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  • neck pain still :(

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    Old 01-10-2014, 04:11 PM   #1
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    Jill1201's Avatar
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    Location: Minooka, IL USA
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    neck pain still :(

    Hi again! This is a repost of my MRI results from a few years back. I am currently in as much, if not more, pain, and am going for another MRI next week. My GP said that if things are the same, he will inject cortisone into my neck. If things are worse, he will send me to a specialist. Has anyone ever had a similar MRI and had injections? Seems like it's just a band-aid.

    Hello all!
    I'm a newbe to the message boards and very excited to hear that I am not alone. Well...not know what I mean. Anyhow, I was wondering if someone would be able to shed some light on my MRI results and what I can expect when I see the spine doctor in the next week. I will just post some highlights...

    c3-c4 A very minimal disc osteophyte comlex is noted at this level which slightly effaces the ventral aspect of the thecal sac but does not result in significant central canal or neural foraminal stenosis at this level.

    c4-c5 There is a right paracentral disc osteophyte complex noted at this level and a small midline extruded disc fragment is noted which extends in a cranial direction within the epidural space along the posterior aspect of the c4 vertebral segment for approx. 4-5 mm. This slightly effaces the ventral aspect of the thecal sac and abuts the ventral surface of the cervical spine cord causing mild central canal narrowing. Mild flattening of he cervical spinal cord is noted without associated cord edema or myomalacia. There is no significant neural foraminal stenosis appreciated at this level.

    c5-c6 There is a bilobed disc osteophyte complex present at this level which slightly effaces the ventral aspect of the thecal sac and abuts and mildly flattens the cervical spinal cord at this level. Mild central canal stenosis is appreciated with a measured AP canal diameter of 8mm. There is no cord edema or myomalacia present. Mild to moderate right-sided neural foraminal stenosis is noted at this level., The left neural foreman appears widley patent.

    I am having pain in the neck and shoulders and numbness in fingers on the right side. I cannot sit at my desk for any long period of time before my neck and shoulders begin to burn. Is this something that therapy can fix?

    I would love to hear what you all think.
    Thanks for taking the time to read this

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    Old 01-21-2014, 06:40 AM   #2
    Henriettajane's Avatar
    Join Date: Jan 2014
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    Re: neck pain still :(

    So sorry to hear about your neck problems.
    Unfortunately once pain and degeneration shows up in our necks there is no real going back. The best we can do is deal with the symptoms.
    By therapy I assume you mean physiotherapy? I hate to be negative as I am a positive person on the whole but doubt very much if physiotherapy would completely alleviate your pain. However keeping moving is important for any joint, just go gently.
    I speak from many years of problems with my cervical spine. I have had all the usual injections into the facet joints/epidurals etc; Bucket loads of pills and potions, sadly there is no cure just management. I have also been told that the injections that I had years ago may have contributed to the severe problems I have now. A couple are ok now and again though and can help for a while but are not usually along term solution.
    The numbness that you are experiencing is a classic symptom for nerve impingement of some kind. In other words neuropathy. It is very common to have numb fingers/hand/arms from cervical spine damage.
    It all depends on your own medical profile as to what form of help you can get. Some people are able to have an operation that makes a big difference, others are not suitable candidates for personal medical reasons.
    There are many different pain medications available that you should discuss with your doctor, finding the right ones for you may take while but don't give up, they do help us cope with our lives once we hit on the right combination. I have been taking pain medications since I was a child and as long as you are sensible and do not exceed the dose recommended modern treatments are safe. Also make sure your doctor explains everything to you about your prognosis for the future and do not be afraid to ask questions and make notes at your consultation, or take a friend for moral support and think positive. It would be a good idea for you to see a specialist as well for a full appraisal.
    Neck problems can be really awful to live with. Heat packs are soothing and a good comfortable pillow a necessity. There are portable neck pillows that can be used in the car and neck collars are helpful when things are really bad though it is best not to wear them all the time as they can weaken the neck muscles considerably. Some people find acupuncture, massage and other alternative therapies helpful.
    Hopefully you will find that the injections help and you will feel better soon.

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    cortisone injection, herniated disc, neck pain, stenosis

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