Hi - This is my first posting i was hoping someone had some input i have been thru many many Dr.'s and wanted to share some of the finding via MRI - Xray - EMG - and etc..
on a MRI dated Feb of 2011
Severe Radiculapthy c-6,7 Moderate Degenerative Disc Disease wtih disc height loss and spurring and dessication thru out the spine.
2mm broad base spur pushing C3,C4-C5
4 mm Hemangioma - superlateral of C4 , Broad base spur pushing thecal sac Ventrally -
C5-6 3mm broad base spur pushing thecal sac - moderate left and right foraminal narrowing w/ spur complex reaching to the foraminal region
C6-7 Broad spur 3 mm eff. thecal sac - severe foraminal narrowing.
Curvature of the upper thoracic spine with larger spurring found thru the mid thoracic - Disc space narrowing thru mid area
Lower lumbar Degenerative Disc Disease
My EMG report came back stating i had carpal tunnel - I have been to a Ortho Surgeon, a massage therapist, PT therapy for a series of treatments and excersizes.
Then i ended up at a chiropracter's office who took yet another set of Xay's and said that i had reversal of the natural neck curve -
after that i was seen by yet another orthopedic surgeon who suggested i go to pain management, at this point i have had 3 of the cervical epidural injections to relieve the pain.. The pain i experience ranges from the excruciating skull type headaches, to pain radiating around my collar bone, up my jaw line, and pain / numbness and tingling going down my arms, and mainly into the pinky fingers - I was wondering if anyone else had a similar report - and if so what they were doing for pain ? At this point they are controlling with the shots - a TENS unit, and pain meds ? some days i wonder if the fusion they spoke of would be worth it, however one Dr. said not likely, due to degeneration going thru out the spine ? Can anyone make sense of the MRI report ? Thank you for taking time to read.
Hi webDozer - let me try again, i have different copies of reports and was searching thru different notes as i was typing, ok according to my last MRI dated 2/15/11
MRI CERVICAL SPINE WITHOUT CONTRAST:
Cervical Radiculpathy. Symptoms consistent with right C6-C7 or right C7-C8 radiculapthy.
no acute fracture or spondylolisthesis. The cervical vertrebral body heights are maintained. There is moderate disc disease at C5-C6 and C6-C7 with disc height loss and spurring There is moderate disc desiccation throughout the cervical spine.
No acute abnormality is identified in the posterior fossa or at the craniocervical junction. No focal cord signal abnormality is identified. There is a small supcrolateral aspect of the C4 vertebral body measuring 4mm in diameter
C2-C3 There is no focal disc herniation or central or foraminal stenosis
C3-C4 a small broad base disc osteophyte complex measuring 2mm in AP dimension effacing the thecal sac ventrally. No signigicant foraminal stenosis is identified.
C4-C5 a broad base disc ostoephyte complex measures 3mm in dimension mildly effacing the thecal sac. There is no central or significant foraminal stenosis
C5-C6 a broad base disc osteophyte complex measures 3mm in dimension effacing the thecal sac without central stenosis. There is moderate left and mild right foraminal narrowing with the disc- osteophyte complex extending to the foraminal region left and greater than right
C6-C7 a broad based disc osteophyte complex measures 2 to 3 mm in dimension effacing the thecal sac without central stenosis. There is mild left greater than right foraminal narrowing.
The thecal sac is a membrane running down your spinal canal. it holds in the spinal fluid, which surrounds the spinal cord.
A disk/osteophyte complex is bone spurs growing off the back of the disks. May or may not be surrounding protruded disk or disk material.
Your thecal sac is being compromised somewhat by these d-o-c's. it's not really the sac which is "effaced" (pushed away) as the fluid inside the sac. The fluid should surround the cord, and yours is being pushed away on the front side. The radiologist does not say that the cord itself is being affected. In fact, at the worst level (C5-6), he says that there is no central stenosis (narrowing of the cord).
Anyway, the MRI report is still incomplete. He talks about symptoms consistent with C7-8 radiculopathy, but then says nothing about the C7-T1 level? And why "severe foraminal narrowing" at C6-7 mentioned once but not the second time?
The Following User Says Thank You to WebDozer For This Useful Post: bamcls (07-24-2012)
Thank you for the response and helpfulness - Im not sure why it is incomplete, that is part of my frustrations. One Dr says one thing, and sends me to a specialist who in turn says a different thing, i have had at present 2 MRI's the "severe forminal narrowing " at the C6-7 were written on the previous Mri, done by a different hospital.. They each seem to read slightly different. This has been a exasperating experience, that started back in 2010. Trying to get a Complete Mri report - and a Dr. that can interpet it for me, all while fighting with the Insurance companies.. All i know is some days i cant seem to turn my head or raise my arm, and it feels as if someone is pushing heavy weight down on my shoulders. The headaches are insane, and everyone they send me to seems to have a different interpetation as to what is going on.
You really need to see a Board Certified Neurosurgeon...And yes...it makes a big difference being Board Certified...
None of us are medical professionals here and cannot read/diagnose your MRI or the reports....
We can certainly empathize with your pain and wanting to get to the bottom of this and get answers.
I've had 3, two level cervical fusions in the last 11 years so I know that type of pain very well. (I also have other herniated discs in the lumbar region and upper thoracic...but will only have surgery on those if/when it ever gets close to paralysis...
Surgery is only meant to fix the mechanical problem but is not a guarantee to take away the pain. So if surgery is on the table...you need to make sure you get 2nd and even 3rd opinions all from Board Certified Neurosurgeons.
Have they at least started you on nerve pain medication? This would be Lyrica, Neurontin, or Cymbalta? This, along with a muscle relaxer to take as needed are very helpful with the two types of pain most associated with this.
A narcotic is just meant to "dull" the pain and have us not care as much..but it isn't specfic to nerve or muscle pain. Not that it can't be part of the equation....but the other two types of meds are very helpful.
I hope you can get better answers soon!
The Following User Says Thank You to Ilovemycutedog For This Useful Post: bamcls (07-24-2012)
Thank you very much for your response, and kind words. I am sorry to hear what you have been thru -
I appreciate the advice to see the Board Certified Neurosurgeon.. I will be doing some research tomorrow - and to answer your questions yes, they had me on Neurontin for nerve pain, but later switched it to Zonegran. I take flexeril for the muscle spasms - but i try not to use unless i have to it just makes me so groggy and then a Narcotic for breakthru pain. I mainly try to use over the counter Nsaids for inflamation and my TENS unit is my best friends Thank you so much again for the advice and kindness , very appreciated.
Thank you very much again , it does feel better to talk with people that know what your going thru and feeling. It feels as if the last couple years have been a hassle with trying to get a straight answer and relief all while fighting the insurance. I have been shuffled from a GP to a specialist to a ortho surgeon to physical therapy, to a Neurologist and back to GP to the ER, and now in Pain Management. I think the key is NOT to get stressed out so i dont tense up ! lol... Have a good nights rest and thank you once again
Well i am soon headed again for another cervical epidural, since i have posted, i have had a fall, and must have really messed something up - this pain is excruciating, i cant seem to sleep at night - praying for answers and a fix to this seemingly endless cycle soon ! hoping everyone is doing well today !