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  • MRI Results

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    Old 03-12-2017, 11:27 AM   #1
    Mousey1432
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    MRI Results

    Need help understanding these results and if it is the cause of my right arm/shoulder pain/weakness please.

    Examination: MR cervical spine without contrast

    Indication: Neck pain, right upper extremity radiculopathy, fall on
    1/16/17

    Comparison: 8/24/2015

    Findings: Multiplanar, multisequence, noncontrast cervical spine MR.
    Technically poor quality exam secondary to patient motion artifact

    Straightening of the cervical lordosis which could be positional or
    related to spasm. Paraspinous ligaments appear grossly intact. No
    prevertebral soft tissue swelling. Vertebral body heights are
    maintained. Marrow signal grossly normal. Interval C6-7 ACDF. Cervical
    cord is normal in signal. Normal-appearing flow voids within the
    visualized portions of the carotid and vertebral arteries.
    Craniocervical junction appears normal. Subcentimeter thyroid nodules
    appear unchanged.

    C2-3: No canal or foraminal stenosis

    C3-4: No canal or foraminal stenosis

    C4-5: No canal or foraminal stenosis

    C5-6: Left central disc extrusion has developed, superimposed on a
    broad-based bulge. The disc effaces the ventral CSF and abuts and
    flattens the ventral margin of the cervical cord. Posterior CSF is
    preserved. No cord edema. Thecal sac 8.5 mm in AP diameter. Bilateral
    foraminal narrowing

    C6-7: Interval ACDF. No central canal stenosis. Mild right foraminal
    narrowing

    Impression: Progression of degenerative change at C5-6

     
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    Old 03-19-2017, 09:38 AM   #2
    teteri66
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    Re: MRI Results

    When I read through your report the first time, I was going to say "yes". Then I realized your pain is on the opposite side of the "issue" so I read it again to look more carefully.

    The most important thing to know about a MRI is that it is one piece of the diagnostic puzzle. Without a physical exam and basic neurological exam to correlate what is in the MRI, the MRI can be misleading. This is one reason why I suggest that people see a spine specialist for an accurate diagnosis rather than relying on a PCP, family doctor or pain management doctor to read the MRI and determine a plan for treatment. People can waste time going this route!

    That being said, here's what I see in the report.
    Most spinal segments look OK with the exception of C5-6 where there are degenerative changes. The disc has herniated and disc material is coming out of the disc, seeping out beyond the disc space and is pushing into the thecal sac, causing it to flatten...which pushes into the spinal cord. (The thecal sac is the tough membrane that contains the spinal fluid and spinal cord.). While this is pushing into the central canal, it has not impacted the spinal cord...although the diameter of the canal is probably somewhat reduced in diameter to 8.5mm. The cord is not swollen.

    The disc extrusion is however, causing some narrowing of the neuroforamina, which are openings where the spinal nerve exits the spine and goes out to the area of the body it innervates...in this case the C5 and C6 spinal nerves. You can look online for a "dermatome map". Which will show you the approximate path that these nerves take...for example, C6 runs across the top of the shoulder, down the inner side of arm into the thumb.

    At C6-7, there is foraminal narrowing on the right side...so perhaps your pain is coming from this. I gather you have fusion at this level....

    Last edited by teteri66; 03-19-2017 at 09:39 AM.

     
    Old 03-19-2017, 09:38 PM   #3
    Crazy Papa
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    Re: MRI Results

    I am kind of in the same boat as you but for way longer time I have been in 3 car accidents in the past 10 years and was in a accedent at work 20+ years ago I have done everything the doctors have told me to do from PT to nerve burns to help my neck Nothing helped for any length of time. In PT they had me in traction for about 10 minutes which felt great for the time I was in it soon as I stood up it was over. All the aches and pain came right back. So I finally went to a surgeon to see if that would be a option I go in on April 3rd for a 4 level ACDF from C-3 down to C-6. I'm scared of the down time losing more mobility in my neck than the surgery Even tho I'm 57 & the wife is only 53 neither one of are healths are poor. Just don't think she is going to be up for taking care of are needs. But getting back the "feeling normal" in my arms hands and some strength back sound great. I have had my nerves pinched for so many years I'm going to have pain afterwards he told me the surgery should reileve hopefully 70% of my pain in some areas. My bulged discs are more sever by the sound of your report. But getting at least a second opinion would be a great idea. But if you end up needing surgery don't wait a long time. Cause living in constant pain for years isn't enjoying life. Best of luck to you hope you get some relief soon

     
    Old 03-29-2017, 02:29 PM   #4
    Mousey1432
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    Re: MRI Results

    Thank you I saw my neurosurgeon, he is going to redo my acdf surgery, undo the single and put in a double says most everything I am experiencing can be explained by the findings as well as the 8 other bulging discs in my T & L spine and the 2 herniated in my L spine 1 pushing in each direction on the nerve roots. Just hoping the neck surgery takes care of most of it don't really want my back messed with.

     
    Old 03-30-2017, 07:06 AM   #5
    teteri66
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    Re: MRI Results

    Good luck with your surgery. If the two herniated discs in the lumbar spine are compressing a spinal nerve, I'm afraid you will still have whatever symptoms that are coming from that compression. Do you have leg or sciatic pain?

     
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