Have been following your forum because of my daughters recent fusion surgery. Now it is my turn. I am 65 years young being seen at the local VA Medical Center. I received the following MRI report after complaining my "frozen shoulder" pain was progressing down my arm, affecting my elbow and hand especially. Also numbness and tingling in pinky and ring fingers.
Findings: When compared to 8/27/2007 there's been progression of
cervical disc disease and disc height loss with sclerotic
endplate changes evident at C4-C5 and C5-C6 level and minimally
at C6-C7 level with para-articular osteophytosis. There is grade
1 retrolisthesis of C4 on C5, C5 on C6 and C6 on C7 evident with
minimal anterolisthesis of C3 on C4 noted. Malalignment changes
appear similar compared to radiograph prior examination. No prior
MRI is available for comparison.
Prevertebral soft tissues preserved. Retropharyngeal space is
within normal limits. Shotty cervical chain lymph nodes are not
pathologically enlarged by CT size criteria. There is evidence of
right thyroid nodule that is indeterminate in characteristics.
Craniovertebral junction is preserved. Mild degenerative disc of
C1-C2 is evident. At C2-C3, there is mild facet arthropathy
identified without significant neural foraminal stenosis. AP
dimension thecal sac is within normal limits at 1.5 cm.
At C3-C4, there is a broad-based disc osteophyte complex
identified with flattening of the ventral aspect of the thecal
sac and spinal cord without abnormal spinal cord signal. AP
dimension of the thecal sac measures 0.9 cm. There is bilateral
uncovertebral hypertrophy more pronounced on the right side than
left with mild facet arthropathy evident contributing to mild to
moderate right and mild left neural foraminal stenosis.
At C4-C5, there is severe disc height loss with discogenic
endplate changes identified with a broad-based osteophytosis with
spinal stenosis with AP dimension thecal sac measuring 0.8 cm
with decreased CSF signal. No abnormal spinal cord signal is
identified to suggest cord edema. Bilateral moderately severe
uncovertebral hypertrophy and mild facet arthropathy with
bilateral moderately severe neural foraminal stenosis.
At C5-6, there is marked disc height loss with a broad-based
disc osteophyte complex identified with marked uncovertebral
hypertrophy. There is severe spinal stenosis evident with
decreased CSF signal with AP dimension of the thecal sac
measuring 0.6 cm. No abnormal spinal cord signal to suggest cord
edema is identified. There is severe right and moderately severe
left neural frontal stenosis evident.
At C6-7, there is bilateral uncovertebral hypertrophy with
moderate bilateral neural foraminal stenosis from uncovertebral
hypertrophy . AP dimension of the thecal sac measures 1.0 cm. No
abnormal spinal cord deformity is evident.
At C7-T1, there is moderate disc height loss with anterior and
posterior broad-based disc bulge identified with a superimposed
left subarticular to left intraforaminal disc osteophyte complex
identified and uncovertebral hypertrophy. This contributes to
marked left C7-T1 neural foraminal stenosis. AP dimension thecal
sac measures 1.1 cm.
At T1-T2 there is no significant neural foraminal stenosis.
There are degenerative discogenic endplate changes identified at
C7-T1 on the left side identified.
1. There is severe cervical spondylosis identified especially
at C4-C5, C5-C6 level with moderate degenerative changes at
C7-T1, C6-C7 and C3-C4 level as described above. There is mild
spinal stenosis at C3-C4, C6-C7 and level identified with
moderate to moderately severe spinal stenosis at C4-C5 and C5-C6
with flattening of the spinal cord and decreased CSF signal
without definite spinal cord edema. There is severe neural
foraminal stenosis evident at C4-C5, C5-C6 and left C7-T1 as
described above. See above report for more details. 2. There are
indeterminate right thyroid nodules evident.
My Orthopedic Surgeon has recommended Epi steroid injections. This will have to be done outside the VA since there are no qualified Neuro Surgeons on staff. He also mentioned that I would likely need surgery.
I am at quite a loss since I do not get to spend much tme with the Doctor and he is always rushed. I understand what the injections are supposed to acheive. I really want some indicators from folks who have had these done. Also any info regarding future surgery would be greatly appreicate. I am aware that medical advice will left up to Doctors.
Thank you All in advance for any help you can offer, as I really do not know what I'm looking at here.