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Ideas on what this means?

printersdevilpprintersdevil Posts: 6
edited 06/11/2012 - 8:59 AM in Neck Pain: Cervical
I had cervical pain years ago but most has leveled off for the past 8 years or so with only rare spine spasms.

I had a bad fall several months ago where I hit the concrete flat on my kneecap resulting in huge hematomas and a tear of meniscus and repair. During surgery (which was almost a month after the fall becuase it was thought to be severe brusing and sprains) the surgeon found my ACL torn behind the kneecap and he could not reach it with the scope. It was left and it was determined that I would be able to strengthn knee with therapy and avoid total knee replacement for hopefully a couple of years.

During time of all this I kept having neck spasms and told the doc. Since I was taking a lot of pain meds, I sort of let this on the burner since the knees was very painful and causing problems. After surgery, the spasms got worse and more frequent. Finally sent to neck specialist who put me in PT for cervical area.

They have been doing all kinds of physical hands on things and massage and using the combo unit on muscles. Cervical area has been very very tight in their words. Some days it was as if the therapist crawled on my back and actually used their elbow to massage the upper back area. Lots of pressure point pressing trying to get it to loosen. Even used some machine that was a massage machine that does vertical and horizontal at same time. This stuff has been intense. Still have a lot of tightness and pain, but they get more relaxing and relief now than start.

Much pain and feeling/hearing crunching sounds and neck feels very unstable. Catches when turning it. Scared of driving.

Finally MRI done on cervical last week. Cant see doctor for two more weeks.I know you are not able to diagnose, but can someone tell me what some of this means or might mean?

I picked up the report from the MRI image center.

What does straightning of the cervical spine with slight reversal in the normal lordosis but no focal malalignment mean? It also says:

c2/3 has no focal disc protrusion, herniation, spinal stenosis or nerual foraminal narrowing.

At c3/4 there is a posterion disk ostephyte formation which results in mild central spinal canal stenosis and mild right neural foraminal encroachment.

At c 4/5 is a posterior disk osteophyte formation asymmetrically more pronounced to the right than the left which results in mild to moderate central spinal canal stenosis, mild to moderate right neural formanial encroachment and mild left neural foramina encroachment.

at c 5/6 is posterior disk osteophy formation resulting in mild central spinal canal stenosis and mild bilateral neural foramina encroachment.

at c 6/7 is posterior disk osteophyte formation resulting in mild central spinal canal stenosis and mild bilateral neural foramina encroachment.

at c7/Ti is no focal disk protrusion, herniation, spinal stenosis or neural foraminal narrowing.

What does this mean. Do I have problem? It sounds like nothing is really wrong so why all the pain?

I am just sick of hurting and feeling like this.


  • Your right we can't diagnose ;)

    However if I were you and I was to read this report I would not be thinking "I don't have a problem".

    I read several statements in this report that says there could be issues.

    By the way it is not as we are not allowed that I am not saying more, its because I am not even close to being qualified. :)

    Maybe someone with more knowledge can give you a clue what this report means.

    L1 - S2 "gone" useless in 1 way or another. DDD. RA. Bone Spurs. Tons of nerve damage/issues. Stenosis. Both knees replaced. 50 yrs old. I had a great fall (hence my user name) at age 41 and it has been a domino effect every since.
  • Two people can have the same MRI report and I may experience pain while the other has no pain. MRIs are not the only tool used for diagnosing spine issues and sometimes not even the cause of the pain. You need to see your doctor and spine specialist to get some answers. There are other diagnostic tests that will reveal more than a MRI. Good luck!
    2011 ACDF C5-6 for Spondylosis with Myleopathy
    2012 L4-5 herniated disc and hernated disc at C4/5 2013 Taking Amitriptyline for headaches
  • You will not get a diagnosis from here but looking at your results compared to mine you certainly have issues that need looking at, unfortunately you will need to see your spine specialist's as to the severity of the problems.

    All the best Des
  • I found the gap between having my MRI and seeing the specialist the hardest wait ever. My mind was in overdrive. These reports are complex, and both the Consultant Radiographer and the Consultant Spinal Surgeon train for an eternity (daughter and son in law are Surgical Registrars)to read these and offer the right treatment. I would not want to offer any advice, this is really up to the medics, asking anyone else's untrained opinion could really just heighten your anxiety and aprehension. I do hope all goes well for you and it all gets sorted.
  • Thanks everyone. Yes, the wait is hard. In the meantime I am still doing the PT. My knee is giving me more pain and has my full attention atthe moment. I see the orthopedic neck guy this Friday and the knee one on Monday.

    My knee surgeon referred me to his partner who specializes in necks.

    My question is--is it better to be with an orthopedic our neuro surgeon with cervical issues?
  • Hi sounds like you are on track to see the correct specialist I just had surgery on my spine and he is an orthopaedic surgeon and all is going well he will also be operating on my neck also.

    Once he has viewed your scans he will know if he can help you, remember a lot of people here have had to go for second opinions to get the treatment they need,make sure you let them know how bad your symptoms are in order for them to realise what pain you are in I think sometimes they like to wait and see instead of operate as they have said to me in the past,because they may make me worse but I told them it can't be much worse so they agreed to go ahead it is a good job as I now have my lower spine back and feel I can now move on in my life,it's not all roses but much better.

    I sympathise with your with knee pain I've had 3 knee ops all keyhole surgery.

    How are those muscle spasms in your neck ? they are so painful.

    Good luck with your appointments

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