That's what I can't figure out. I have been dealin with this neck since 10/07 off and on I have relapses that sends my neck into major spasms and pain goes down neck, arm, shoulder and into hand and middle finger. On MRI it shows a large protrusion with ventral impression on the spinal cord. (doesn't say how much impingement though). Now, I had my 2nd epidural there on Monday. My pain is quite diminished as of today but am wondering if myproblem is FIXED or should I assume this is temporary? I have my 3rd one scheduled for 9/24. My ortho said if these DO NOT work, then he'll refer me to a neurosurgeon which is what I have WANTED since 10/07, but I'm assuming if they DO work, I'm going to be sent off with no further treatment yet AGAIN and then have another horrible, painful episide like the one where I could not lift my head off the pillow in March! Thanks - what do you guys think? Even if my pain is reduced, should I still insist on a neuro consult? Here is my last MRI in 10/07 but since then I have 3 horrible episodes of intense pain. I have had traction, electrical stimulation, PT, and 3 steroid injections, rest and cervical collar I wear intermittently when the pain is intense. Thanks again!
I thought I would just repost my last MRI instead of asking you to search previous posts.
**MRI Cervical Spine without Contrast. The vertebrae are normally aligned. Stature of the vertebral bodies is maintained. Spinal cord is of normal morphology with exception of ventral impression on the cord in the left paramedian location at C6-7 secondary to moderate protrusion of the nucleus pulposus. There is no evidence of tonsillar herniation, and the foramen magnum is normal in appearance. There is mild/moderate broad-based bulging in the disk/endplate complex at C5-6, but this finding does not cause impression on the spinal cord, there is no spinal or foraminal stenosis at this level.
Impression: Significant protrusion of the nucleus pulposus at C6-7, finding is positioned in the left paramedian location and causes mild ventral impression on the spinal cord. It is also possible that this finding may impinge the traversing left C8 root. Otherwise unremarkable MRI of the cervical spine.