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  • MRI results - cervical herniation?

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    Old 06-18-2014, 06:15 PM   #1
    rb333
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    MRI results - cervical herniation?

    Hi. I was wondering if someone can explain what my results mean in normal terms. I strained my neck about a year ago and went through a month of PT and got better. But I work alone at night in x-ray and hurt it again last month moving a patient who was fighting me moving him. I tried to deal with it but broke down and went to company health. I am 34 and supposed to leave for National Guard boot camp July 15th. Now I am not sure I will go at all. Anyways... I am having pain in my neck, between my shoulder blades and tingling, numbness, and pain down my right arm. Mainly on the little finger side. but also from my middle finger to the little finger. The PA at company health said I have arthritic changes (which I know is normal) and a minor bulge at C4-5. However I got a copy of the results and she seemed to miss what the radiologist said about C5-6 and C6-7. This is what my results say. Sorry it's a lot. I will only post what is not normal...

    Cord: the visualized cord is within normal limits of signal intensity but is compressed as outlined below

    C4-5: Mild diffuse disc bulge without significant spinal canal narrowing. Facet and uncinate hypertrophy result in mild right neural foramina narrowing. Left neural foramen is patent.

    C5-6: Diffuse disc bulge with superimposed central protrusion results in effacement of the anterior theca sac with mild flattening of the cord ventrally. Neural foramen are patent bilaterally.

    C6-7: Diffuse disc bulge with superimposed right paracentral /Foraminal disc extrusion results in eccentric to the right effacement of the theca sac anteriorly with flattening of the ventral cord on the right. Disc protrusion combined with facet and uncinate hypertrophy result in mild right neural foramina narrowing. Left neural foramen is patent.

    Impression: DEGENERATIVE CHANGES OF THE LOWER LUMBAR SPINE (this should say cervical spine) ARE MOST PRONOUNCED AT C5-6 AND C6-7 LEVELS WITH DISC EXTRUSIONS RESULTING IN VENTRAL CORD FLATTENING AND NEURAL FORAMINAL NARROWING AS DETAILED ABOVE.

    Thank you for your help. I am trying to get an appointment the an Otho Dr to follow up.

     
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    Old 06-20-2014, 03:29 PM   #2
    teteri66
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    Re: MRI results - cervical herniation?

    Welcome to the board. Please do see a spine specialist for an evaluation, particularly of the cord compression. Most of the levels mentioned show signs of disc degeneration and degenerative disc disease, including facet joints that are showing signs of arthritic changes. This is cause a small amount of narrowing in the foraminal "canals."

    These changes are mostly described as mild. (This on a scale of minimal, mild, moderate and severe.). Mild means change is present but nothing to be concerned about.

    The main issue comes at the two lower cervical disc segments where these same issues are more severe and are pressing into the spinal cord, causing cord compression. This is what is causing the pain and numbness in the right arm and outside fingers.

    You can find a dermatome map online to see which spinal nerves innervate a specific area of the body.

     
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