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    Old 04-25-2015, 07:58 PM   #1
    Join Date: Apr 2015
    Location: Rochester, NY
    Posts: 2
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    Injured firefighter- mri questions

    I was hit in neck with an 8 lb axe on the back of my neck, the axe fell from 110 feet high.

    The injury occurred 18 months ago, and I still have extreme neck back 24-7.

    My MRI Does not seem to show anything to severe. I was curious if any one had recommendations, surgical or other options. I go to physical therapy every week, and have had epidural shots in neck.


    C3-C4 Central canal is patent. Uncinate process hypertrophy change results in moderate bilateral neurofotaminal narrowing.

    C4-C5 Central canal is patent . Unicate process hypertrophy and facet hypertophic change results in moderate bilateral neurogotaminal narrowing

    C5-C6 There is a prominent endplate osteophyte that indents the ventral thecal sac but does not form the com results in mild central canal narrowing. Unspecified and facet hypertrophic change results in mild-to-moderate bilateral neurogormanial narrowing.

    C6-C7 Central canal is patent. Unspecified intravernous atrophic atrophic change results in mild-to moderate bilateral neuroformanial narrowing.

    CYT1- Central canal and neural foramina patient.


    Mild central canal narrowing c5-c6

    Moderate severe right and moderate left neuroforaminal narrowing c5-c6

    Moderate bilateral neuroforaminal narrowing c4-c5 right greater then left.

    As stated on top, any recommendations or thought's I would appreciate. I am meeting surgeon next month. Just anxious to find out, if I should prepare to be operated on , and other thoughts. This was very tough to write all this out, starring at a computer is terrible pain !

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    Old 04-26-2015, 11:15 PM   #2
    Join Date: Apr 2014
    Location: seattle wa USA
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    Re: Injured firefighter- mri questions

    Hello and welcome to the board!

    Wow, I would expect that an injury like that would have smashed vertebrae in your neck if not worse. But it appears like mostly chronic degenerative changes. Have you had the pain for the entire 18 months or when did it start? Where do you experience the pain?

    From the MRI you have some chronic degenerative changes in your neck with some of the joints showing arthritic spurs (hypertrophy). It is very strange that at C5/C6 in the top section they mention "mild to moderate bilateral neuroforaminal narrowing" but in the impressions section they say "moderate/severe right and moderate left neuroforaminal narrowing at C5/C6" In general this means that the space for the nerve roots coming out at that level is compromised on both sides but I can't imagine why they'd have two different severities there. Assuming that the narrowing is severe that could definitely be a source of pain.

    Are you under the care of a spine specialist ie. fellowship trained orthopedic surgeon or neurosurgeon specializing in spinal medicine? These Drs are the best at correlating symptoms, diagnostics etc and making appropriate treatment recommendations. They will also perform surgery if necessary but they are also well-versed in non-surgical treatments. That said, I would suspect, based on your MRI that conservative methods such as the PT you've been doing and injections would be the initial course of treatment. If those do not work, surgery may be indicated as a last result although there is nothing specific showing in the MRI that points to a real need for surgery. How has the PT been going? Are you getting any relief?

    Old 04-27-2015, 09:26 AM   #3
    Join Date: Apr 2015
    Location: Rochester, NY
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    Re: Injured firefighter- mri questions

    Thank you for the inquiry. I am no Doctor, but I don't believe calcium doesn't have anything to do with it. I do have neck throbbing in neck , but no tingling like she has or severe memory loss etc etc.

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