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  • esreddy
    Member
    Post count: 1
    #5628 |

    I am 39 years old man and working in india. Recently i have a mild pain in my right hand. I have taken MRI and x ray as per the doctor advice. Finally i got this report given below:
    C5-C6 Bilateral foraminal disc bulges CAUSING MILD NARROWING
    C6-C7 DIFFUSE POSTERIOR DISC BULGE CAUSING MILD THECAL SAC NARROWING
    RIGHT D3-D4 FLAVAL HYPERTROPHY (6 MM) CAUSING THECAL SAC IDENTATION

    doctor said as of now we cant do anything and do exercises and take care the postures. He said once the pain increases then we will go for surgery. I need your suggestions on this is there any better treatment at this stage, until severe pain comes. Please help me and suggest.

    Regards,
    Srinivas

    Dr. CorenmanDr. Corenman
    Moderator
    Post count: 3683
    #5629 |

    Do not jump to conclusions regarding the origin of mild pain in the right hand. The sources of right hand pain include carpel tunnel syndrome, cubital tunnel syndrome, tunnel of Guyon syndrome, thoracic outlet syndrome as well and radiculopathy (pain generated by the neck).

    If the origin is from the neck, there are some general questions that can identify the cervical spine as the origin or rule it out. Does the pain increase with neck extension (bending the neck backwards) and become relieved with neck flexion (bending the neck forwards)? Does bending the neck to the side of pain increase the hand pain? Is this pain worse at night? Is the hand pain worse with overhead activity especially if your arms are up but your neck is down (driving a car)?. Do you have any neck pain? Is there pain that radiates from the neck into the shoulder and then down the arm? Does the hand “go to sleep”? Is the pain on one side of the hand or the other or “all over” including the back of the hand?

    The MRI report is not specific. What really needs to be identified is if there is significant foraminal stenosis at C6-7. The radiologist comments on thecal sac narrowing but that is not your problem. He would need to comment on foraminal narrowing. As I have said before, using of the terms mild, moderate and severe are in the eye of the beholder. Some radiologists interpret films differently than others.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
    esreddy
    Member
    Post count: 1
    #5638 |

    MRI REPORT:
    C5-C6 Bilateral foraminal disc bulges CAUSING MILD NARROWING
    C6-C7 DIFFUSE POSTERIOR DISC BULGE CAUSING MILD THECAL SAC NARROWING
    RIGHT D3-D4 FLAVAL HYPERTROPHY (6 MM) CAUSING THECAL SAC IDENTATION

    Please send me your private email id i will send my mri photos to understand my problem clearly.

    If the origin is from the neck, there are some general questions that can identify the cervical spine as the origin or rule it out. Does the pain increase with neck extension (bending the neck backwards) and become relieved with neck flexion (bending the neck forwards)?

    Ans: I am not feeling any pain while bending the neck backwards and forward.

    Does bending the neck to the side of pain increase the hand pain? Is this pain worse at night?
    Ans: No pain if i bend my neck to the side

    Is the hand pain worse with overhead activity especially if your arms are up but your neck is down (driving a car)?.
    Ans: Driving a car no pain

    Do you have any neck pain? Is there pain that radiates from the neck into the shoulder and then down the arm?

    Ans: I dont have neck pain. But i feel when i bend forward and backward little bit uneasy.

    Does the hand "go to sleep"? Is the pain on one side of the hand or the other or "all over" including the back of the hand?

    Ans: My right hand i can lift up and down and rotate there is no problem. If i take my hand towards my left shoulder I am getting pain at arm. It is not physical pain. Inside arm musles are giving pain. But my left hand i stretch towards right shulder. there is no pain.

    Dr. CorenmanDr. Corenman
    Moderator
    Post count: 3683
    #5645 |

    It does not sound like the pain is originating from your neck. You need a thorough physical examination by an expert in neurological testing to determine where the pain and numbness is originating from. The only way you should consider neck surgery is to have a selective nerve root block (see website) and have two hours of relief of your symptoms.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
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