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question on MRI

pjak456ppjak456 Posts: 7
edited 12/22/2012 - 6:50 AM in Neck Pain: Cervical
I had surgery on my neck in 2008 on C6 and C7 (acdf). I felt great when I woke up from surgery and have been doing good up until 3-4 months ago. The pain in my neck and shoulder blade is back. I had a MRI last week and was told the following:

Narrowing at C4 and C5, DD in C6 and 7, arthritis throughout the cervical spine and foraminal narrowing on the right side. Anyone know what the foraminal narrowing treatment is?

I have decreased strength in my right arm and severe should blade pain! I was suppose to get a call yesterday from the DR. with a more detailed treatment plan but I did not hear from him. Just curiuos is anyone else has had this issue.

I am having an injection next week. I had these the last go around without any relief. Really hoping for a different outcome this time.

Thank you!


  • Hi Pjak.

    Sounds like the info here will help you understand the scan;

    Also, there is a good glossary of medical terms in the FAQ at the top of this screen, it's the link called "Spine-Health Medical Glossary".

    Lots of really other good stuff there that will help you too.

    Let us know what you doctor says and how the injection goes. Yeah, sounds like a repeat of 2008. But let's hope it doesn't got that way, hey! Oh, and there lots of doctor written articles on this site you can learn from. You know the practical from your previous experience.
  • have you been checked for chiari malformation
  • thanks for the information,

    rozia,,,i have never heard of chiari malformation.. i will do some research ! merry christmas all....
  • kjnts0kkjnts0 Posts: 2
    edited 12/30/2012 - 4:48 PM
    When I researched it online it seemed to be where the Greater Occipatal Nerve was. I had recieved 3 cortisones in the Greater Occipital Nerve area by my primary, but that did not stop the throbbing.


    On or around the last week of November of this year just after Thanksgiving I began experiencing excruciating pain in my neck, shoulder and left arm. I have been in pain for nearly one month now (December 30, 2012). I cannot sleep; I am experiencing gnawing, stabbing, burning pain in my left trapezius, left shoulder, arm and hand with numbing and tingling in my forearm and hand. I cannot sleep without ice, cannot concentrate and the pain intensifies at work. I am miserable. It feels like someone punched me several times in my left shoulder cap and my trap is so kinked. My neck always wants to pull left. It is making me crazy mentally and physically. On December 5, 2012 I could not bear the pain so I went in to see my pain management specialists and he gave me approximately 12 Serrapin Shots to include the occipital nerve. The shots gave me no relief what so ever. During this visit, my resting blood pressure was sitting at about 153 over 113 with a pulse rate of 98. It would not go down. I went immediately from there to see my primary care physician and she was unable to assist with the high blood pressure, so she put me on Lisinopril 10mg. I am currently waiting to have my MRI read to me by my primary doctor on Thursday December 3, 2013.

    Below is from my December 9, 2009 MRI.

    1.Evidence of spondylosis involving the C5 and C6 vertebral bodies are identified with narrowed C5-6 disc.
    2.In axial view, evidences of prominent disc osteophyte complex at the C5-6 level is identified causing spinal stenosis with an AP diameter of the canal measured at 7.8 mm without foraminal narrowing.
    3.At the C6-7 level, a broad based disc bulge is identified causing spinal stenosis with an AP diameter of the canal measured at 8.9 mm without foraminal narrowing.
    4. No other evidence of disc disease can be seen. No other evidence of spinal stenosis noted.
    5.The signal from the cervical spinal cord is normal.

    1. Disc disease C5-6 and C6-7 causing spinal stenosis without foraminal narrowing.
    James Gibson
  • Kjnts, Welcome to Spine-Health
    As you browse around this site, you will find plenty of good medical articles and videos, plus the added benefit of these member forums. I suggest you look over the Forum rules and go through the FAQ.

    One of the rules is not to request or give interpretations on MRI results.

    However, there are posts on cervical spinal central stenosis. Also there is a medical glossary in the FAQ that will assist you.

    Anyway, suggest you put in stenosis as the keyword into the search function (top of screen) and you will learn all about it.

    You may also wish to look at http://www.spine-health.com/forum/spine-health-announcements/dermatome-map.

    Good luck.
  • pjak456ppjak456 Posts: 7
    edited 01/07/2013 - 3:30 PM
    I had the injection the day after Christmas and have been worse since. I feel like there is so much pressure under my shoulder blade and I have had a headache everyday since. We are going to try PT, traction etc for up to six weeks. If that does not work then I will have surgery on C4, C5 and C6.

    I wonder if anyone has had success with Traction? I am at wits end. Really praying for relief!
  • I have a home unit. When upper left arm pain suddenly gets bad, 20 minutes in traction and the pain drops significantly, even completely, right away or within an hour. I use it for generall maintenance at least 3 times a week. I feel like regular use helps lower neck stiffness and aches and decreases the frequency of arm flares. It does not seem to help shoulder pain.
    Severe DDD, Severe neural foraminal stenosis at 2 levels, moderate canal stenosis at 2 levels, significantly impaired left shoulder & arm function. Chronic moderate compression fracture at C6.
  • Insurance covers it for me and I use it regularly for up to 30 minutes at a time. It definately helps with the pins and needles/numbness in the fingers. It doesn't provide much relief for pain. I am using it to postpone 3 level fusion as long as possible.
    Hope it helps you as well.
    laminectomy c4/c5 2008, ACDF c4-c7 Jan 20 2014 sched
  • They will not do the machine now just manual manipulation..I have a previous fusion and about went through the roof at PT yesterday....another round tomorrow...postive thinking!

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