Tagged: Cervical MRI
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I am a 49 yo female and work as an engineer. My work requires me to climb up and down sides of buildings and crawl around in mechanical rooms. I am concerned about the dangers involved in my employment and what the future may hold. Also.. I’m not sure how bad this MRI really is. To me, it looks really bad. Am I headed to surgery?
I have had shoulder pain for over 5 years. I never had it looked at until 2 weeks ago when a began to have extremely painful twinges in my left arm that radiate to my pinky and ring fingers. This is followed by tingling and numbness. It subsides until I move my arm the wrong way again.Here is what my MRI says:
Findings:
There is straightening of cervical spine. No Marrow infiltrative process present.
The invertabral disks are diffusely dissected in the cervical spine. There is marked decreased disk height at C5-6 and C6-7 levels. There is mild type I Modic endplate degenerative changes present at the C5-6 level.At C3-4 level, there is disk bulge with 1 mm central disk protrusion causing slight anterior thecal and cord inentation. There is no spinal canal narrowing. There is marked left facet hypertrophy present with moderate left neural foraminal stenosis.
At C4-5 level, there is a small 1 mm central disk protrusion with subtle anterior thecal and cord indentation. There is no spinal canal or foraminal narrowing. Left facet hypertrophy is present.
At C5-6 level, there is 1.5 mm posterior disk osteophyte complex causing anterior thecal and cord indentation with mild to moderate canal narrowing. There is mild unconvertebral and facet hypertrophic changes noted. The neural foramina appear patent.
At C6-7 level, there is a posterior disk osteophyte complex causeing thecal effacement with spinal cord indention and moderate canal stenosis. Unconvertebral and facet hypertrophic changes are present with mild to moderate left foraminal narrowing.
At C7-T1 level there is a disk bulge with a 1.5 mm central to left paracentral disk protrusion. Associated unconvertebral and facet hypertrophic changes are present. There is thecal as well as left anterolateral cord indention present with minimal spinal canal stenosis. There is also mild left foraminal narrowing.
Impresssion:
1. Straightening of cervical spine with maintained vertebral height and allignment. There is marked facet hypertrophy on the left side of the C3-4 level.
2. Multilevel spondylotic changes with moderate spinal canal narrowing at C6-7 level, mild to moderate spinal canal stenosis at C5-6 level and mild spinal canal narrowing at C7-T1 level.
3. Multilevel left sided foraminal narrowing described at C3-4, C6-7, and C7-T1 levels. Foraminal stenosis appears worse at C3-4 level.Thanks for any input. I went to Orthopedic surgeon first and he gave me this and didn’t say much and referred me to a spine doctor. I am waiting to get an appointment.
You have moderate to significant degenerative changes of the discs of your cervical spine. The worst disc appears to be C5-6 with C6-7 close behind (“There is marked decreased disk height at C5-6 and C6-7 levels. There is mild type I Modic endplate degenerative changes present at the C5-6 level”). These can cause neck pain that can radiate into your shoulders.
Your complaints of arm pain “began to have extremely painful twinges in my left arm that radiate to my pinky and ring fingers. This is followed by tingling and numbness. It subsides until I move my arm the wrong way again” could be from either your neck or your arm itself. If the symptoms occur with head position (extending the neck or bringing the head backwards) without arm motion, you probably have a cervical radiculopathy, most likely at C7-T1. This head position would be quite common when crawling into narrow spaces as you have to extend the neck to look forward while on your hands and knees.
If however, the neck position does not prompt these arm symptoms, more likely than not you either have thoracic outlet syndrome or cubital tunnel syndrome, both of which would cause numbness into the ulnar side (pinky side) of the hand. See https://neckandback.com/conditions/cubital-tunnel-syndrome/ and https://neckandback.com/conditions/thoracic-outlet-syndrome/.
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.Thank You for the response Dr. Corenman,
Neck position does not effect my pain. As a matter of fact, I don’t have any neck pain (maybe a little stiffness) and I thought the Orthopedic Surgeon was wasting my time when he ordered the neck MRI.
Of the two syndromes, I think it may be the Thoracic Outlet syndrome. I did not mention that the motion that gives me the most pain is putting on a bra where I make all of the motions in a series that your description mentions as being troublesome.
I really appreciate your help!Please let us know how you progress.
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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