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  • Madhurajsh
    Member
    Post count: 1

    I was having numbness in left toe fingers and left hand fingers also. I am a Diabetic (current HBA1C is 7) so was bit worried. I consulted a Neuro Surgeon and he recommended a Cervical Spine MRI. The MRI report says as below;

    Minimal degenerative Retrolisthesis of C4 over C5 and C5 over C6.

    Final impression of the report is as below;
    1. Multilevel disc degeneration and spondylodegenerative changes.

    2. A large broad-based posterocentral disc protrusion at C4-5 level and along with ligamentum flavour thickening causing severe compression of the spinal cord and severe stenosis of the central spinal canal ( the residual AP diameter of the spinal canal is 5-6 mm).

    3. A posterocentral disc protrusion at C5-6 level causing mild compression of the spinal cord and along with ligamentum flavour thickening causing moderate stenosis of the spinal canal ( the residual AP diameter of the central spinal canal is 8-9 mm).

    4. A right posterolateral disc-osteophyte complex at C5-6 level causing moderate narrowing of the right neutral foramen and impingement of the right C6 nerve root.

    5. Bilateral uncovertebral arthrosis at C4-5 level causing narrowing of the bilateral neural foramina ( right more than left) with mild impingement of the right C5 nerve root in the right neural foramen.

    6. Congenital block vertebra involving C5and C6.

    7. Partial fusion of the D3-4 vertebral bodies.

    The doctor has now recommended surgery and replacement of vertebrae.

    I kindly request advise for identifying possible causes of this results and possible solutions, their results, and side affects.

    I am driving about 250 Kms. daily for last 5 years. At a stretch drive is 125 Kms.

    Waiting for the advise.

    Thanks and regards

    Rajesh Sharma
    Dubai.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    “Numbness in left toe fingers and left hand fingers” could be from many different sources. Peripheral neuropathy can cause these especially if you have diabetes (see website).

    You do have severe central canal stenosis (narrowing) at C4-5 which could cause myelopathy and these symptoms (again-see website for myelopathy). A thorough physical examination will reveal if this condition is present.

    The reprot is somewhat confusing. In one section, the report notes “A posterocentral disc protrusion at C5-6 level causing mild compression of the spinal cord and along with ligamentum flavour thickening causing moderate stenosis of the spinal canal ( the residual AP diameter of the central spinal canal is 8-9 mm)”.

    In another section, the report states “Congenital block vertebra involving C5and C6”.

    These two notations are in direct opposition to each other. You cannot have a block vertebra of C5-6 (Klippel Feil syndrome-see website) and a disc protrusion of the same segment.

    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.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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