hi i have had persisting nagging pain in my neck for yrs i was finally able to start physical therapy after changing the type of insurance i had. my question is what is done for a misaligned spine? my therapist said my spine is one of the most messed up ones she has seen in a while. i guess everything on my body is out of sync. she said even my jaw is misaligned. i just started therapy this week and so far it has been so painful. all my core muscles are weak and i am trying to build them up during therapy. i also have an appointment with a chiropractor to get an evaluation. so what types of things would be done to me and would my spine ever be normal? just to let you all know i have two bulging discs in my neck one of the bulging discs also has a tear in it i have two bone spurs and i also have c5 radiculopathy. i also have had headaches almost half my life too.
I'm really not qualified to comment on a misaligned spine, but I'd caution about going to a chiropractor without first seeing an orthopedist or physiatrist and discussing whether or not this might do you harm. In particular, I'd be concerned about a chiropractor possibly making your neck problems worse.
If you want, list the radiologist's report of your cervical MRI, and at least someone here can explain it and what might be done about it.
i will post my mri report on my cervical spine to see if it would help i had the mri in june of 2012
PROCEDURE: MRI OF THE CERVICAL SPINE
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 the right.
It doesn't look bad, at least not to me. I think there's a good chance that your disk bulges and osteoarthritis are not symptomatic.
The radiologist calls the right-side foraminal encroachment at C4-5 "moderate" (borderline problematic) in one place, then later calls it "mild". So I guess it's somewhere in between, which shouldn't be symptomatic, unless the radiologist is understating.
At C5-6, he says you have a "small" complex that CONTACTS THE CORD. A SMALL complex should not do that, as a healthy-sized cord has a fair amount of buffer space for the cord. Although the radiologist doesn't say anything about it, to me this implies that your spinal canal is under-sized. This is called congenital spinal stenosis. I don't think it's terribly uncommon, at least to some degree. I suffer from it, for one. Basically, the takeaway for you is that - assuming your spinal canal really is smaller than optimal - you're more likely to have spinal cord impacts over the years. More likely, though not certainly.
The annular tear at C6-7 may eventually result in herniation (the disc's soft nuclear
material coming out through the tough outside (annulus). Maybe that has already happened, but the radiologist doesn't say so. Besides, he does call it 'small".
If the osteophytes (bone spurs) are causing pain, it should only be on the right side.
All in all, a fairly benign MRI (unless the radiologist is woefully misstating things). I wish mine looked half as good.
Since a spine specialist - of one kind or another - must have ordered the MRI, what did he/she say about it?
i have never seen a spine specialist the doc who ordered it was my neurologist because i was complaining about my right arm going numb at times. all my problems do seem to occur more on my right side then my left so i dont know if it the spurs that are causing the problems or not. just so tired of neck pain and headaches and now my shoulders and arms are starting to hurt more and more everyday. i just want it to stop