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  • MRI results, anyone know what this means?

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    Old 03-02-2004, 04:34 PM   #1
    Bilbo
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    MRI results, anyone know what this means?

    Went and saw my regular MD and he just happened to have my recent 2/26/04 MRI results. I see my NS tomorow. While most of the MRI was normal there were a few prominant issues. I didnt get a copy so I am going from memory here....

    1) C2-C3 moderate disk protrusions to the right, mild narrowing of nueral foramen....
    2) C4-C5 No disk buldge present (duh, it actually says that......no disk bulge because its not there ). mild right side narrowing of nueral foramen cause be uncovertabral osteophytes.
    3) C5-C6....MODERATE narowing....cause by uncovertebral osteophytes
    4) C6-T1 essentially normal

    So, seeing how I had an ACDF with hardware at C4-C6 on 1/12/04 does anyone think its unusual to see mild and moderate nueral foramen narrowing cause by what appears to be bone spurs..... "Bone spurs" were the whole reason that I had this surgery. The only real difference between this MRI and my pre-opp MRI is the use of the word uncovertebral when talking about osteophytes...

    Anyone have an opinion here. Keep in mind that my NS has been rather dissmissive in regards to my post op problems. I still have pain and fatigue in the trap, shoulder and triceps to elbow.

    I am anticipating the NS telling me this is normal and that I will have to deal with it......

    Help.
    __________________
    2 Lumbar Lamies 93 (age 22); Cervical Fusion C4-C6 2004. Lumbar Fusion w/ hardware S1-L4 2007, DDD & stenosis entire spine. super low T. 30mg Methadone BID 10-20mg Norco 4 BT. 2mg Xanax PRN.

     
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    Old 03-03-2004, 12:29 AM   #2
    Weeping Willow
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    Re: MRI results, anyone know what this means?

    Quote:
    Originally Posted by BilboCameron
    Went and saw my regular MD and he just happened to have my recent 2/26/04 MRI results. I see my NS tomorow. While most of the MRI was normal there were a few prominant issues. I didnt get a copy so I am going from memory here....

    1) C2-C3 moderate disk protrusions to the right, mild narrowing of nueral foramen....
    2) C4-C5 No disk buldge present (duh, it actually says that......no disk bulge because its not there ). mild right side narrowing of nueral foramen cause be uncovertabral osteophytes.
    3) C5-C6....MODERATE narowing....cause by uncovertebral osteophytes
    4) C6-T1 essentially normal

    So, seeing how I had an ACDF with hardware at C4-C6 on 1/12/04 does anyone think its unusual to see mild and moderate nueral foramen narrowing cause by what appears to be bone spurs..... "Bone spurs" were the whole reason that I had this surgery. The only real difference between this MRI and my pre-opp MRI is the use of the word uncovertebral when talking about osteophytes...

    Anyone have an opinion here. Keep in mind that my NS has been rather dissmissive in regards to my post op problems. I still have pain and fatigue in the trap, shoulder and triceps to elbow.

    I am anticipating the NS telling me this is normal and that I will have to deal with it......

    Help.

    I have spurs and narrowing of the foramen. Sounds like you have a small buldging disc of C2-3 pressing to the right. The foramen is holes in the spine that allows a passage for vessels and nerves. The narrowing is probably compressing things that shouldn't be compressed therefore causing your pain/weakness. It has been awhile since school but I think "uncovertebral" is assiociated with the Joints Of Luschka. Which are joints that connect vertebrae. I suppose you have spurs arising from those joints.

    Good luck. I hope your pain mysteriously disappears and you don't have to undergo another surgery. I'm having an ACDF as soon as a cardiologist can clear me to have surgery.

     
    Old 03-03-2004, 06:09 PM   #3
    Bilbo
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    Re: MRI results, anyone know what this means?

    Wow, the board has been really quiet the last few days...

    Anyway, met with my NS today. It was a really interesting meeting. We reviewed the MRI and he showed me level by level and how the nueral foramen are open and clear paths. His basic premis was that there was absolutely nothing structurally wrong with my neck. Based on the MRI it was hard to argue with him. The uncovertebral osteophytes mentioned above and on the report are in no way touching the nerve root.

    So what is causing my pain? He claims its a dependency on narcotics. I have been on Norco since September. The NS also explained that I required a enormous amount of narcotics during surgery. I asked how narcotic dependency could physically make my muscles spasm and hurt and he basically claimed that the mind is very powerfull and when it wants something its used to and needs it will play tricks on you.

