I'm reaching to everyone trying to understand what is going on with my neck and lower back to find direction for help. On December 23rd, 2010 I suddenly woke up with sore throbbing neck pain and 2 days later with sore throbbing lower back pain. No trauma received to either side. I am a 28 yrs old male, 6’2, slim 160 lbs, and in good shape. I went to an Orthopedic doctor on Dec, 28 2010 and prescribed the below Anti-Inflammatory and Steroid Medicines. None have helped. I finally had my brothers College professor recommend a MRI and did just that. Below are the report results for both my Cervical and Lumbar MRI's. As noted I have a mild broad-based bulge asymmetric toward the right causing mild ventral flattening of the thecal sac with significant central stenosis. Not too sure what that means in terms of affects but need help understanding. The only symptoms I have is chornic (every single day) throbbing neck pain where my shoulders meet my neck and lower back pain. Its preventing me from enjoying life and participating in things that I would normally do.
More importantly I am engaged to an amazing girl and am afraid that if find don’t get this fixed before marriage that it may carry into my marriage. If it is truly a long term debilitating and degenerative condition I don’t want to burden her like this. I’ve posted the significant MRI pics below.
Please help! Exercise and PT are not helping. Your responses will be MUCH appreciated.
- Constant throbbing sore pain in lower neck where shoulders meet neck.
- Constant throbbing sore pain in lower back above tail bone where waist line is.
- Sometimes tingling in right arm (rare)
- Soreness when I look to the left
- Soreness when I bend waist backwards
- Soreness in neck and back while sitting
- Is it possible my neck and lower back pain is not related to the disc bulge?
- Is this a permanent condition or will it heal?
- Is it degenerative and will it get worse over time? And how rapid is the progression?
- If it is related to the disc bulge how long will it take to heal (3 ½ months into it with no progress)?
- I used to do a lot of crunches (800) every three days, could it be the cause of the bulge?
- How severe is my bulge?
- Can my lower back pain be related to the cervical C5-C6 disc bulge?
- Is a normal marriage with future kids possible?
- Are cortisone shots a permanent remedy or just masking the pain?
- Will a Chiropractor have the ability to help me out?
Findings: Sagittal images demonstrate no malalignment or marrow signal abnormality or marrow edema in the visualized osseous structures. There is relative preservation of disc height through. Mild desiccation at C5-6 is noted. The cervicomedullary junction has a normal appearance. The cervical spinal cord maintains normal signal intensity through.
At C5-6 there is a minor broad-based bulge asymmetric toward the right causing mild ventral flattening of the thecal sac with significant central stenosis. Minimal right neural foraminal narrowing is noted due to a broad-based bulge. No definite neural foraminal narrowing is seen.
Impression: C5-6 mild degenerative disc disease with desiccation and right posterolateral broad-based bulge causing mil ventral flattening of the thecal sac without significant central stenosis. Mild right neural foraminal narrowing is also noted.
Findings: Sagittal images demonstrate no malalignment, mass, or abnormality of the visualized osseous structures. The disk heighs are maintained and well hydrated. No marrow edema is seen. The conus medullaris terminates at L1 with normal thickness and signal intensity.
At T11-T12 there is no significant central canal or neural foraminal narrowing.
At T12-L1, L1-L2, L2-L3, L3-L4, L4-L5, L5-S there is no significant central canal or neural foraminal narrowing.
Impression: No significant disk bulge, central canal narrowing, or neural foraminal narrowing. No marrow edema is seen in the visualized Osseous structures.
Neck Pain: Soreness in the middle of neck
Started: December 23rd, 2010
Current Status: Still persistent
Lower Back Pain: Pain in lower back, increases when sitting down for more than 15 minutes
Started: December 25th, 2010
Current Status: Still persistent
Went to Orthopedic Dr. for Neck Lower Back Pain on 12/28/2010 and prescribed the below.
Went to Primary Care Dr. for Blood Tests (All Negative) February 23rd 2011
Follow Up with Orthopedic Dr. March 24th 2011 – Prescribed Mobic and Physical Therapy
Follow UP with Primary Care Physician March 28th 2011 – Prescribed Physical Therapy
Went to Rheumotoligist March 29th 2011 – Said is normal to have this and prescribed Physical Therapy
Went to Chiropractor – Said neck had no curve and prescribed physical Therapy (didn’t seem accurate)
Completed 1 Session of Physical Therapy March 30th & April 1st
Orthopedic DR. Medicine Prescribed:
Meloxicam 15MG - Nonsteroidal Anti-Inflammatory Drug used to relieve the symptoms of osteoarthritis and rheumatoid arthritis.
Methylpred 4MG – Corticosteroid used to treat severe allergies, arthritis, asthma, and skin conditions:
Omeprazole 20MG – Proton pump inhibitor used to treat ulcers, heartburn, and gastroesophageal reflux
Methocarbam750MG – Muscle relaxant used to treat pain by muscle spasms.
Mobic 15MG - Nonsteroidal Anti-Inflammatory Drug used to relieve the symptoms of osteoarthritis and rheumatoid arthritis.