- Charles MParticipantApril 5, 2020 at 5:39 pmPost count: 1
I injured my neck badly in 2018 gardening. Pain was 10/10 from neck to wrist on right side for a month and was paralyzed in my right hand for about two weeks with constant spasm throughout right side. Went to Chiro, Pt etc.. recovered after six months, but still have constant irritation and tightness in neck.
About two weeks ago after doing nothing noteworthy I started to get spasms and weakness in both triceps. The weakness is transient but still very disconcerting. I can understand the osteophyte complex at c7 causing issues on the right side, but do not see anything on the MRI that would cause both triceps to be affected. Given the current Covid -19 situation, healthcare is obviously limited as are my options.
How concerned should I be given the symptoms in relation to MRI?
Procedure: MRI C-SPINE WO-72141,9/21/2019 11:30 AM
INDICATION:NECK PAIN C6 C7. Neck pain. Recent neck injury.
Comparison examination:None available at time of dictation.
The cervical spine was imaged in multiple planes and pulse sequences. Contrast: not utilized.
Vertebral body alignment: Loss of normal cervical lordosis with slight broad kyphosis is present through the cervical spine. Vertebral body heights:Vertebral body heights are intact. Marrow signal intensity:No pathologic marrow replacement is identified. Paraspinous soft tissues:Normal. Cervical spinal cord:No focal cord lesions or evidence of syrinx. Craniovertebral junction:Normal alignment without evidence of stenosis. . Intervertebral disc levels: C1-C2 articulation:Normal. No significant degenerative changes are noted. No stenosis or cord compression are identified.
C2-C3:Intervertebral disc is intact.No foraminal narrowing is identified.Facet joints appear intact.
C3-C4:Intervertebral disc is intact.No foraminal narrowing is identified. Mild facet osteoarthrosis of the right C3-C4 articulation are noted.
C4-C5: Mild disc osteophyte complex is present without significant spinal stenosis. Mild right-sided foraminal narrowing is present.Facet joints appear intact.
C5-C6: Right central disc osteophyte complex with mild spinal stenosis is present. Right root exit zone and foraminal narrowing are present.Facet joints appear intact.
C6-C7: Mild disc osteophyte complex is present without spinal stenosis.No foraminal narrowing is identified.Facet joints appear intact.
C7-T1:Intervertebral disc is intact. Right-sided for foraminal narrowing from facet
osteoarthrosis is present. Prominent right facet osteoarthrosis is noted.
IMPRESSION: 1. At C5-C6, right central disc osteophyte complex with mild spinal stenosis and right root exit zone and foraminal narrowing. 2. At C7-T1, right-sided foraminal narrowing from facet osteoarthrosis. 3. At C4-C5, mild right-sided foraminal narrowing from disc osteophyte complexDonald Corenman, MD, DCModeratorApril 9, 2020 at 6:56 pmPost count: 7481
The triceps muscle in supplied by the C7 nerve root. Weakness is typically found with compression of this nerve. Associated muscles that are enervated by the C7 root are the MCP extensors (straightens the fingers up at the knuckles) and the wrist flexors (pulls the palm surface of the hand toward the front of the forearm). This should be associated with decreased sensation of the C7 dermatome (the palm side of the long finger) and an absent triceps reflex.
There is no compression based upon your MRI reading of the C6-C7 level: “Mild disc osteophyte complex is present without spinal stenosis.No foraminal narrowing is identified.Facet joints appear intact”. Certainly not both sides, let alone the right side. You do have C5-6 foraminal narrowing on the right (“C5-C6, right central disc osteophyte complex with mild spinal stenosis and right root exit zone and foraminal narrowing”) but that would cause biceps weakness.
If the other muscles associated with C7 are not weak and there is no sensory loss or reflex loss. something else could be causing this muscles weakness.
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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