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  • Avatarjewels7575
    Participant
    Post count: 1

    What does all of this mean? I’ve had extreme neck pain and worsening migraines since being kicked to the floor by a patient with occasional numbness in my extremities and radiating pain. My neck pain is absolutely horrendous.
    EXAMINATION: MRI CERVICAL SPINE WO CONTRAST (GENERIC)

    CLINICAL HISTORY: Cervical radiculopathy

    TECHNIQUE: Multiplanar images of the cervical spine were acquired without
    contrast according to radiculopathy protocol.

    CONTRAST: None

    COMPARISON: Cervical spine radiograph of 12/3/2018 and MRI thoracic spine of
    2/5/2018

    FINDINGS: The vertebral bodies of the cervical spine are normal height,
    alignment, and marrow signal. There is loss of disc space signal and height at
    the C4-5 and C5-C6 levels.

    The cervical spinal cord and visualized posterior cranial fossa are normal in
    their signal and configuration.

    Limited evaluation of the paraspinal soft tissues demonstrate shotty lymph nodes
    in the submandibular region.

    C2-C3: Spinal canal and neural foramina are patent.

    C3-C4: Spinal canal and neural foramina are patent.

    C4-C5: Despite a small disc bulge the spinal canal and neural foramina are
    patent.

    C5-C6: There is a circumferential disc bulge with small central disc protrusion
    resulting in mild effacement of anterior thecal sac. Neural foramina are patent.

    C6-C7: Spinal canal and neural foramina are patent.

    C7-T1: Spinal canal and neural foramina are patent.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7569

    You have degenerative disc disease of the C4-5 and C5-6 levels (somewhat common) without reported spinal cord or nerve root compression. There is no report of the facets (again-somewhat commonly missed) which could demonstrate some unrecognized degeneration. You would need X-rays including flexion/extension views to discern motion, stability and disc height as well as a good examination to try and discover what your pain generators could be.

    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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