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    Old 04-26-2012, 02:30 PM   #1
    gary5661
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    mri results not understood

    i received my mri results today for my neck problem diffured pain down my left arm was wondering if anyone out there could simplify them for me and possibly tell me what it means and if im going to need an operation or what treatment will be offered as its left me a little shell shocked.
    right heres my mri results

    MRI spine cervical
    there is loss of the normal lordosis with disc osteophyte bars between c3 and c7;
    at c3/4 no significant foraminal stenosis.
    at c4/5 there is a small central disc 0steophyte bar indenting the anterior theca but no convincing foraminal stenosis.
    At c5/6 there is a large posterior disc osteophyte bar which extends into the left c6 foramen and is likely to be causing nerve root impingement. it is also causing flattening of the anterior aspect of the left side of the cervical cord.
    At c6/7 there is generalised disc osteophyte bar indenting the anterior theca although no convincing foraminal stenosis.
    conclusion:
    large left sided disc osteophyte bar at c5/6 with left c6 foraminal stenosis and nerve root impingement.



    thanks

     
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    Old 04-26-2012, 06:06 PM   #2
    WebDozer
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    Re: mri results not understood

    <<there is loss of the normal lordosis>>

    ""Lordosis"" is backward bend of the cervical spine (as it rises). You've lost some or all of it, radiologist doesn't really say how much. Not terribly unusual, but if it progresses into "kyphosis" (forward bend), then not so good.

    << with disc osteophyte bars between c3 and c7 >>

    Wear and tear over time has caused the vertebrae to create osteophytes (bone growths) pushing backward toward the spinal canal and the nerve roots. These may or may not be accompanied by actual disk bulges/herniations. You have them at four levels.

    << at c3/4 no significant foraminal stenosis. >>

    "Foraminal stenosis" just means narrowing of the opening, with the opening in question being the hole ("foramen") through which your nerves leave the spinal cord and head down your arm. The radiologist doesn't even mention the d-o complex at this level, so he clearly thinks it's minimal.

    << at c4/5 there is a small central disc/osteophyte bar >>

    At this level, the d-o complex is big enough to be mentioned, but still small.

    << indenting the anterior theca but no convincing foraminal stenosis. >>

    The d-o complex is pushing back into the spinal canal. Inside the canal - and running its length - is the thecal sac, a membrane containing the spinal fluid and, with that, the spinal cord. He says it's "indenting" the theca, but doesn't say it's doing anything to the cord. That's because the spinal fluid provides some leeway. A d-o complex can also push into the foramen. The radiologist implies that at this level it is doing so, but he's not "convinced" it is affecting the nerve.

    << At c5/6 there is a large posterior disc osteophyte bar which extends into the left c6 foramen and is likely to be causing nerve root impingement. it is also causing flattening of the anterior aspect of the left side of the cervical cord. >>

    This is the problem level. The d-o complex is large enough to push past the spinal fluid and flatten the front of the cord. This MAY be problematic, or it may not be. Do you, by any chance, have any problems in your legs, or pinky fingers, that might be attributed to spinal cord involvement at C5-6?

    You CLEARLY have a problem with the foramen, though. That d-o complex has extended far enough into the foramen to be squeezing the C6 nerve root ("radiculopathy"). This could cause various arm symptoms. The giveaways would be symptoms in your left thumb and maybe triceps as well.

    << At c6/7 there is generalised disc osteophyte bar indenting the anterior theca although no convincing foraminal stenosis. >>

    Incipient problems here but, to the radiologist, nothing that's currently problematical.

    I think you need to take this to AT LEAST TWO surgeons who specialize in spinal surgery. One or both might suggest a C5-6 ACDF (disk removal and vertebrae fusion), and may even add in an adjacent level. If I were you, I would get them to tell you what's wrong with just doing a simple (outpatient?) left C6 foraminotomy, where those osteophytes protruding into the left C5-6 foramen are trimmed off. A heck of a lot easier. You can save the ACDF's for later, or never.

    Keep in mind that I'm just an interested amateur and that the docs are (hopefully) the ones you want to hear from.

    Also remember... AT LEAST TWO !!!

    (and ask about that loss of lordosis, just for peace of mind)

    Last edited by WebDozer; 04-26-2012 at 06:11 PM.

     
    Old 04-27-2012, 03:46 AM   #3
    gary5661
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    Re: mri results not understood

    thank you for taking the time to simplify and word the results in a way i can understand i am have pain in my left tricep top of left shoulder amd down my arm at the beginning it was excruciating but now since taking 6 tablets of gabapentin and 8 zapain the symptons have ssttled and i cant really say how bad my symtons are anymore to scared to stop taking meds. so do you think that an operation is the way orthopeadics will go with this and can i do any damage to this through physical activity

     
    Old 04-29-2012, 10:39 AM   #4
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    Re: mri results not understood

    I think that, eventually, you will need ACDF's to take out one or more disks. For now, I would see about the possibility of getting a left C6 foraminotomy to free up that nerve.

    As for doing further damage through physical activity, I rather doubt it, but I'm not the person to whom you should be directing that particular question.

    Last edited by WebDozer; 04-29-2012 at 12:32 PM.

     
    Old 04-30-2012, 08:39 AM   #5
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    Re: mri results not understood

    You are 30 years old. How were you injured like that?

     
    Old 06-13-2012, 12:40 PM   #6
    gary5661
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    Re: mri results not understood

    i have no idea how i was injured like this it caused me pain boxing day at the gym, and since then was back and for the doctors and physio therapist till finally the doctor sent me for an mri. and this is the result the doctor did say this was the sort of injury you see in rugby players, but ive never played rugby

     
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