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jackiedislovedjjackiedisloved Posts: 5
edited 06/11/2012 - 8:45 AM in Pain Management

Findings: Reversal of the normal cervical lordosis centered at the c4-5 level. Mild irregularity of the end plates of c4-c5 and c-6 seen likely degenerative in etiology.
c2-3: unremarkable on the sagittal images.
c3-c4 posterior disc bulge with tiny central disc herniation and facet disease causing mild right foraminal narrowing.
c4-c5: Posterior disc bulge with a central disc herniation and facet disease causing mild spinal stenosis at this level. Foramina appear patent.
c5-c6: Posterior disc bulge with a central disc herniation mildly indenting the ventral cord. Mild spinal canal narrowing. Foramina appear patent.
c6-c7: Posterior disc bulge with a central disc herniation indenting the ventral cord and facet disease causing moderate spinal stenosis at this level. Foramina appear patent.
c7-T1 facet disease causing mild left and moderate right foraminal stenosis. This is likely secondary to an osteophyte.

Multilevel spondylosis superimposed upon reversal of normal cervical lordosis causing moderate spinal stenosis at the c6-c7 level as well as mild spinal stenosis at the c5-6 and c4-c5 levels. Foraminal stenosis as described above. There is facet disease causing probable moderate right facet disease at the c7-T1 level.

My Nerve conducting study read:
Borderline slow sensory nerve conduction velocity noted in the first, second and third finger-wrist and palm-wrist segments of both median nerves.

Borderline prolonged terminal latency noted in the left median nerve.

Normal sensory and motor NCV's with normal amplitudes noted in the other segments of tested nerves of both upper extremities. Tested nerves include both median, right ulnar and the right radial sensory.

The above findings are compatible with minimal bilateral carpel tunnel syndrome. The electrical findings are minor and essentially confined to the sensory segments only. The remainder of the nerve conduction data is normal.

Diagnosis: Evaluate for neuropathy/entrapment syndrome


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