As stated I am a retired Navy Chief I have been complaining about tingling in my hands for past two years. The VA tested me for Carpal Tunnel two years ago and gave me wrist braces which did nothing. My primary health care provider sent me again this year for CTS test showed negative so they sent me in for an MRI for lower back and neck area well not good.
I really like everybody else don’t want surgery other looking at my MRI the cord above C4 and below T1 looks healthy the discs to me look nice and evenly spaced. It almost looks like if I could pull my C6/C7 vertebrae back slightly it would relive the pinch in the spinal cord.
I still have a full range of motion with my neck and do not suffer any pain other than the slight tingling in hands and hands falling asleep sometimes at night?
So do I have other options or is surgery the only option?
Hhere are the MRI results.
C4-5 There is Congenital narrowing of the of the spinal canal. It is minimally narrowed to 9.6 mm. There is no significant neural foraminal narrowing.
C5-6 There is a central and right paracentral disc osteophyte complex which along with the congential narrowing of the spinal canal results in mild spinal canal narrowing. The AP dimension of the spinal canal is narrowed to 8.6mm. In the right paracentral location there is indentation upon the right ventral hemi-cord. There is mild right neural foraminal narrowing due to unconvertebral osteophyte.
C6-7 There is a left paracentral disc extrusion which extends 2.5 mm superior to the parent disc. This disc extrusion indents and mildly compresses the left ventral hemi-cord. No abnormal cord signal intensity is seen in this location. The AP dimension of the spinal canal is moderately narrowed to 7 mm. Congenital narrowing of the spinal canal also contributes to this narrowing. There is mild to moderate left neural foraminal narrowing due to uncovertebral osteophytes.
C7-T1 No spinal canal or neural foraminal narrowing
T2/T3 There is prominent ligamentum flavum hypertrophy noted on the right. This is compressing the right aspect of the spinal canal and likely compressing the right dorsal aspect of the spinal cord. Facet hypertrophy results in mild right neural foranimal narrowing at this level. No axial images were obtained at this level.
Moderate spinal canal at C6/7 due to congential narrowing of the spinal canal with superimposed left paracentral disc extrusion which extends 2.5 mm superior to the parent disc. This disc extrusion is compressing the left ventral aspect of the spinal cord. The AP dimension of the spinal canal is narrowed to 7 mm. Mild to moderate left neural foraminal narrowing due to unconvertebral osteophyte. There is no cord signal abnormality seen. Further consultation with the soine surgeon ASAP is advised for the moderate spinal canal narrowing
Additionally, Further evaluation with a thoracic spine MRI is advised as there is prominent ligamentum flavum hypertrophy on the right at T2/3 which is narrowing the right aspect of the spinal cnal amy be compressing the right dorsal hemicord. Facet hypertrophy results in mild right neural foraminal narrowing at T2/3.Please be aware that there are no medical professionals on this forum side of the main site. It is also a forum violation for any member to provide another member with any advice regarding diagnostic tests
- Ron DiLauro, Spine-Health System Moderator
However, you can apply this to any test:
MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.
MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't help
SEVERE Need for stronger medications. The requirement for surgery may be necessary