Hello all! I've been reading some posts on this forum that has been helpful! But I wanted to tell you what my report says and to find out what it means. My orthopedist is only in his office on Tuesdays. They wanted me to come in this Tuesday or the next but I'm not going to drive over and hour away and make my poor kids sit in their office all day during Christmas/new years. So my appt isn't until January 14th now. But I wish it were sooner. I'm having a lot of pain! I had an MRI done yesterday and picked up the report today.
I've been having some pretty bad neck pain for a few years now. But I was involved in a car accidentin oOctober. I was driving, my kids were in back in their boosters (they are 4 and almost 8).they are fine, thankfully. A big truck ran a stop sign speeding and I had the right of way. I hit the side of his truck. I had been going around 35 and he was probablygoing at kleast 45. I did start to break before impact, but didn't get to slow too much. My car was totaled aand it's value was 7500. As the shock wore off my neck and shoulder pain began and peaked a few days later. It's been nothing but intense pain since. Started seeing a chiro a few days after wreck and I stopped seeing him after a month because I think know he made me worse! Went to orthopedist couple weeks ago. He thought it was a herniated disc at c 5-6 because I was having occasional numbness on my right arm down to the inside of my hand toward my thumb and pain. I'm 32 years old, a female, normal height and weight (5'5" 135). My shoulders (both) have been bothering me a lot. I have off and on ear ache in right ear. I already have tmj, but since accident I've had a terrible time with it. So biggest complaints...headaches, neck opain, shoulder pain.
Findings: there is straightening to reversal of the cervical lordosis. This is consistent with musculoskeletal strain centered at approximately C 3-4. The vertebral marrow signal is preserved. There is no Marrow infiltration, no expansile, lytic, or destructive abnormality, no compression fracture seen.
Discs: the intervertebral disc space height and signal is preserved, C 2-3 through T 5-6. There is narrowing of the disc space height at T 6-7, T 7-8.
Ligaments and tissues: (says everything is unremarkable)
C 1 and craniocervical junction: no cerebellar tonsillar ectopia, no Chiari malformation.
C 2-3: no herniation, no stenosis, no alteration of caliber of central canal or foramina.
C 3-4: 25% left foraminal narrowing from facet hypertrophy. 25% right foraminal narrowing as well. No central canal stenosis.
C 4-5: 25% right foraminal narrowing. 50% left foraminal narrowing. No central canal stenosis.
C 5-6: 25% right foraminal narrowing. No central canal stenosis, no left foraminal narrowing.
C 6-7: no disc herniation, no stenosis, no alteration in the caliber of central canal or foramina.
C 7 - T 1: no disc herniation, no stenosis, no alteration in the caliber of the central canal or foraminal.
T 1-2 - T 6-7: unremarkable on sagittal views. Less than 10% narrowing of the ventral height of T 7. The is no marrow changes.
Cord and canal: no lesion of spinal cord or spinal canal is noted.
1) straightening to reversal of the cervical lordosis is seen. This is consistent with musculoskeletal strain.
2) there is foraminal narrowing seen on the upper cervical spine. There is no nerve root displacement; however, if patient has isolated radiculopathy in the proper distribution this may be important. No disc herniation, no stenosis, no cord compromise.
Thanks in advance!