Can you help me understand my MRI please?

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  • julie100
    Participant
    Post count: 2
    #26432 |

    Having neck pain, tingling in left pinky, odd sensation in leg but all physio checks are ok.
    MRI:
    degenerative changes seen at c4/c5 and particularly c5/c6 and c6/c7 levels with loss f disc space, disc dehydration and endplatevdegeneration, more at c5/c6.
    C3/c4: a small posterior disc bulging does not cause any significant spinal canal or neuroforaminal narrowing.
    c4/c5: a small posterior disc bulge causes some effacement of the CSF anterior to the cord but there is no significant spinal canal or neuroforaminal narrowing.
    C5/c6: a posterior disc/osteophyte complex abuts the ventral aspect of the cord and slightly flattens it. Both c6 nerve roots exit freely.
    C6/c7: broad based posterior disc bulging slightly abuts the central aspect of the cord. There is no significant spinal canal or neuroforaminal stenosis.
    Conclusion: degenerative changes seen in cervical spine, more at c5/c6 and c6/c7 level with posterior disc/ osteophyte complexes abutting the central aspect of the cord but not causing any significant spinal canal narrowing or neuroforaminal stenosis.
    Thank you

    Dr. Corenman
    Moderator
    Post count: 5470

    You have multilevel degenerative disc changes which explains your neck pain. The pinky numbness can occur from C8 nerve compression (occasionally C7) which is from the C7-T1 level which was not included in this report. Also, ulnar nerve compression at the elbow and tunnel of Guyon (wrist) can cause this tingling. See https://neckandback.com/conditions/cubital-tunnel-syndrome/ and https://neckandback.com/conditions/symptoms-of-cervical-nerve-injuries/.

    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.
    If this forum has helped you, please let Dr. Corenman know!

    julie100
    Participant
    Post count: 2

    Thank you very much.
    For c5/c6 level, disc and osteophyte complex abutting and slightly flattening the spinal cord, is this of concern?
    Is it common to have cervical issues accompanied with odd leg feelings and also intermittent nausea and lightheadedness?
    Thank you once again.

    Dr. Corenman
    Moderator
    Post count: 5470

    If there in no overt spinal canal narrowing that compresses the cord, generally there is no great risk of cord dysfunction. There are rare instances of cord draping (an anterior spur in the canal that drapes the cord over it associated with reversal of the normal cervical lordosis due to disc degeneration) but that scenario is unusual.

    Odd leg feelings have a laundry list of possible sources and the cervical spine is a small fraction of that list. Intermittent nausea and lightheadedness is almost never part of the cervical spine origin.

    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.
    If this forum has helped you, please let Dr. Corenman know!

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