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Can anyone under stand this Mri

phil in arpphil in ar Posts: 1
edited 09/01/2015 - 4:36 PM in Spinal Stenosis
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!!

Welcome to Spine-Health

One of the most important things that members can do is to provide the rest of the community with as much information about themselves as possible. It is so very difficult for anyone to respond when we do not have enough information to go on. This is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.

So many times we read about members who have different tests and they all come back negative. The more clues and information you provide, the better chances in finding out what is wrong, The fact that your test results are negative does not mean that you are fine and without any concerns. Many times it takes several diagnostic tests and procedures to isolate a specific condition.

Here are some questions that you should answer:

  • - When did this first start?

    . Year, Your age, etc
- Was it the result of an accident or trauma?
- Are there others in your family with similar medication conditions?
- What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)

  • . Which doctor did you start with? Ie Primary Care Physician
    . Who are you currently seeing?
- What Conservative treatments have you had? Which ones?

  • . Physical Therapy
    . Ultrasound / Tens unit
    . Spinal Injections
    . Acupuncture
    . Massage Therapy
- What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)

  • . Summarize the results, please do not post all details, we cannot analyze them
    . How many different tests have you had over the years? Similar results?
- What medications are you currently using? (details, dosage, frequency, etc)

  • . Name of Medication
    . How long have you been using this?
    . Results
- Has surgery been discussed as an option? (If so, what kind)
- Is there any nerve pain/damage associated?
- What is your doctor’s action plan for treating you?

Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

Please take a look at our forum rules: Forum Rules

I also strongly suggest that you take a look at our FAQ (Frequently Asked Questions) which can be found at the top of the forum menu tab or by going to FAQ There you will find much information that will

  • - Help you better utilize the Spine-Health system
    - Provide pointers on how to make your threads / posts
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    - General pieces of valuable information

Please remember that no one at Spine-Health is a formally trained medical professional.
Everything that is posted here is based on personal experiences and perhaps additional research.
As such, no member is permitted to provide

  • - Analysis or interpretation of any diagnostic test (ie MRI, CTscan, Xray, etc)
    - Medical advice of any kind
    - Recommendations in terms of Medications, Treatments, Exercises, etc

What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.

It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have are

I’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?

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

Phil in AR
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