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  • Hedween
    Member
    Post count: 1

    Dr. Corenman,

    Thank you Doctor for this forum. Please have the patience to read my medical case.

    SYMPTOMS:

    I am 32, female married with 2 toddlers. I use computers in my job for 8 hours daily since almost 10 years. Back pain started in 2005, especially in the lower part of the back. At that time I also had Rheumatic fever and was on medication for 6 months until doctors said I am fine and no more signs of Rheumatic fever any more. In 2007 I went for physical therapy. Things were great for 6 months and as I went back to my job it started again. Starting of 2011 also neck pain appeared as I used the laptop at home sometimes. During the year different pain from the lower back and neck occurred. Also numbing in my right fingers, then hand mostly started back in April. Also numbing in my toes. Since August it all stopped except for the back pain. Last week terrible pain started again in my neck, went down to my shoulders with a burning feeling, heavy hands, numbing in my right fingers and pain is expanding to my back, plus bad pain in my lower back, with any movement I feel cracking in my joints all over. Also little pain in my knees. Doctor decided C. Spine MRI. Based on the MRI he prescribed some pain killers and medication, physical therapy, swimming & different exercise.

    C. SPINE MRI
    FINDING:

    • Cervical Spine MRI without I.V Contrast:
    • Straightening of the cervical spine (spasm)
    • Normal diameters of the bony cervical spinal canal
    • Loss of T2 bright signal of C4-5 and C5-6 discs denoting disc degeneration with mild diffuse disc bulges at these levels just flattening the ventral CSF space with no significant neural compromise.
    • No evidence of other disc herniation or significant bulges.
    • Normal MRI appearance of the cervical spinal cord and the cranio-cervical junction with no evidence of cord malacia, edema or syrinx formation.
    • Normal marrow signal of the imaged vertebrae.
    • No paraspinal signal abnormalities.

    CONCLUSION:
    • “Straightening of the cervical spine (spasm).”
    • “Loss of T2 bright signal of C4-5 and C5-6 discs denoting disc degeneration with mild diffuse disc bulges at these levels just flattening the ventral CSF space with no significant neural compromise. “

    I’m wondering if you would be able to give your opinion based and explanation on the information I’ve provided. And can I know how serious this is considered, and how quick it would develop or what damage it can cause? Should I quit my job or are there any precautions I have to take care of? And what will be my situation if I get pregnant again. I can also send you the MRI if that would be helpful. Should I have another MRI done for my lower back and knees?

    Many Thanks

    Donald Corenman, MD, DC
    Moderator
    Post count: 8459

    This condition is symptomatic degenerative disc disease and is quite common. Some individuals develop pain from the tears in the discs and this pain can be quite disabling. The good news is that it is not dangerous.

    By the sounds of your complaints, you should have a work station evaluation. Being able to change positions is very helpful. In fact, one of my nurses has a “Kangaroo desk” which switches height depending upon her back discomfort during the day.

    Management also includes home stretching and strengthening exercises three times per week, medications and occasional epidural steroid injections for the severe flair-ups. There is no need to quit your job but you will need to modify your workstation. You might consult a “pain-management” physician. Normally these individuals are PM&R doctors.

    Dr. Corenman

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