I was recently involved in a Mountain Bike accident where I was hit head on by another rider coming down the mountain (out of control). This happened 4 months ago. I have been in sever pain since it happened. Been to the ER, Primary care Physician, Chiropractor and a Sports Ortho.
I have been told several things. Herniated Discs, Torn muscles in the neck, Some Nerve damage and possibly a broken neck even though not detected on scans. I have had CT Scan, MRI with and with out contrast and X-rays. I have included the MRI results below in hopes that someone can tell me what it means... I am 45 years old and I am in great shape. However I have been unable to look up for 4 months. Sever pain. Side to side is getting better but still not 100%. Sever numbness in my left hand and fingers at first. Which went away but now I get the burning/tingling sensation down my entire arm with certain movements. Muscle spasms galore and lots of general pain. I have been given steroid shots (not in the neck), anti inflammatories (oral) and plenty of pain meds but nothing works.
I have been seen a Sports medicine Dr and chiropractor since November 1, and still not getting much in the way of relief. Been receiving soft tissue therapy, muscle stim, spinal decompression and whatever else they can throw at me. I have also been given some mild exercises to do as well to help with the muscle atrophy in the left shoulder area along with a lot of stretches to do.. Nothing really seems to be working.
Any help would be greatly appreciated. Also, how long can it take for discs and nerves and muscles to heal in situations like this?
There is straightening of the cervical spine which may be due to muscle spasm or patient positioning. The craniocervical junction appears normal with the cerebellar tonsils lying and in norma l location above the foramen magnum. The cervical cord is normal in course, caliber, and signal characteristics. The cervical canal is borderline in caliber on a congenita l basis measuring 1 cm in AP dimension at the mid body of C4 with a relative paucity of CSP surrounding the cervical cord.
C2-3: There is no disc herniation. There is no spinal canal or neural foraminal stenosis.
C3-4: There is 2 to 3 mm of osteophytes off the right uncovertebral joint narrowing the right lateral recess and right intravertebral foramina with decrease space for the right C4 nerve root. No cord compression is noted at.
C4-5: There is no disc herniation. There is no spinal canal or neural foraminal stenosis. 1 to 2 mm of osteophytes is seen off the uncovertebral joints right side slightly greater than left. As causes minin1al lateral recess
narrowing. No compression is seen on the cervical cord or associated nerve roots.
C5-6: There is mild disc desicc.ation and mild disc space narrowing with 1 to 2 mm of osteophytes off the uncovertebral joints minimally indenting on the thecal sac and causing minimal lateral recess narrowing slightly worse towa rds the right side. No compression is seen on the cervical cord or associated nerve roots.
C6-7: Mild desiccation and mild disc space narrowing without disc protrusion is seen. No compression is seen on the cervica l cord or associated nerve roots at this level.
C7-T l: There is no disc herniation . There is no spinal canal or neural foraminal stenosis.
T 1-2: The T 1-2 disc space appears unremarkable without space narrowing or disc bulge/protrusion.
The intravertebral foramina demonstrate narrowing towards the right side at the C3-4 disc due to the asymmetric osteophyte off the right uncovertebral joint. Otherwise, the intervertebral foramina appear unremarkable.
The facet joints appear normal.
The bone marrow signal appears normal.
The post contrast portion of the study is normal without abnormal regions of enhancement along the cervical cord or associated nerve roots. No abnormal enhancement is seen within the soft tissues.
1. There is straightening of the cervical spine which may be due to muscle spasm or patient positioning.
2. Spondylosis with degenerative disc changes at multiple levels with desiccation and small osteophytes off the uncovertebral joints greatest at the C3-4 disc towards the right side measuring 2 to 3 mm causing narrowing the right lateral recess and right intravertebral foramina as described.
3. Spinal canal is slightly narrowed on a congenital basis measuring 1 cm in AP dimension.
Thank you for your time.. I appreciate any and all comments.