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I have had a few epidural shots. I have had a lot of headaches recently and strong tingling and numbness in my left shoulder so I asked for a repeat mri to see if anything has changed from last one.
There is a straightening of the normal lordotic curvature of the cervical spine. Anterior vertabral body osteophytes are noted within the mid and lower cervical spine. There is persistent degenerative endplate change present at C6-7 and C5-6. Disc desiccation and disc height loss are present from C4-5 through C6-7. Cervical vertebra are otherwise maintained. There is scant degenerative endplate change present withing the inferior endplate of T-1. Brain stem and cerebellem are within normal limits. Cervical spinal cord demonstrates scant ventral indentatiobn at c-4-5.

SEGMENTAL ANALYSIS: Is limited secondary to significant motion artifact on the axial images.
C2-3 : No disc herniation,central canal stenosis or foraminal stenosis is present
C 4-5: A left central disc osteophyte complex is present. It effaces the ventral thecal sac. No central canal stenosis is present. Superimposed unconvertabral spurring, facet arthropathy and the disc osteophyte complex mild to moderate narrow the left foramen. This is unchanged
C5-6: Disc osteophytic ridging is present. Unconvertabral spurring and facetarthropathy are present. Mild to moderate bilateral foraminal stenosis is present. this is unchanged.
C6-7: Central discosteophylic ridging is present. No central canal narrowing is identified. The formina are poorly visualized. However, there appears to be moderate bilateral foraminal stenosis which is unchanged when compared to the previous examination.
C7-T-1 : No disc herniation, central canal stenosis or foraminal stenosis present.

Multilevel degenerative disc disease, uncovertebral spurring and facet arthropathy are present within the mid and lower cervical spine. This is most severe at C6-7 where moderate bilateral foraminal stenosis is present.

Any thoughts? I see pain mgt next week and then neurosurgeon week after


  • I think you have a good plan of attack lining up pain management and a neurosurgeon. Try not to freak over all the wording in your report... Even someone with a very healthy spine will have a long report. Hopefully your neurosurgeon will go through the images with you and let you know in simple words the concerns he sees. Keep us posted. Hoping your headaches will improve on their own before these appointments.
    33yo mom of two. My surgical history...preadolescence scoliosis, kyphosis, and a hot mess.... 5 spine surgeries and lots of items added I wasn't born with (titanium, peek, surgical steel). Guess cremation is out. TSA loves me.
  • LizLiz Posts: 7,832
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    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • charlie6017charlie6017 Posts: 412
    edited 05/04/2013 - 3:23 AM
    Welcome, Lynn!

    I agree with "AllMetal" that you seem to have your "Ducks In A Row", so to speak. When you see your doctors, I would just be sure that you are all on the same page and that you be sure they answer all your questions and concerns. I wish you well, and please keep us posted.

    Good luck! :-)

  • LynnpacelliLLynnpacelli Posts: 2
    edited 05/06/2013 - 12:05 PM
    I saw the pain management dr today and he said that the disc bulge is the area that he would attack if I still want to avoid surgery. He is referring me back to the neurosurgeon for his opinion. I already had that appointment lined up since it takes so long to get appointments around here. Canceling is easier. I also made the appointment for the epidural shot so that once I speak to the surgeon and we decide whether we should continue to put this off or not, I will have an appt. for epidural without waiting a couple of weeks. So next Tuesday the neurosurgeon, and epidural next Friday if we decide that I should do that. I haven't had headaches lately so that has been good. Am I avoiding surgery for any particular reason? Is it that terrible? Will I be left with significant range of motion? Some of what I read on the boards scare me. But then I think that those with wonderful outcomes have no reason to post here
  • Keep us posted on what the neurosurgeon says. Ultimately, its your decision, but I'll be interested in what he says.And remember... lost of positive experiences with fusions AND pain doctors....
    33yo mom of two. My surgical history...preadolescence scoliosis, kyphosis, and a hot mess.... 5 spine surgeries and lots of items added I wasn't born with (titanium, peek, surgical steel). Guess cremation is out. TSA loves me.
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