first let me start of by saying howdy folks, glad I have found this forum. In 1990 I had 4 extensive surgeries on my throat for thyroid cancer. Those surgeries removed muscles and caused me to have chronic severe muscle spasms since-nothing works for them. I developed shoulder & cervical spine pain about 1993 and have dealt with it since. I found out in 2000 I had 2 bulging cervical discs and congenital fusion on the c5-c6. I was sent to pain management as the nedications my doctors keep prescribing do not work and my pain & symptoms have increased. I had a mri done last week and results given to me yesterday are as follows:
c2-c3 & c3-c4 are normal -YAY
c4-c5 mild circumferential endplate spurring and moderate broad-based disc bulging effacing the ventral thecal sac and narrowing the AP diameter of the spinal canal to 9.5mm, compatible with mild spinal canal stenosis.
c5-c6 decrease of the AP diameter of the vertrebral bodies with narrowing of the intervertebral disc space, compatible with partial congenital fusion.
c6-c7 mild circumferential endplate spurring and moderate broad-based disc bulging effacing the ventral thecal sac and narrowing the AP diameter of the spinal canal to 10mm, compatible with borderline spinal canal stenosis.
c4-c7 mild kyphosis which may be secondary to the muscle spasm or chronic and secondary to congenital partial fusion of c5-c6.
my pain management dr would not discuss this in to much detail as he said he did not want to take the "thunder" away form the orthapedic spine surgeon he referred me to. My pain management dr has been trying to push injections and with this new report I am very nervous about that. I currently take soma 350mg 3x a day and hydrocodone 5/500 2x a day and they dont work,these are the strongest medications Ive taken yet in the last 17 years of this. my pain management dr knows they do not work and even with the new report refuses to prescribe anything other than nucynta which is not covered on my insurance and beyond my affordabillity.
what does my mri look like to you? am I in need of surgery? Given the congenital fusion, kyphosis & stenosis is it fixable? I am trying to decide if I need to find a new dr that isnt pushing me into surgery or injections. With his refusal to prescribe medications that could potentially help my pain & spasms I feel that is what he is doing. Of note this is a multi physician practice and just so happens the orthapedic spine surgeon he has me seeing next week is in his medical practice.