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  • C3-C4 Epidural -- needs specialist?

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    Old 09-21-2011, 07:40 PM   #1
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    C3-C4 Epidural -- needs specialist?

    Hi, Posted earlier under "symptoms don't match". I saw the spine ortho today and even though he seems puzzled why I'm having weakness and pain despite the disc bulge with thecal effacement, he believes it must be coming from C3-C4 nerve root and recommended an epidural. He said that's an unusual area and that I needed to see someone with a lot of experience. I'll be having it done at a large hospital. Anyone else have an epidural in this space? Why is it so unusual?

     
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    Old 09-21-2011, 08:41 PM   #2
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    Re: C3-C4 Epidural -- needs specialist?

    I don't it. Your MRI radiologist's report said the C3-4 and C4-5 foraminal openings are "patent" (open). I wonder why the ortho thinks there's a problem with the C3-4 root....

     
    Old 09-22-2011, 07:11 PM   #3
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    Re: C3-C4 Epidural -- needs specialist?

    RE: I wonder why the ortho thinks there's a problem with the C3-4 root....

    I'm not too sure. I thought narrowing in the foraminal opening was, structurally, something very different from a disc bulge. As I just posted before, I THINK it's because of the pain I have in the scapula area or the numbness in my chest? Or, that the disc bulge is larger in C3-4.

    Here's one thing I found:
    Radiculopathy of the fourth cervical nerve root results from
    pathological changes between the C3 and C4 vertebrae and is
    more common than a C3 radiculopathy. It may be a cause of
    unexplained pain along the base of the neck that radiates to the
    superior aspect of the shoulder and posteriorly to the scapula.
    The rhomboid, trapezius, and levator scapulae muscles are
    supplied, in part, by the fourth nerve root, but a motor deficit
    may be hard to detect. A sensory deficit may be present over
    the anterolateral aspect of the neck, along the distribution of the
    transverse cervical and supraclavicular nerves.

    I suspect that I have compression from C5-6 as well, especially because that's what the EMG showed. I asked the doc if a epidural would cover areas below (C3-4) and he said to some extent. Also said if they did the epidural and I had no changes, that that information in itself would be helpful. From what I've read here, there seems to be a wide range of doc perspective. Some say nothing wrong where a MRI might show something one would think would be a problem, where other's are hot to operate. Just my humble opinion?????

     
    Old 09-22-2011, 07:24 PM   #4
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    Re: C3-C4 Epidural -- needs specialist?

    RE: I wonder why the ortho thinks there's a problem with the C3-4 root....

    I'm not too sure. I thought narrowing in the foraminal opening was, structurally, something very different from a disc bulge. As I just posted before, I THINK it's because of the pain I have in the scapula area or the numbness in my chest? Or, that the disc bulge is larger in C3-4.

    Here's one thing I found:
    Radiculopathy of the fourth cervical nerve root results from
    pathological changes between the C3 and C4 vertebrae and is
    more common than a C3 radiculopathy. It may be a cause of
    unexplained pain along the base of the neck that radiates to the
    superior aspect of the shoulder and posteriorly to the scapula.
    The rhomboid, trapezius, and levator scapulae muscles are
    supplied, in part, by the fourth nerve root, but a motor deficit
    may be hard to detect. A sensory deficit may be present over
    the anterolateral aspect of the neck, along the distribution of the
    transverse cervical and supraclavicular nerves.

    I suspect that I have compression from C5-6 as well, especially because that's what the EMG showed. I asked the doc if a epidural would cover areas below (C3-4) and he said to some extent. Also said if they did the epidural and I had no changes, that that information in itself would be helpful. From what I've read here, there seems to be a wide range of doc perspective. Some say nothing wrong where a MRI might show something one would think would be a problem, where other's are hot to operate. Just my humble opinion?????

     
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