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Thoracic Issues I need Advice

smpdsniperssmpdsniper Posts: 22
edited 06/11/2012 - 8:29 AM in Upper Back Pain, Thoracic
Okay if anyone can read this and let me know if you think I need surgery please advise. I just recently had an ACDF C7-T1 on 2/20/09. Prior to that I had ACDF C6-7on 7/07 and Anterior Posterior L4-5 L5-S1 10/07. Right now I have severe pain in my neck shoulder blades, middle back, lower back, and numbness down my arms. It hurts when I take a piss or a crap, to push.

Here is todays MRI Findings

Post surgical changes are present with anterior
plate and screws at C7-T1, and interbody fusions at C6-7 and
C7-T1, better appreciated on plain films from 3/3/09. The
cervical vertebral body alignment appears anatomic. There is
mild reversal of the normal cervical lordosis in the upper
cervical spine of C3-4 which may be related to patient
positioning versus muscle spasm. The cranial cervical junction
and cervical spine cord are within normal limits.
Individual cervical levels are interrogated as follows:
C2-3: No central stenosis or foraminal narrowing.
C3-4: Endplate osseous ridging and posterior anular disc bulging
cause minimal central stenosis unchanged. Moderate right greater
than left foraminal narrowing not significantly changed.
C4-5: Posterior anular disc bulging and endplate osseous ridging
and uncinate hypertrophy, cause moderate right and mild left
foraminal narrowing unchanged. Minimal central stenosis
C5-6: Small disc bulging with osteophyte ridging without central
stenosis. Moderate right and mild left foraminal narrowing is
not significantly changed.
C6-7: Anterior fusion at this level. No central stenosis or
foraminal narrowing.
C7-T1: Anterior fusion at this level. No central stenosis or
foraminal narrowing.
T1-2: No central stenosis or foraminal narrowing.
Paravertebral soft tissues are unremarkable.
THORACIC SPINE: Thoracic vertebral body alignment is anatomic.
Marrow signal is within normal limits. No compression fractures
are seen. Schmorl's node affects the inferior endplates of T11,
T12 and superior endplate of L1. The thoracic cord demonstrates
normal caliber and signal intensity. Central disc protrusion at
T7-8 causes effacement of the ventral thecal sac and mild central
stenosis. Central/left paracentral disc protrusion at T8-9
effaces the ventral thecal sac essentially to the left and causes
mild to moderate central stenosis and may contact the ventral
thoracic cord at this level. Small anular disc bulge at T9-10
causes minimal central stenosis.
No foraminal narrowing is identified at any thoracic level.
1. Stable appearance of the cervical spine as detailed above
with anterior fusion at C6-T1. Minimal central stenosis as
detailed above. Multi level neural foraminal narrowing as
detailed above.
2. Disc protrusions at T7-T8 cause mild central stenosis and at
T8=9 cause mild to moderate central stenosis at T8-9. Minimal
anular disc bulging at T9-10 causes minimal central stenosis. No
thoracic foraminal narrowing identified.


  • to find out the core issue
    William Garza
    Spine-Health Mod

    Welcome to Spine-Health

  • dilaurodilauro ConnecticutPosts: 9,839
    on any one's MRI report. None of are trained in this area and it is a find medical art to analyze MRI images and reports. You can have the same image and reports and two experienced doctors may differ on their findings and how they would like to proceed.

    Your best bet is to contact your doctor and ask them they same questions.

    As a primer, Mild and Medium words used in MRI reports to me say, ok there is a problem, but we should be able to address it... When you see the word severe, you can be pretty sure, some doctor will suggest surgery.

    Again, contact your doctor. There is where you will get your answers
    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
  • I am 48 years old now. I was excercing about 1 1/2 hours a daywith karate. I was fighing a black belt for my third belt. He kicked me in the stomach and I went flying across the room. That was 3 1/2 years ago .I got whiplash. It never healed correctly and/so it turned into nerve damage.I couldn't even hold a full cup of coffee for a year.I started with a Chiropractor and worked my way through all sorts of Doctors.I did 8 months of physical therapy, 3 sets of trigger point injections,2 visits to the acupuncture's office,tens unit,...and all sorts of meds. with quit a selection of meds I finally was able to keep the pain at level 9. Pain level 9 I can somewhat function, but at 10 I want to cry all day. I have had bone scans, they show nothing. I had 2 MRIs, they show a bulging disc at t-4 or t-5. The doctor I had said it wasn't enough to cause pain. I find it very funny that that is right where my pain is.The pain has always been right there on that spot on the spin. Early on the pain was there ,but with out meds my entire back becomes inflamed and all knotted up. I finally went to a pain specialist 2 months ago and described my pain as stabbing and burning. He said he thought it was whiplash that never healed correctly and turned into nerved damage.He also said that if I take methodone for 1 year that it could heal the nerve, but I was to makesure that I took enough of it not to have any break through pain.He also said that he was right about the nerve pain because it took the pain level 10 away with in the first week of taking it. Other doctors have said that it was nerve damaged before, but none ever mentioned methodone. (I am so tired of some of the stupid doctors I have met over the years). I was doing great with the methodone while I was getting off of all the other meds. Then the nausea started in. I lost 15 lbs. in one month. I have never been so sick in my life. I went to the emergency room 2 times to get fluids in me. The doctors thought the nausea was from the constipation that I got from the mthodone. So I had an endoscope and a colonoscopy this last friday. Every thing looked great. Today the doctor said to try and take motion sickness pills with the methodone. I tried it so far it hasn't worked. I was only taking 5mg of the methodone 2 times a day. (the lowest dose is 5mg). The pharmasist told me that people taking methodone can get very nausea if there bodies say they don't need as much as they were taking- in other words their pain has gotten alittle better so they don't need so much of the methodone. So I tried to cut the pills in half, but the pain is coming through. Tomorrow I will try and take the 2 1/2 mg 3 times a day instead of two. I will also try ginger ail and hot water poured over ginger. I feel like I finally had some hope and it is being taken from me. If you have nerve damage too long it can become permanent.They already said it is a tough case because I have had it so long. Anyone have any ideas?
    Thank you,
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