Hi, I'm new to the world of spinal issues even if I've been married to back pain for years now. I have been referred to a neurologist following intense headaches (tension, icepick, migraine), an episode of hemiplegic migraine, numbness in right hand and leg and shooting pain in various regions such as back, abdomen, chest.
I had am MRI scan and the findings are:
Brain scan - normal / no abnormality seen
C4/5 - minor bulge. no significant neural compression seen
C5/6 broad based disc osteophyte complex causing narrowing of right exiting foramen with mild impingement of exiting right C6 nerve root. Although minor narrowing of the left is noted there is no significant left sided nerve root compromise.
C6/7 there is broad based disc osteophyte complex indenting the antherior thecal sac with encroachment into exiting foramen. Although there may be impingement of exiting C7 nerve roots no significant compression is seen.
T5/6 focal right centro-lateral disc protrusion which is impinging on the ventral cord with some flattening of the sagittal T2. Unfortunately no axial sections available for this level. No exiting nerve root compromise.
T6/7 there is again a right centro lateral disc portrusion indenting on the ventral cord on the sagittal T2 sequence. No axial sequences are available.
Rest of the spine does not show a focal disc herniation or neural compression.
Marrow signal is benign.
Multilevel spondylotic changes. Disc portrusions with ventral cord impingement seen at T5-6 and to a lesser extent at T6-7 on the sagittal sequence. Possible mild impingement of right C6 and both C7 nerve roots. Recommendation: if there are any concerns for myelopathy please requesr MR scan of the thoracic spine with axial sequences.
I'm struggling to understand the results especially the part with the ventral cord impingement. When I googled it it came up with spinal cord compression and talk of paralisis. Unfortunately for me the neuro I was seeing went on maternity leave and just gave me amitriptyline. a new one will only be available in two months time. I have just been given a referal for a second mri. my normal doctor doesn't know anything about spine and can not advise anything, some doctor she is!. I'm quite scared especially since the wierd collection of simptoms I'm experiencing seems to be growing bigger and wierder by the day, my right hand and foot are noticeably colder, new spots of pain such as in my left heel, right hand finger.
I would really appreciate if anyone can help me understand the implications of thoracic disc herniation and cord impingement and provide some advice on what I can do to avoid further dammage while having a computer based job and two young kidds? I may add that I just need some reassurance.