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2nd mri results confused need help

AnonymousUserAAnonymousUser Posts: 49,731
edited 06/11/2012 - 8:25 AM in Chronic Pain
~X( :H Hi everyone.

Thanks in advance for your help. I been having severe neck and shoulder, arm and hand pain and numbness, including numbness on left face. I have had chronic pain in the lumbar spine for 5 years now. :?? :''(

But the cervical issues i just mentioned started after a trip down the beach with my almost 2 year old and grandchildren. Well i decided to help my lower back before the trip and for the first time in a while i started exercising on my treadmill for 2 months straight did great was up to 4 miles a day. Then i started doing tae bo video, bad bad move :''( , The new one comes with a weight bar and alot of jerky awkward moves with it. Good video for the healthy spines.

I first seen my primary care for the neck shoulder in july i couldnt even lift my arm over my head. severe pain. So i thought i just pulled out and old injury from sports 20 years prior. My doc said no lets get MRI of both area's because he said neck problems can radiate. SO i had 1 st MRI IN 8/1/08 results where as follows.
impression:
1). Central posterior right paracentral and forminal disc herniation at c5-6.please correlate for right c6 radiculopathy.
2). Abnormal signal lesion in the left lateral recess and left neural foreman at c6-7. This could be an extruded piece of disc however, mass cannot be excluded. and mri of the cerivcal spine with contrast is highly recommended for further evaluation.
3). at c6-7 there is a disc buldge with indentation of the ventral margin of the thecal sac. mild narrowing of the left neural foreman due to bony spurring is also noted.

There is a T1 hypointense, T2 hyperintense signal abnormality measuring 1.0x0.9x1.4 cm in the left lateral recess and the left neural foreman at c6-c7 levels.

SHOULDER RESULTS;
1. mild arthropathy of the acromioclavicular joint without impingement of the underlying supraspinatus tendon.
2. distal rotator cuff tendinopathy
3.subdeltoid bursitis and bicep synovitis.

I know this a long post. but i dont understand what the t1-t2 signal abnormality means. and i have new results im posting in a new box to compare. But if this is something to do with nerve commpression i want to know. Because i have so much numbness and was wondering why it took almost 3-1/2 months to do the contrast mri. can i have nerve damage from waiting that long. my new mri says i got better.

THANKS IN ADVANCE FOR ANY HELP WITH TERMINOLOGY AT ALL ~X(
DAWN
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Comments

  • I dont understand it. I went to the nuerosurgeon for the first time after i took matters in my own hands and seen and orthpedic who looked at 8/1/08 MRI and referred me to the nuero immediately.
    The nuerosurgeon said it looks like I need surgery and said we need to look for changes its been 3 months since the last. and also that they missed a herniation on the MRI not in the findings c7-t1 he told me. Then sent me for an MRI with contrast.

    He called and said it was normal. But i am still in severe pain in my neck and hand pain shoots down, and the numbness never went away. It actually worsened the numbness, not the pain.

    NEW MRI 11/20/08 FINDINGS: :jawdrop: :?? :/

    FINDINGS: There is straightening in the cervical lordosis. This is likely on the bases of spondylotic changes, as well as muscle spasms. There is no loss of vertebral body height or suspicious vertebral body bone marrow signal abnormality. A HEMANGIOMA :O :S [ANYONE KNOW WHAT THIS IS?]
    is noted at c6. there is no abnormal enhancement within the spinal canal. The cervical spine is normal in caliber with no abnormal enhancement.

    There has been a resolution of the previously seen focus of signal abnormality from the left neuroformina at c6-c7. Currentely there is no signal abnormality in this region on tthe postcontrast sequence.The findings are in keeping with interval reabsortion of an extruded disc fragment. #o

    There is re-demonstration of the previously described spondylotic changes, including small central posterior right paracentral and forminal disc herniation at c5-c6 which effaces the right ventral marging of the thecal sac and cuases narrowing of the right neuroforamina, at c6-c7, there remains a mild disc buldge.

    WHY DID HE SAY OH ITS NORMAL? :^o so he is saying not to worry about all the pain and numbness. My pc doc said oh its healing.

    WHAT ABOUT THE DAMAGE IT CAUSED?? I am numb and still in pain. What should i do next? ~X(

    soory its so long i have no one else left to ask. DOCS CANT GIVE A STRAIGHT ANSWER.
    thanks everyone

    DAWN
  • I would like to ask a quick question...
    Did they do an MRI without the contrast during the MRI with contrast. If not that seems odd. EVERTIME and I mean EVERYTIME I get an MRI I have one done WITHOUT contrast first, then they pull me out inject the contrast and I go back in and they do the same tests, or pictures, all over again but with the contrast.
    If this did not happen I would request another MRI! It seems somewhat odd that they say its healing or its better if you are at the same pain lvl and have the same type of pain.
    However, my Neurosurgeon keeps saying he is stumped on why I am having pain because nothing major is going on in my MRI. I had a L5-S1 fusion in 2004. I have the same pain once again that I had BEFORE surgery, which all restarted about 1.5 yrs ago. PERSONALLY I FEEL that the hardware is failing or something. So now I am off to a ARthritis doc to see if he sees anything and if nothing there I am just going ot have my NS go in and take a gander at what is going on and fix whatever needs to be fixed or put a plate on the back side of my spine where the fusion was done since the plate is only in the front.
    As far as trying to decifer the MRI results. I have no clue. The only thing I could think for you to do is look up the terms online and see what they say. Sometimes the words sound a lot worse than what is really going on.

