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  • Cervical spine damage

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    Old 04-01-2016, 05:11 PM   #1
    TexaScorpion
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    Cervical spine damage

    I had a compression injury jamming my head into a steel grate...pain has been torture into head and down arms to hands, worse in head and hitting at bottom of shoulders for 3 1/2 yrs. And that with 1800 gabapentin and daily pain meds. It is hideous pain without the Gabapentin.

    MRI reads as follows
    Findings:
    Vertebral body height maintained. Straightening of the cervical spine. No subluxation. Loss disc space hydration noted throughout cervical spine with mild to moderate disc space height loss and anterior osteophyte formation at C 5-6 and C 6-7. Mild Modic type 2 endplate changes at C 6-7. No marrow infiltrating lesion. Spinal cord normal in caliber and signal.

    Level C2/3 unremarkable

    C3-4: 2mm central disc protrusion indents ventral thecal sac. Mild bilateral arthrosis

    C4-5: 1mm left eccentric disc bulge, otherwise unremarkable

    C5-6: 2.5 broad based disc osteophyte complex indenting the ventral thecal sac and contacting the ventral spinal cord with mild spinal narrowing,mid sagittal canal narrowing thecal sac 8mm. Moderate left and mild right uncovertebral hypertrophy noted with moderate left and mild right foraminal narrowing.

    C6-7: 3mm disc osteophyte complex contacts the ventral spinal cord and effaces the majority of the CSF with mild to moderate spinal canal narrowing, mid sagittal thecal sac diameter 7mm. Mild bilateral uncovertebral hypertrophy with mild bilateral neural foraminal narrowing, left greater than the right.


    I feel like my life is over. I can't even do a sink full of dishes with horrible nerve pain and burning and searing in muscles. I can't sleep at night. Ive spent hundreds of dollars on traction, pillows, other gadgets, tens unit, been to the chiropractor for over a year.

    The surgeon seems to think i shouldn't be suffering like i am. If these Drs felt what I felt for a week they would be hitting up their buddies for help. I don't know what to do. I feel helpless and hopeless. So frustrating! !!

    Any suggestions from those who have dealt with these findings before?

    Last edited by Administrator; 04-01-2016 at 05:18 PM.

     
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    Old 04-02-2016, 07:16 AM   #2
    teteri66
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    Re: Cervical spine damage

    Welcome to the board. Your accident sounds dreadful. No wonder you are in so much pain. This happened over three years ago? Are you currently seeing either a fellowship-trained orthopedic spine or neuro surgeon?

    Has anyone mentioned having surgery?

    Any time there is compression of the spinal cord, there is cause for concern. This report indicates that there are things pushing into the thecal sac ( the ligamental tube that encloses the cerebral spinal fluid, creating the spinal canal and encompassing the spinal cord ) in several locations. This results in the narrowing of the space that is available for all the nerves of the spinal cord.

    You will see that the results of this are the worst at C5-6 and C6-7 where the diameter of the central canal is reduced to 7-8mm ( average is 12 or more) and where there is narrowing of the foramen, the openings located at each vertebral level that allow spinal nerves to exit the spine and go out to innervate a particular area of the body. To see how this affects your arms, take a look at a "dermatome map" which can be found online. It is no wonder you hurt when trying to do dishes!

    My suggestion is to make an appointment with a spine surgeon for another/second opinion! Chances are good that the stenosis will not improve, and may in fact get worse, which will further impact the spinal cord. It is never a good idea to leave the spinal cord compressed.

     
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    Old 04-02-2016, 08:10 AM   #3
    TexaScorpion
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    Re: Cervical spine damage

    I saw the store attorneys neurosurgeon who seemed to think no cause for concern, they weren't responsible, what is he going to say after he took their paycheck??. Just reading on the modic type 2 plate changes and reading and understanding that it causes unrelenting pain 24 /7gives me some comfort in not feeling like im losing my mind when i cant get comfortable even to sleep at night. One or 2 nights a week i sleep better but it just pure exhaustion that i collapse under. I have severe Fibromyalgia that i have dealt with for 20 years. Rhumatologist says Fibromyalgia, and the Infectious Disease Dr. says CFS. This was an accident caused by a manager at the countrys largest bad reputation department store. It has been a nightmare. My insurance won't help because it says they are responsible for the care and bills. Somebody would be thrown in jail for leaving a dog to suffer like this! I have the MRI disc and it looks like fractures in the C 5,6, 7vertebrae that line up with each other in jagged lines and a piece of bone broke off just hanging on atcthe bottom of the C 6 in several sagittal slices in the same spots. I wish i could attach these slice images so ones could see them. I feel like as severe as my pain (i mean crippling leaving me in tears at times) is i wonder if the radiologist was under the influence of something when he read this. It was supposed to be a report the same day or within 24 hours. It took 8 days., maybe behind on reading ones and rushed through not examining all the slices. All the discs in my C spine are black on MRI. A few on my T spine as far as you can,see down are thin and black. I just worry the Osteophyte complex is contacting my spinal cord now and it keeps getting bigger because 18 months ago it wasn't protruding out like this, I am worried about permanent damage or worse. I just turned 50 and i feel like my life is over. I think i need an Orthopedic surgeon to get in there and remove them, but that store is fighting me tooth and nail denying responsibility when everything is on the security footage. I had neck problems before the accident so they are saying its natural progression. I had one little spot of bone spur at C 5-6 and mild foraminal stenosis on the C6-7 right before the accident with left side widely patent. Nothing on my left side and now the left side is the worst. When the accident happened within a couple minutes my neck on the left side was really hurting and i had a bad headache starting. A couple bulging discs so my neck was already compromised before this blow. When hit the grate my natural reflex was to step down which takes you stepping backwards. When i went to do that i felt my my head jam on my neck fast and hard! The grate didn't budge that i heard but my ears were ringing from the loud clang of steel. It is the grates thatccover the oil change pit stairwell the ones that run on tracks. At this point im stuck. An attorney says if i don't have a specialist to testify on my behalf i don't stand a chance because theirs has "30 years experience". If the Gabapentin goes down in my system i can't even move my head a little without severe nerve pain bolting and striking in my head. It makes me scared to death to move. I live on ice packs everyday to try to help with the headaches. They wake me up in the middle of the night so severe i have to build the courage to get up and get some pain medicine in me and stay completely still until it starts to ease some. Any driving or riding in a car for long distance outs me in bed for days. Anything with head angled downwards causes nerve pain and a numbing mask under my chin to bridge of nose. I have read with everything propped up on pillows looking straight ahead. I can't clean my house anymore. Anything that takes repetitive arm movement or straind neck and shoulders. I used to swim for exercise. I can't do that anymore. I wish you could make Drs experience what you live with when they say "mild". They wouldn't be able to work. No quality of life, just existing and enduring. Sorry for the novel and rant but years like this takes its toll and only those who have experienced this can begin to relate. Thanks for anyone who puts up with this long enough to read it all!

    Last edited by TexaScorpion; 04-02-2016 at 02:46 PM.

     
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    Old 04-03-2016, 01:06 PM   #4
    TexaScorpion
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    Re: Cervical spine damage

    Can someone please help me understand the Modic plate changes. I read about high pain scale and constant pain. ..how much worse is this going to get when i can hardly stand it now.

     
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