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disk bulge at c5-c6 level
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TOPIC: disk bulge at c5-c6 level

disk bulge at c5-c6 level 2 years, 10 months ago #1088

Hi,
I'm 42 yrs. old female.I'm suffering with numbness and pain in my right side of arm and wrist since last 11 yrs. after an car accident.

My last MRI of cervical spine was done in dec.2007 which diagnosed:
MR imaging of cervical spine reveals early spondylotic changes in the form of osteophytes and partial disc desiccation at multiple levels associated with:
* Broad based posterior disk bulge with posterocentral disk protrusion at C5-C6 level intending the thecal sac and encroaching upon the bilateral exiting C6 foramen.

after this i took physiotherapy treatment with traction, heating,massage and neck exercises. the numbness in my arm and wrist decreased but pain started in neck,shoulder,upper back, arm and wrist.it is increasing day by day.

My current 2012 MRI Report is:

Cervical lordosis is reduced. The size, shape, alignment,height and signal intencity patterns of the vertebrae appear normal,except mild to moderate degenerative changes with marginal anterior and posterior osteophyte formation. Lipid rest/hemangiomain D1 vertebra. There is no significant pre/para vertebralor any epidural collection.

Disk bulge at C5-C6 level,along with mild biliteral facet joint arthropathy,resulting in indentation of anterior thecal sac and mild narrowing of biliteral neural canals. No significant nerve root compression.

Inter-vertebral disks show early degenerative changes.

The visualized cord is normal in signal intencity pattern and integrity.

There is no compression at the CV junction.

CFS shows normal signal.

There is no primary stenosis.

OPINION: MRI findings are suggestive of.....mild to moderate degenerative changes with ...disk bulge at c5-c6 level,along with mild biliteral facet joint arthropathy,resulting in indentation of anterior thecal sac and mild narriwing of biliteral neural canals. No significant nerve root compression.


PLEASE DOCTOR, Give me suggestion to cure my problem. thanx
Last Edit: 2 years, 10 months ago by shivani.

Re: disk bulge at c5-c6 level 2 years, 10 months ago #1091

You note numbness and pain in your right arm and wrist for that last 11 years since a motor vehicle accident. After PT, the numbness abated but you developed neck pain radiating into your shoulder and arm. I assume it is the right side like the previous pain you experienced.

Your MRI is 4 years old. It noted at the time multiple levels of some degenerative change with the focal point at C5-6 associated with a disc bulge and bilateral neural foraminal narrowing. The narrowing is noted to be "mild" by the radiologist but terms like "mild" and "moderate" are subjective and may not be consistant radiologist to radiologist.

First, you need a good history and physical examination by a spine specialist. I like to teach that a diagnosis made by history and physical examination can reveal a diagnosis with 90% accuracy.

You most likely will need a new MRI as the last one is 4 years old and significant changes can occur in that period of time. Neck pain can be caused by the disc or the facet. Arm pain can be caused by nerve compression in the neck, shoulder, elbow or the wrist.

Dr. Corenman
Dr. Corenman

This answer is for educational purposes only and is not a substitute for a diagnosis from a qualified professional. Do not try to diagnose or treat yourself based solely upon reading this material.

back pain forum • lower back pain forum • spine surgery forum • neck pain forum
Last Edit: 2 years, 10 months ago by Dr. Corenman.

Re: disk bulge at c5-c6 level 2 years, 10 months ago #1096

Yes! I had a new MRI on 14th jan 2012, which reports:

Cervical lordosis is reduced. The size, shape, alignment,height and signal intencity patterns of the vertebrae appear normal,except mild to moderate degenerative changes with marginal anterior and posterior osteophyte formation. Lipid rest/hemangioma D1 vertebra. There is no significant pre/para vertebral or any epidural collection.

Disk bulge at C5-C6 level,along with mild biliteral facet joint arthropathy,resulting in indentation of anterior thecal sac and mild narrowing of biliteral neural canals. No significant nerve root compression.

Inter-vertebral disks show early degenerative changes.

The visualized cord is normal in signal intencity pattern and integrity.

There is no compression at the CV junction.

CFS shows normal signal.

There is no primary stenosis.

OPINION: MRI findings are suggestive of.....mild to moderate degenerative changes with ...disk bulge at c5-c6 level,along with mild biliteral facet joint arthropathy,resulting in indentation of anterior thecal sac and mild narriwing of biliteral neural canals. No significant nerve root compression.
Can you suggest me about lipid rest/hemangioma in D1 vertebrae?
Last Edit: 2 years, 10 months ago by shivani.

Re: disk bulge at c5-c6 level 2 years, 10 months ago #1105

"Lipid rest/ hemangioma" is a common finding in vertebral bodies. I see it about every 2-3 MRIs. When MRI was first developed and we saw these findings, we use to think that everyone had "tumors" and many or these were biopsied. As time went on, we understood that these were normal variants and learned not to pay attention to them.

Your arm pain could be caused by the C5-6 level. You might be a good candidate for a SNRB at this level to diagnose and possibly treat the pain you experience (see website for selective nerve root block and pain diary).

Dr. Corenman
Dr. Corenman

This answer is for educational purposes only and is not a substitute for a diagnosis from a qualified professional. Do not try to diagnose or treat yourself based solely upon reading this material.

back pain forum • lower back pain forum • spine surgery forum • neck pain forum
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