ishtiaq37MemberJanuary 13, 2012 at 12:29 amPost count: 1
Respect Dear Doctor
MY NAME IS MIRZA ********, MALE, 44 YEARS OLD AND LIVING IN ISLAMABAD (PAKISTAN). I WAS FEELING PAIN IN MY NECK AND BOTH JOINTS OF MY ELBOW JOINTS AND I CANNOT PUSH POWER / PICK UP WEIGHT. I WENT TO DOCTOR HE ADVISED ME FOR X-RAY SPINE.
X-RAY REPORT IS AS FOLLOW:
“C SPINE (AP/LAT) VIEWS:-
“DISC SPACE BETWEEN C6/7 IS REDUCED.
OSTEPHYTES ARE SEEN AT MARGINS OF THESE VERTEBRAE.
– DEGENERATIVE CHANGES WITH SPONDYLOSIS CERVICAL SPINE”.
PLEASE LOOK INTO THE REPORT AND ADVICE TREATMENT.
I SHALL BE THANKFUL TO YOU FOR AN EARLY REPLY.
MIRZA ******* ***Donald Corenman, MD, DCModeratorJanuary 13, 2012 at 1:12 amPost count: 8376
You note pain in the cervical spine and pain radiating down to the elbows. You note lack of strength (“cannot push power”) which I assume is weakness of the triceps muscles (lack of push-off). Loss of strength in “picking up weight” is typically from the biceps (a different cervical nerve root) but may be from weakness of wrist flexors which is a C7 nerve root function.
The meticulous physical examination which can be well done in any country can shed light on the diagnosis and point the way for appropriate treatment.
The C6-7 notes significant degenerative changes and osteophytes at that level. That could be consistent with a C7 nerve root compression which would cause pain and weakness as you describe (see section under cervical radiculopathy on website). I do not know what resources you have in your country but I would consider an MRI as the next step, then a cervical epidural steroid injection.
Dr. CorenmanPLEASE 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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