    Anyway sorry this is long and not really answering things for you. If you didn't get MRI w/ & w/o contrast on the same day I would request a "do over" on both of them. It is better to have them done on the same day! MJ
  • hello

    yes they did both the 2nd time with and without contrast
  • HELLO,

    I just asked my doctor and he just said its normal. But he wanted to do surgery a few days before, then said its normal. and i still have pain and numbness in the same areas.

    thanks
    dawn
  • dilaurodilauro ConnecticutPosts: 9,730
    MRI' with contrast are generally done for patients who have had previous surgery. The standard procedure is to start the MRI without contrast at first, they take you out and inject the contrast and put you back in for more pictures.

    I cannot make a lot of sense of what you put down for your MRI results. One seemed to indicate a cervical problem, the next MRI said that was ok, but perhaps a new bulge has started.
    As Paul mentioned, no one at Spine-Health is properly trained to interpret MRI's and give advice as what to do.
    What will we all say, is to contact your doctor, discuss the two MRI's with them and make sure you fully understand what they are saying and what action plans are in placed. Many times, doctors will discuss MRI findings at a high medical level that it doesnt make sense. You have every right as a patient for them to provide you with information that you can completely understand.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • have your dr explain in pain english what all of this means. have you tried to do this? when you got the results, he should have explained what it ment in english and if this narrows down your pain. if everything is normal, he can do more tests such as nerve conduction tests and discography which shows herniated disc. so go to him and say what does this mean in plain english and does it explain my pain and if not what is causing pain?

    jon
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • This kind of story is exactly why I have been hoping to avoid a fusion. Ive had one L4/L5 and one L5/S1 surgery this year for an injury in February, before this I had 3 other operation at the same area. Since my two surgeries this year my pain has not improved and my only other surgical option looks like an L4/L5/S1 fusion. Even on strong medication I still have many days that really suck. I hate the thought of getting a fusion and not getting better. I already got a plate and alot of screws in my femur and hip and I really dont want anymore hardware, but may not have a choice.
  • Of course we can't read the MRI but have you had a second opinion orthosurgeon or neurologist? Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • HELLO,

    The doctor said compared to the first MRI it si healing. I had a ruptured disc and now my body is reabsorbing the disc material.[a good thing]but i still have pain and numbness.

    I know to ask the doctors, i asked 2 and the nuerosurgeon said its normal[his secretary forwarded the message]

    so i asked my pc doc and he said its healing.

    If i got an answer i understood i wouldnt need to post it here..lol. i know its just advice not a diagnosis just hoping someone had a similiar result.

    My main question is on the Mri because i did alot of googling and this part not much to find.

    PART IN 1ST MRI:

    There is a T1 hypointense, T2 hyperintense signal abnormality measuring 1.0x0.9x1.4 cm in the left lateral recess and the left neural foreman at c6-c7 levels.


    DOES THIS JUST MEAN NERVE SIGNALS OR SPINAL CORD SIGNAL BLOCKED??

    THE SECOND MRI SHOWS IT NO LONGER HAS THIS.

    SO I THOUGH IF IT WAS IT WOULD EXPLAIN WHY I STILL HAVE NUMBNESS MAYBE I HAVE SOME NERVE DAMAGE FROM THE COMPRESSION.

    I have an appointment with a new spine specialist dec. 5th i will definetely address it. but these specialist seem to rush you in and out, as they are busy doctors.

    Thanks

    dawn
  • It is so complicated & hypo/hyperintense signals mean all kind of things depending on what is being talked about it's radiologist lingo that as Ron & others said you should ask for an explanation until you understand even if you see them looking at their watch...too bad you are the patient!

    What is disturbing to me is no one is listening to you. Numbness is indicative of something neurological and can resolve itself and may still, some of your test notes things are resolving and so can some numbness and other symptoms....so you need a plan from the doc when will they recheck you if you are still having problems etc. That would be fair as then you maybe won't feel like you're left w/out the plan of action

    when you see the doc note you see some of the neck is resolving but what I think you should question is this part...


    There is re-demonstration of the previously described spondylotic changes, including small central posterior right paracentral and forminal disc herniation at c5-c6 which effaces the right ventral marging of the thecal sac and cuases narrowing of the right neuroforamina, at c6-c7, there remains a mild disc buldge

    Google C5-6 dermatome "images" and see if those areas on there match any of your problems

    Thats all I will say I think coming hear for help is good and having some direction specifically is better!

    Good luck & remember you know your body and if it feels different trust yourself!
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