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  • zetta
    Member
    Post count: 1

    While I was parked at the stop light, I was hit from the rear by a speeding jeep. My head hit the steering wheel (gratefully I was wearing a seat belt). I have been complaining of lower neck and lower back pain so a CT and several x-rays were ordered.

    Pain meds aren’t working so I’m just enduring the pain at this point.

    I understand everything except the following two statements. Can you break this down for me please?

    CT Cervical Spine
    FINDINGS: There is diffuse disc bulging from C3-4 through C6-7 with central canal stenosis.

    Can I get this resolved through Physical Therapy?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    Pain in the cervical spine can be generated by the discs, facets, nerves and muscles. Cord compression generally will not cause pain but cause myelopathy or dysfunction of the cord.

    The CT scan was performed to rule out any fractures but is not a great test to understand pain generation. Diffuse disc bulges simply means degenerative disc changes. These may or may not be painful.

    Stenosis indicates narrowing of the spinal canal. This can be dangerous in some cases but generally will not cause neck pain.

    Most cervical pain can be managed by physical therapy.

    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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