PaulsParticipantNovember 13, 2020 at 11:55 amPost count: 6
I have recently had a Cervical MRI due to pain in my neck, shoulders ,numbness and tingling down in my forearm and thumb. I am scheduled to see a surgeon but not for several months. My Doc says I have cervical disc disease. After requesting my MRI it show 2 small disc bulges at C2-3 and C 3-4, and 2 large ones at C4-5 and C5-6 with the 2 latter impinging the spinal cord as well as bilateral foraminal stenosis and osteophytes. I am in a bit of pain. Over the counter meds just aren’t doing anything. Should I request a better prescription until I see the surgeon? And is this anything I should be concerned about? Thank you….love your YouTube videosDonald Corenman, MD, DCModeratorNovember 15, 2020 at 7:11 amPost count: 8468
You note “2 large ones (disc bulges) at C4-5 and C5-6 with the 2 latter impinging the spinal cord as well as bilateral foraminal stenosis and osteophytes’. Impingement of the spinal cord could cause myelopathy. See if any of these symptoms fit. https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/
The foraminal stenosis at C4-5 can cause a C5 radiculopathy and the stenosis at C5-6 can cause a C6 radiculopathy. See if these symptoms fit. https://neckandback.com/conditions/radiculopathy-pinched-nerve-in-neck/ and https://neckandback.com/conditions/symptoms-of-cervical-nerve-injuries/.
Dr. CorenmanPaulsParticipantNovember 18, 2020 at 2:05 pmPost count: 6
Thank you for the response, I wasn’t very clear on the findings. This is the summary.
C2-3 there is a moderate 8-9 mm posterior central disc protusion abutting and mildly impinging the ventral thecal sac. Endplate spurring and facet arthropathy contributes to mild right neural foraminal narrowing.
C3-4 there is mild disc osteophyte complex with moderate posterior central dis protrusion impinging the ventral thecal sac. No significant central canal or foraminal stenosis is seen.
C4-5 there is a moderate disc osteophyte complex with broad based posterior disc protrusion effacing the ventral thecal sac and mildly impinging the ventral cervical cord. Endplate spurring and facet arthropathy contribute to moderate bilateral foraminal stenosis.
C5-6 there is disc osteophyte complex withbroad based central and right posterolateral disc protrusion effacing the ventral thecal sac and abutting and mildly impinging the ventral cervical cord. Enplate spurring and facet arthropathy contribute to mild to moderate central canal stenosis and moderately severe bilateral foraminal stenosis.
C6-7 shows 3-4 mm right posterolateral disc protrusion abutting and mildly impinging the ventral thecal sac. The neural foramen remain patent.
I’m guessing PT? And meds? Correct?
Thank youDonald Corenman, MD, DCModeratorNovember 20, 2020 at 3:10 pmPost count: 8468
According to this report, you have multi-level degenerative disc disease, Foraminal stenosis is noted bilaterally at C4-5 and C5-6 with mild to moderate central canal stenosis at C5-6. The questions of your symptoms still remain. See my post above, review the three disorders I noted and discuss your current symptoms in that light.
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