    I found it very hard to argue with him. The MRI appears to be clear. Then again, I cant read one for myself so I have to put faith in what he is telling me is true.

    Next step is to see a pain management specialist to deal with the dependency issue. Im game. I just want to get back to work and life. I will try anything 110%......

    Any thoughts?
    __________________
    2 Lumbar Lamies 93 (age 22); Cervical Fusion C4-C6 2004. Lumbar Fusion w/ hardware S1-L4 2007, DDD & stenosis entire spine. super low T. 30mg Methadone BID 10-20mg Norco 4 BT. 2mg Xanax PRN.

     
    Old 03-04-2004, 12:27 AM   #4
    Weeping Willow
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    Re: MRI results, anyone know what this means?

    Quote:
    Originally Posted by BilboCameron
    Wow, the board has been really quiet the last few days...

    Anyway, met with my NS today. It was a really interesting meeting. We reviewed the MRI and he showed me level by level and how the nueral foramen are open and clear paths. His basic premis was that there was absolutely nothing structurally wrong with my neck. Based on the MRI it was hard to argue with him. The uncovertebral osteophytes mentioned above and on the report are in no way touching the nerve root.

    So what is causing my pain? He claims its a dependency on narcotics. I have been on Norco since September. The NS also explained that I required a enormous amount of narcotics during surgery. I asked how narcotic dependency could physically make my muscles spasm and hurt and he basically claimed that the mind is very powerfull and when it wants something its used to and needs it will play tricks on you.

    I found it very hard to argue with him. The MRI appears to be clear. Then again, I cant read one for myself so I have to put faith in what he is telling me is true.

    Next step is to see a pain management specialist to deal with the dependency issue. Im game. I just want to get back to work and life. I will try anything 110%......

    Any thoughts?
    Good luck on getting off narcs. I really hope there's nothing wrong with your neck. You had surgery on your neck before........so there could be a couple things there that are causing pain. If you have nerve damage from the previous herniation that will cause pain, scar tisssue from the incisions could be hurting you, etc... If you *really* believe something is wrong with your neck I would suggest a 2nd opinion. You know your body better than anyone and MRI's are not 100%. Any type of scan/test you could ever have can miss things. I had a 500lb woman fall on me almost 2years ago. My back is a mess but according to the MRI there's nothing wrong. I am not on narcs, so I know that's not it. I "know" something is wrong. Legs doesn't go numb, swell, and hurt for no reason. Good luck

     
    Old 03-04-2004, 11:21 AM   #5
    grace2
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    Re: MRI results, anyone know what this means?

    Hi Bilbo,
    You seem to be at ease with what he said. It does sound like better news than it could have been. I wish you luck in dealing with your pain. I do know that the brain is very powerful and because of that what he said does make sense. I hope he is correct and that your neck will heal quickly.
    Good luck.
    Grace

     
    Old 03-04-2004, 03:51 PM   #6
    Bilbo
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    Re: MRI results, anyone know what this means?

    Thanks everone.

    I must say that 24 hours after my visit with my NS and begginning to get skeptical about my symptoms being caused by narcotic dependency. I just dont see the relationship.

    It just doesnt add up. I can take the meds and still have the muscle spasm (that lead to burning sensation/pain). There also have been times when I didnt take anything all day and I felt great. I know the issues associated with withdrawls and its never been false or phantom pain with me.

    I am awaiting a phone call from the new doc who is a Internal Medicine Md.
    I am willing to hear what he/she has to say. It better be well founded with a stong and linked arguement. Right now I feel like I am getting smoke and mirrors.
    __________________
    2 Lumbar Lamies 93 (age 22); Cervical Fusion C4-C6 2004. Lumbar Fusion w/ hardware S1-L4 2007, DDD & stenosis entire spine. super low T. 30mg Methadone BID 10-20mg Norco 4 BT. 2mg Xanax PRN.

     
    Old 03-04-2004, 06:21 PM   #7
    CTmom
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    Re: MRI results, anyone know what this means?

    Hi!

    I continue to read your posts with great interest as our stories are somewhat similar. I too have been suffering with postop pain - a burning in my back at my shoulderblades, going over my shoulder and down my arm to the elbow. What is really crazy is that it is the opposite arm that was bothering me before my surgery while my previous "bad arm" has no pain at all. I am definitely losing strength in my upper arm - even brushing teeth is a chore. Saw my ns today (for about 60 seconds) and he said it was all completely normal and ordered PT. By the way, he does not believe in postop pain meds so I don't take anything stronger than Tylenol so he couldn't even bring up the narcotics dependency issue. By the way, "dismissive" is the best word I could use to describe my Dr. as well. He had ordered muscle relaxers a week ago, but they did nothing for the pain.

