I have been experiencing neck and back spasms for a long time now. Most of my pain is coming from the middle of my back underneath my shoulder blades to almost my armpits. I recently had an mri but do not understand the medical terms in the report. Does most of this stuff seem pretty normal just from aging or is this something that can be fixed with surgery? Pain is getting really bad and I can only sit or stand for short periods of time. If anyone could help me understand what this report is stating and if surgery could fix this.
STUDY: MRI of the CERVICAL SPINE
TECHNIQUE: Sagittal T1, T2 and axial gradient scans are performed.
HISTORY: 30-year-old patient with neck and mid back pain in muscle spasms. Chronic symptoms.
FINDINGS: The cervical vertebral alignment demonstrates loss of normal cervical lordosis and a mild reversal centered at C5-6 level. There is mild diffuse disc dehydration with relative sparing at C7-T1. No prevertebral mass, no compression fracture and no aggressive or pathologic bone marrow signal pattern. The canal space and foramina are reasonably maintained. The craniocervical junction is normal. The cervical and upper thoracic cord are grossly of normal signal, caliber, and course. The canal space and nerve root foramina at C2-3 are normal.
Mild bulging disc at C3-4 but the canal space is well maintained. Foramina are also well maintained. Similar findings at C4-5 level.
At C5-6 there is slightly greater bulging disc and near effacement of the anterior CSF space. There is significant left side uncovertebral joint degenerative change and mild bilateral facet degenerative change. This results in mild to borderline moderate stenosis left foramen and mild narrowing/stenosis on the right.
At C6-7 there is broad bulging disc and a left paracentral disc protrusion/osteophyte complex. Central canal space narrowing more notable in the left half of the canal space. Uncovertebral joint and facet degenerative change again results in mild to moderate stenosis proximal left foramen and mild narrowing/stenosis on the right.
The C7-T1 canal space and foramina are better maintained.
IMPRESSION: 1. Degenerative disc disease with loss of normal cervical lordosis and a mild reversal at the C5-6 level.
2. Mild degenerative central canal space narrowing with effacement of anterior CSF space at both C5-6 and C6-7. No overt central stenosis.
3. Accompanying uncovertebral joint and facet degenerative changes result in mild to moderate stenoses left foramen at C5-6 and C6-7 and mild narrowing/stenosis on the right.
4. Milder changes at C4-5 as detailed above.