View Full Version : Ct c spine results

11-01-2015, 09:42 AM
Can anyone decipher these findings:

Hypertrophic degenerative facet joint change is seen on the left at C3-4, C4-5, and C5-6 and on right of moderate left C3-4 at C7-T1. Upwards of moderate left C3-4 exit foraminal narrowing is seen with mild enroachment on the left C5-6 exit foramen.

Been having symptoms of severe burning on both arms and now is spreading to top of thighs. Neurologist I have seen doesn't seem very concerned. Do they ever???

Help please I am miserable.

11-09-2015, 10:23 AM
Sorry you are in pain. What you have copied from your report is not terribly helpful. if you are in a great deal of pain, it would be a good idea to have a consultation with either an orthopedic spine surgeon or a neurosurgeon whose practice is limited to issues of the spine, neck and back. Neurologists are trained in the diseases of the nervous system, things like Alzheimer's, Parkinson's, stroke, etc. and can evaluate nerve function and damage, but they do not have specialized training in the mechanics and diseases of the neck and back.

You may need an MRI to determine to determine if there is any cord compression.

As to this scan, there are indications of degenerative disc disease. At some levels that facet joints are showing signs of hypertrophic change which means degeneration and enlargement. This can cause another finding, foraminal narrowing or stenosis. The foramen are openings located at each segment of the spine, linking the bones together, and are what allow us to bend and twist in the back and neck. They provide an opening through which the spinal nerves exit the spine and can out to innervate a particular area. This nerve pathway is sometimes referred to as a dermatome. You can look up a "dermatome map" online if you want to see what area is innervate by the C 5&6 spinal nerves.

When the foramina is narrowed, there is less room for the nerve, resulting in the nerve becoming irritated or "pinched." This leads to the pain, burning, tingling and/or numbness one feels when a nerve is compressed. This stenosis at C5-6 is most likely responsible for the burning you feel in your arms.

Nerve pain in your thighs would come from either a cord compression or a lumbar nerve compression, most likely at L2 or L3.

The appointment with the spine specialist should lead to an accurate diagnosis and plan of treatment...which will probably include conservative treatments like a course of physical therapy, a series of epidural steroid injections, oral medications, etc. Surgery would only be suggested as a last resort.

Good luck and let us know how you are doing.

11-09-2015, 11:46 AM
Oh my. This sounds like something i had couple years ago.

i actually went to doctor later than i should have and it was him who suggested me to read some stuff on the net in order to go through it

Dont wait for too long. Take care