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C5-C6 Nueralforaminal Narrowing

DublinDDublin Posts: 2
edited 06/11/2012 - 8:44 AM in Neck Pain: Cervical
Have classic c6 pain in deltoid and buzz down to thumb. Physiatrist says get a cortisone shot. My feeling is shot will provide only temporary fix and not worth being lit up with fluoroscopy because impingement is from bony growth. Appreciate any thoughts on this and (possible) selection of nuero vs. oath surgeon. Cannot lay on floor without severe shoulder pain. I live in metro Boston.

MRI Impression

Disc degeneration at C4-C5 and C5-C6. No focal disc protrusions or extrusions are identified. There is mild broad based posterior disc osteophyte complex at C5-C6.

Multilevel neural foraminal narrowing, severe on left, moderate on right, at C5-C6, caused by uncinate hypertrophy at each level

No evidence of central canal stenosis, cord compression or cord signal abnormality.
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Comments

  • I had several ESIs prior to fusion. They hopefully will allow the nerve to settle down from inflammation. I wouldn't worry too much about fluoroscopy.

    Best wishes,

    Marianne
  • Go Sox!! I had 2 cervical epi injections recently, they didnt do a lot for me, I have horrible pain in my shoulder, down my arm, horrible pain into my thumb like a toothache. If you look at my signature I have some of the same problems you list, I finally decided to have surgery after living through this nerve pain hell for 6 months, Mind you not everyday has been horrible, but it has gone down hill since I was dx in Jan of this year. I am 44 and decided I needed to have a Life! I have a good neurologist first then went on to a great neurosurgeon, my surgery is scheduled for June 8th, good luck to you, Lela
  • Had a cortisone nerve blok at Mass General. Seems to help with the pain. And although I still have a buzz down my arm when I rise it does not last long and is occasional throughout the day. But I have not yet figured out if there is a non surgical solution to my issue, we'll see how this shot goes and then I am going to see a neurosurgeon and an oath spine surgeon for their opinions. Good luck on June 8. I'll say a prayer for your speedy recovery. Remember you are in good hands with people who want to fix you. Where is procedure being performed?
  • Dublin, I am having an acdf at c4/5 and c5/6. Thanks for the encouraging words! If it werent for this site I would have gone crazy by now and thought it was all in my head! I am anxious to get it over with and get on with my life! I have so much to life to live with husband amd my kids and friends. I know it is going to help me. I hope you find your answers as well and get better and live pain free. I didnt realize how much the nerve pain can really ruin everyday living. Let us know how you do. Lela
  • Dublin,

    Noticed your post and you ?ng about neuro/orth surgeon and doing injections.

    Interesting you are in Boston, MA, I'm down in Florida and going to Mass General in a week or so for second opinion assessment. (posts in Cervical Pain this past couple weeks)

    Wanted to offer to you I had interventional surgery ACDF on C-4/5/6 removing three bone spurs encroaching spinal cord = bone implant fusion successful. Your spine is never the same after interventional and implant surgery, plus remaining discs above and below surgically fused do progress in degeneration and more aggressively because of "load" ratio / movement fusion and the DD disease arthritic conditions once in the spine continue to affect your spine.

    That being said, I encourage you to do everything with regard to getting relief, i.e. injections, physical therapy, therapeautic massage, electrical stimulation, aqua therapy. I have found one and/or combination of these methods have brought me relief from advancing pain/spasms/dysfunction....

    Go for trying to get relief non-interventionally it is definitely worthwhile. There were times my DD was not chronic every day, but would lapse then process, longer duration, then some relief all the while advancing and spurs existing for several years. I was encouraged by my surgeon to do as much non-interventional treatments I could prior to sucumbing to the surgery.

    The rule of thumb so to speak by my surgeon as the degeneration/symptoms progressed was consider surgery when...

    my pain/dysfunction is intolerable AND/OR
    it has progressed to neuropathy = legs/arms/disability

    I was glad I did, 14 yrs later, I am facing another threshold of intelerable on the last 2 levels causing unbearable pain and severe advanced degeneration which has now caused symptoms to the level of needing interventional surgery = radiculopathy/disability.

    Did you get any relief from your nerve block injection, some times it takes a series and not just one to make a real difference.

    Hope this helps.

    p.s. I'm pursuing Mass. General Neurospine to have assessment by a neurosurgeon, in process of confirming appt. next week. From what I have heard and read about neurosurgeons there = top in field and very good. Pass along your experience, okay!

  • Dublin,

    Noticed your post and you ?ng about neuro/orth surgeon and doing injections.

    Interesting you are in Boston, MA, I'm down in Florida and going to Mass General in a week or so for second opinion assessment. (posts in Cervical Pain this past couple weeks)

    Wanted to offer to you I had interventional surgery ACDF on C-4/5/6 removing three bone spurs encroaching spinal cord = bone implant fusion successful. Your spine is never the same after interventional and implant surgery, plus remaining discs above and below surgically fused do progress in degeneration and more aggressively because of "load" ratio / movement fusion and the DD disease arthritic conditions once in the spine continue to affect your spine.

    That being said, I encourage you to do everything with regard to getting relief, i.e. injections, physical therapy, therapeautic massage, electrical stimulation, aqua therapy. I have found one and/or combination of these methods have brought me relief from advancing pain/spasms/dysfunction....

    Go for trying to get relief non-interventionally it is definitely worthwhile. There were times my DD was not chronic every day, but would lapse then process, longer duration, then some relief all the while advancing and spurs existing for several years. I was encouraged by my surgeon to do as much non-interventional treatments I could prior to sucumbing to the surgery.

    The rule of thumb so to speak by my surgeon as the degeneration/symptoms progressed was consider surgery when...

    my pain/dysfunction is intolerable AND/OR
    it has progressed to neuropathy = legs/arms/disability

    I was glad I did, 14 yrs later, I am facing another threshold of intelerable on the last 2 levels causing unbearable pain and severe advanced degeneration which has now caused symptoms to the level of needing interventional surgery = radiculopathy/disability.

    Did you get any relief from your nerve block injection, some times it takes a series and not just one to make a real difference.

    Hope this helps.

    p.s. I'm pursuing Mass. General Neurospine to have assessment by a neurosurgeon, in process of confirming appt. next week. From what I have heard and read about neurosurgeons there = top in field and very good. Pass along your experience, okay!

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