    I'm frustrated that he is not taking my complaints seriously but will go through a few weeks of PT and see what happens. At least I can work on getting the strength back in my presurgery bad arm. I figure at that point my ns will discharge me from his care and I can go back to my GP and get his help. I feel pretty much the same as before surgery - some days are not too bad and I can function while others are just impossible but the pain never goes away. If this is so normal, why don't they tell us before the surgery so we know what to expect? Sorry - have been discouraged and just needed to vent.

    CTmom

     
    Old 03-06-2004, 06:41 AM   #8
    KeithEugeneW
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    Re: MRI results, anyone know what this means?

    I've read about others who ended up with arm and shoulder pain because during the surgery, that was the side they were laying on during the surgery for serveral hours. I wonder if that may be the case for you?

    Quote:
    Originally Posted by CTmom
    Hi!

    I continue to read your posts with great interest as our stories are somewhat similar. I too have been suffering with postop pain - a burning in my back at my shoulderblades, going over my shoulder and down my arm to the elbow. What is really crazy is that it is the opposite arm that was bothering me before my surgery while my previous "bad arm" has no pain at all. I am definitely losing strength in my upper arm - even brushing teeth is a chore. Saw my ns today (for about 60 seconds) and he said it was all completely normal and ordered PT. By the way, he does not believe in postop pain meds so I don't take anything stronger than Tylenol so he couldn't even bring up the narcotics dependency issue. By the way, "dismissive" is the best word I could use to describe my Dr. as well. He had ordered muscle relaxers a week ago, but they did nothing for the pain.

    I'm frustrated that he is not taking my complaints seriously but will go through a few weeks of PT and see what happens. At least I can work on getting the strength back in my presurgery bad arm. I figure at that point my ns will discharge me from his care and I can go back to my GP and get his help. I feel pretty much the same as before surgery - some days are not too bad and I can function while others are just impossible but the pain never goes away. If this is so normal, why don't they tell us before the surgery so we know what to expect? Sorry - have been discouraged and just needed to vent.

    CTmom

     
    Old 03-12-2004, 09:17 AM   #9
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    Re: MRI results, anyone know what this means?

    Quote:
    Originally Posted by BilboCameron
    Wow, the board has been really quiet the last few days...

    Anyway, met with my NS today. It was a really interesting meeting. We reviewed the MRI and he showed me level by level and how the nueral foramen are open and clear paths. His basic premis was that there was absolutely nothing structurally wrong with my neck. Based on the MRI it was hard to argue with him. The uncovertebral osteophytes mentioned above and on the report are in no way touching the nerve root.

    So what is causing my pain? He claims its a dependency on narcotics. I have been on Norco since September. The NS also explained that I required a enormous amount of narcotics during surgery. I asked how narcotic dependency could physically make my muscles spasm and hurt and he basically claimed that the mind is very powerfull and when it wants something its used to and needs it will play tricks on you.

    I found it very hard to argue with him. The MRI appears to be clear. Then again, I cant read one for myself so I have to put faith in what he is telling me is true.

    Next step is to see a pain management specialist to deal with the dependency issue. Im game. I just want to get back to work and life. I will try anything 110%......

    Any thoughts?

    Hi,
    I have just read your post 3 times!!! A little history first.... ACDF C5-6-7 IN 2002. After that surgery I was in more pain than before so I went to a new NS who sent me for a myelogram which showed c4-5 severe stenosis and c6-7 large bone spur that grew after surgery!!! SO I had a posterior lami to get rid of the spur and NS felt it was best to leave c4-5 alone.... dont know why but I went with his gut feeling. Anyway, after this surgery again I was still in pain. Ended up with a staph infection and was hospitalized again. So after the infection clears up the pain is still there. I was going crazy wondering why I was in all this pain. I got 6 opinions from NS to OSS and finally a OSS sent me for a high density MRI which showed non-fusion at c7 and severe cord compression/stenosis at c4-5. So I just had another acdf c4-5 with revision at c5-6-7. When he took off the old plate..all THE NERVES WERE BEING CRUSHED AT C6-C7. That never showed up in any mr or cat scan and I just Thank GOD I went with my gut feeling that something was not right. I was told its in my head, it was the meds etc........ Get another opnion please................it cant hurt!!!!!

    Good luck
    Lori


    lami l4-5 2001
    acdf c5-6-7 2002
    post, lami c6-7 2003
    acdf c4-5, revision c5-6-7 2/25/2004

     
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