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MRI Results of my neck...confused, need help!

kycakkyca Posts: 1
edited 09/03/2015 - 11:59 PM in Neck Pain: Cervical
I have been experiencing numbness (pins and needles) in my ring fingers and pinkies (both arms) for about 10 years now. I had it looked at originally back in 2007 by an orthopedic Dr, he sent me for an EMG test because I thought I was getting carpel tunnel again.
My EMG came back negative and the Dr. said you don't have Carpel Tunnel Syndrome. He pretty much made me feel like I was faking it so I didn't pursue it anymore until about 3 years ago.
I went in to see my Primary Care Physician and told him of my symptoms, I told him I thought maybe I was having Ulner nerve problems, so he sent me to have an EMG done. Again that test came back negative. This past May my symptoms were getting worse, I couldn't keep a grip on things, elbow weakness, strength weakness, so I went to see my Primary again. This time he did a few hands on test's himself and then he thought It my be Thorasic Outlet Syndrome, so he had me start Physical Therapy. I went through 3 months of PT and nothing helped, so I went back to see my PC Dr. and he referred me to an Orthopedic Specialist.
I went to see the specialist and they had me go for an MRI of my C-Spine. I had an MRI done on my C-Spine WO Contrast and I have done a little "googleing" and not really sure what to make of my results. Here is what I am concerned with on my MRI:

C4 C5: Left paracentral disc-osteophyte complex abutting the left cord. No significant spinal stenosis. No foraminal stenosis.

C5 C6: Left paracentral borad based disc osteophyte complex minimally abutting and indenting the cord. No significant spinal stenosis, Moderate left foraminal stenosis.

C6 C7: Mild broad based central disc osteophyte complex. No spinal stenosis, no significant foraminal stenosis

Impression: Left paracentral disc osteophyte complex at C4-C5 lefel abutting the left ventral cord. No significant foraminal stenosis at this level.

At the C5-C6 level there is a left paraventral disc osteophyte complex abutting and mildly indenting the left ventral cord. Moderate left foraminal stenosis.

What happens is my ring fingers and my pinkies on both hands go numb, pins and needles kind of feeling. This has been going on for about 10 years now. I have already done 3 months of physical therapy and that did not help. I don't go see my surgeon till 10/1/15 and just trying to get an idea of what the possibilities are for this issuer, surgery, etc.

I am on the maximum dosage of Meloxicam (15mg) to help with inflammation (not just for my neck, but have been taking this since January because of knee problems) I am also taking Gabepenton 300 mg 1 x day. I am supposed to take it 3 times a day, but it makes me extremely tired and can not function when I take it, so I am only taking it at night. I can't take prednisone because it give me serious heart palpitations.

I am pretty confident with the surgeon I am going to see. She did my husbands double fusion back surgery back in 2008 and he can bend over and touch his toes. She is very well recognized, so I have all the faith in the world in her because of personal experience.
My concern is with me already have done months of PT, does something like this require surgery?

Thanks in advance to anyone that can help!

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
    - Tips on how to create your avatar (your picture), posting images, etc
    - 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 :

No on one the Spine-Health patient forums is medically qualified to provide any advice or
or recommendations on any diagnostic test. However, the following key words can always be applied.

  • 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

--- Ron DiLauro, Spine-Health System Moderator : 09/03/15 16:50est

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