View Full Version : MRI diagnosis

05-31-2016, 01:55 AM
Pls. could someone help me understand the MRI report of my husband?
Straightening of cervical spine,
Disc degeneration,
Reduced height,
Diffuse disc bulge with posterior annular fissure,
Para central protrusion compression thecal sacs,
indent of spinal cord

Details of Patient:
age 30 years
No history of any spinal injury.
Just woke up 1 more with an acute/ unbearable pain in neck. Was immediately taken to hospital and was given high degree pain killers.

05-31-2016, 11:54 AM
Welcome to the board. It would be helpful if you could copy the radiology report so that people would know better where your husband's issues are located, but I can try to define the terms for you.

It is important to understand that spinal issues tend to be interrelated due to the mechanics of the spine. When one " part" develops a problem, it tends to create problems in other adjoining areas. In order for the spine to function well, each part needs to do its job.

There is a name for what I suspect is going on with your husband that you can look up and read about -- degenerative disc disease. It isn't really a "disease" but a collection of cascading symptoms.

The disc is the soft cushion that separates the bones (vertebrae) of the spine. The intervertebral disc is composed mostly of moisture and as we age, it tends to lose moisture, dry out and flatten. This brings the bones closer together which can result in a nerve getting pinched. The disc can weaken and develop a bulge or it can protrude where disc material will come out of the disc. When this happens, the material can press into a nerve or, if large enough, it can push into the spinal cord. This can cause disease in the spinal cord itself or it can cause nerve compression which can affect the nerve at that location or the symptoms may occur anywhere along the path of the nerve...ie., radiating pain.

Basically from what you have included, there is a deteriorating disc that has a tear in the annulus, which is the tough outer layer of the disc. This rip is allowing disc material to come out of the disc. This disc material is pushing out of the disc space and over to the thecal sac (case the contains the spinal cord and spinal fluid) where it is indenting the spinal cord. This can be very painful because it is pushing against the bundle of nerves that is the spinal cord.

What type of treatment is your husband receiving? Is he feeling any better by now?

06-03-2016, 06:49 AM
Thank you so much doctor for explaining the report.
The doctor has given the following medicines:
1. Trivit (Vitamins B1, B6, B12) -once a day for 3 months
2. Vita-D (Cholecalciferol 125 μg)- once a week for 3 months
3. Lyrica, 75 mg - twice daily for 2 weeks
The problem is that he doesn't want to take the pain killer (Lyrica) as one gets addicted to these and also they have side effects on your kidney. And if he skips this particular medicine then the pain is unbearable.
Pls. advice.
Also, he is taking physiotherapy .

06-03-2016, 04:50 PM
Lyrica is the only medicine that could relieve some of the symptoms. It is given for nerve pain. When there is potential compression of the spinal cord, it is a potentially dangerous situation that should be followed with regular imaging. The cord can develop a disease called myelomalacia which has the potential to severally damage the spinal cord...which of course can lead to paralysis and even death, depending on the location of the damage.

I don't have any idea how much your husband's cord is being compressed. Obviously if it is just a tiny bit, the danger is much less, but it still bears watching in case it gets worse.

Has he consulted with a spinal specialist? In the US this would be an orthopedic spine surgeon or a neurosurgeon whose practice is limited to the neck and back.

06-03-2016, 04:56 PM
By the way, lyrica needs to be taken on a daily basis for months or long term. Taking it for two weeks makes no sense as it takes awhile to build up to the level where it is effective and then, that dosage should be maintained. It relieves some pain; it doesn't "heal" anything.