. Not me. Often the PT folks will do machines instead of hands on. I prefer the hands on,which if it is done right can be heaven.
You will find the right PT person, after the neurologist does his diagnostic work and prescribes what you need to begin the mending process. Don't forget to write in your pain journal. Some PT sessions will be so nice and others will be work, but the kind that benefits you.
I've been out of pocket - sorry to delay this in getting back to you.
Rose

noevr 03-10-2010 10:54 AM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
Hi, I'd see my PCP if you can and see ifyou can get some muscle relaxers and/or pain meds. A medrol dose pack would help as well to help deal w/ swelling. I'm all for not seeing the PT until neuro consult. Unless PT just wants to treat w/ ice/tens/ultra sound and no exercise. I have just been diagnosed w/ c5/6 herniation and my Pain Mgt doc prescribed medrol dose pack (prednisone) and I'm already taking pain meds and he gave me sample muscle relaxers. I'm to start PT Monday UNDER HIS GUIDANCE AND SCRIPT. I do not having tingling or anything but just neck and thoracic pain.

Hope this helps.

CAthy

MJml 03-11-2010 07:15 AM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
Help... I'm in pain & it seems like it's getting worse instead of better the only change I made recently was to take meloxicam ? I took it for 2 days then accidently skipped a dose. I'm wondering could that cox2inhibitor release the inflammation and since I skipped a dose did it bring it back again but worse ?? My pt wants to see Me daily & therefore consulted w/my neuro's nurse for therapy permission yet was advised that I may need to see a neurosurgeon instead of a neurologist -- how they came to this conclusion is beyond me. But it raises more concern on my end that I do not need. Why do I feel more burning and tingling today then yesterday..? I would like to take the conservative approach and skip the surgeon any opinion?

rose4me 03-11-2010 07:34 AM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
MJml ... I sense and feel your frustration and pain very much - If it were me - I would not leave my care to the nurse of the neuro I have not seen yet. I would ask to speak 'consult' with them 'the neuro' myself. It is sad to say, but I have asked my husband at times to call the doc, just to get him to talk to us and then spoken with them. If when you speak with the neuro and they believe based on your MRI and symptoms, that the neurosurgeon is your best choice, then by all means, push for their earliest consult. Yes, missing a dosage can cause your symptoms to be harsher. be aware of the ER signs, loss of bowel/bladder control, sudden loss of sensation in extremities and etc. Don't let the PT folks push you around and frighten you. Be persistent about your desires and needs, Be a squeaky wheel! One of my surgeons told me that I should be more outspoken - I learned the hard way to speak up!

MJml 03-11-2010 08:04 AM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
Maybe I should stop taking the meloxicam. I will ask for that patch. I called my Ortho today since the referral went thru - they can't see me until April - they see no immediate urgency. So that's good news!

MJml 03-11-2010 12:10 PM

Re: Please help me read parts of my MRI & direct me on what I need to do
 
Well here is the latest my pcp is telling me that I can resume my everyday duties. He is telling me that my MRI shows no breaks no damage to the spinal cord. No compression. I was lucky enough to get a cancellation for my neurologist I will let you know what he says tomorrow. I don't feel in any way capable of handling my everyday tasks, yet my pcp is telling me that if I don't --things may get worse & then scheduled me in to see his pt. I will wait & see what the neurologist says... I can't even lift a stick over my head or pick up a half gal of milk --my pcp told me to try ... Again, I will wait for specialist on that one. Let me know if you can think of any specific questions I should ask. Thanks everyone!


All times are GMT -7. The time now is 06:52 AM.