Sagittal T2, T1 inversion recovery and axial T2 images of the cervical
spine were obtained along with localizer images.
The examination reveals the craniocervical junction is unremarkable.
Medial aspect of the posterior fossa of the brain is normal in
appearance. Spinal cord is normal in course, caliber, and signal.
Vertebral bodies are normal in height and alignment. There is no edema.
Axial sections show C2-3 is unremarkable. C3-4 shows no
neurocompressive change. C4-5 shows right foraminal encroachment to a
moderate degree due to spondylotic ridge and uncovertebral spur.
C5-6 shows a small central disc ridge complex which contacts the cord
without compressing it.
C6-7 shows a small central disc protrusion with annular tear without
nerve root compression.
C7-T1 is unremarkable. The portions of the brachioplexus that are
visible are unremarkable.
CONCLUSION: No focal signal abnormality in the cord. Small discs are
seen C5-6 centrally, C6-7 centrally, right uncovertebral spur at C5-6
also results in right foraminal encroachment to a mild degree. C4-5
also shows right uncovertebral spur with mild foraminal encroachment on
i have arm problems my right upper arm goes numb at times and my shoulder hurts too i also want to know what would be done what kinds of treatments i see a neuro already any other type of doctors to go see or do i just have to live with the pain
i have yet to call him i have an appointment in sept to see him just wanted to see what other people went thru that is some what similar to what i am dealing with. i want to know what types of treatment i might go thru i know surgery is a last resort but just wanted to know anyway. i have been put on muscle relaxers and i take a anti-inflammatory too but neither seem to be working.
I suppose a shoulder problem has been ruled out? Any symptoms in your hands, in particular digits?
Per your cervical MRI, it looks like you will eventually have problems with both cord compression and foraminal narrowing. Trouble is, right now the only thing that stands out is the osteoarthritis that MAY be affecting the right C5 nerve.
i havent been told about a shoulder problem yet so i may or may not have one. my hands do bother me as well as my fingers they go numb at times have the pins and needles feelings as well. sometimes my hands will turn bright red and i will get a burning pain in them dont know if thats from nerve in neck or carpal tunnel starting. cant forget my hands at times will be ice cold too and at times be blue but that usually happens in cold weather. i guess i should wait and see my neuro to find out if anything will be done besides meds or do a wait see to see what happens later down the road just hate having constant neck pain and headaches been like this since i was 16
Your hand problems do not sound to me like they have a cervical spinal origin. I'd suggest not waiting for until September - or for a neurologist, for that matter - and try to take that up with other specialists, starting with your GP.
The thing about the cervical MRI - or, at least, the radiologist's report of it - is that there's nothing in it which is likely to justify surgery. Maybe the radiologist just didn't read if very well, or he habitually downplays problems. As I said, you definitely are borderline - too much so, for someone so young - and a different doctor viewing the same images might see things in a more negative light.
If the spurring at C4-5 is causing the problem, there's an operation called a foraminotomy which is much less invasive than other neck surgeries and is designed to clear obstructions out of the foramina. That's one possibility...
Last edited by WebDozer; 07-07-2012 at 06:16 PM.
The Following User Says Thank You to WebDozer For This Useful Post: nickkiez (07-08-2012)
thanks for the help i wasnt planning on getting surgery i dont really want it unless there is nothing else left to do or i keep getting worse right now i can handle my pain just getting tired of having it i have other neuro problems and dont really want this added on to it but i guess i have no choice. oh do you think being in a car accident could have started any of this i was in one in 1994 where the car i was riding in hit a tree i did hit my head had a bruised stomach and a brush burn on my neck on the right side i also was in another one in 2010 where i totaled my car i think i hit my head during that one too just wondered if either of those could play a part in my neck problems
Greetings Nickiez! Welcome to the healthboards, my sympathies to all the pain. Yes in my opinion the car accident might have caused the tear, but sometimes if there were other injuries in life one of those could have done it also. Peace, sjb
thanks for the reply i havent had any huge injuries besides those two car accidents i mean i have hit my head many many times but that seems to me to be normal everyday things that a person goes thru. just hate being in pain i go to bed with it and wake up with it i even use a neck pillow to help with my chronic headaches but it dont really seem to help just trying get other opinions on what to do or where to go or to just ignore it and let it go
The following user gives a hug of support to nickkiez: sjb (07-07-2012)
Greetings, of course everyone has to make their own decisions about healthcare and what is done. I have been unimpressed with a local person's having a fifth surgery done but the situation is desperate because the spine is folding in and needs internal bracing. The bone is weak and I wonder.... I would definately do a good amount of studying the problem and cure first and understand exactly what would be done and why if I got anything done especially if there are so many vertebrae and discs affected. Peace, sjb
The Following User Says Thank You to sjb For This Useful Post: nickkiez (07-08-2012)
i have another question that may or may not be dumb lol i was wondering are my neck problems bad enough to do something about it soon or are they just mild enough to let it go for a while i ask cuz i dont really know how good/bad the mri is. i do have an appointment in sept and i will call tomorrow to see if i should make an appointment to see doc sooner but i dont really want to worry if its not worth worrying about. i have other neuro problems too that i am being treated for and i get botox every 3 months for chronic migraines that do not go away although this round seems to help more then the other two i had done. could my neck play a part in my headaches? i also have a brain condition called pseudotumor cerebri where i have too much spinal fluid in my head. could my neck play a part in that too?
As I said, I think your MRI is borderline. That C4-5 foraminal encroachment seems to be the most likely trouble spot. First, the radiologist calls it "moderate", which is just below "severe" in radiologist-speak, but then he calls the same thing "mild". Maybe it's in between mild and moderate.
I wouldn't be surprised if surgery (perhaps a C5 right foraminotomy) made you feel better, but I have my doubts that a surgeon would go along with that at this point. Maybe in a year or two it will be a different story.
I'm more concerned about those symptoms that do not seem to be cervical-spinal in origin. I hope you follow up on them, and don't wait for September.
Of course, my knowledge of cervical spinal problems is amateur, and my knowledge of non-cervical neural problems isn't even that good....
Greetings, In my opinion the neck troubles can cause headaches in some people and the extra fluid might also. I would encourage everyone to make their own health care decisions because each person has to live in the body they are given. Peace, sjb
The Following User Says Thank You to sjb For This Useful Post: kenzibenzi (07-09-2012)