My name is Phil and for the last seven years I have been battling back and neck problems. I am asking for help understanding, I have experienced compression fractures/wedge fractures and associated problems from L-1 to T-10(fractured and kyphoplastied 2006&2007 ), T-5,6,7,8 wedge breaks discovered last year. The new MRI is cervical, and I am experiencing severe pain , swelling left side of neck, pinched nerves radiating to shoulder and left arm to elbow as well as to jaw and down spine in thoracic area between shoulders, also headaches. If anyone can I would appreciate help understanding what the MRI is saying and possible actions to correct situation.
Here's what the MRI says.
MR findings- Bulky anterior osteophyte seen at C3-4 level. Alignment remains normal. Acute arthropathy is seen on left at C2-3 on sagittal image 1. the traversing cervical cord has a normal signal on all pulse sequences .
At C2-3 thecal sac measures 10mm. Asymmetric left foraminal stenosis appears severe from uncovertebral osteophyte and facet hypertrophy. There has been interval worsening of stenosis since the previous study. (a year ago)
At C3-4 thecal sac measures 10mm. The contour of the sac appears unchanged. Broad-based endplate osteophyte causes asymmetric moderate left and moderate to severe right foraminal stenosis.
at C4-5 thecal sac measures 12mm. the foramina are patent.
at C5-6 thecal sac measures 13mm. The foramina are patent.
At C6-7 mild broad based protrusion is present with thecal sac measuring 11mm with mild to moderate left foraminal stenosis from unconvertaebral osteophyte.
At C7-T1 thecal sac measures 13mm. the foramina are patent.
impression- osteoarthrosis with foraminal narrowing most notably on the left at C2-3. There is associated acute facet arthropathy on the left at C2-3 as well. There is no evidence for cord impingement or focal abnormal cord signal.
My neck issue has been going on for a year with DRs using pain management for my only treatment. Physical therapy was unsuccessful with what was described to me as auto-immune type attacks with just a minimal amount of stretching. looking for help to under stand, there has to be a better way than pain management!!
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Here are some questions that you should answer:
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. Year, Your age, etc
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. Which doctor did you start with? Ie Primary Care Physician
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. Physical Therapy
. Ultrasound / Tens unit
. Spinal Injections
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Diagnosing spinal problems can be very difficult. In many ways it’s like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then it’s up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.Specific comments :Personal Opinion, not medical advice :
--- Ron DiLauro, Spine-Health System Moderator : 09/01/15 22:36 est