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  • Yousavefer
    Participant
    Post count: 3
    #24354 |

    Hello,
    I have been in two car accidents in the past year. I had a MRI done on December of 2015 and another one done on Jan 2017.
    So 13 months apart.
    The first MRI states :
    Findings:
    Impression: at the C5-6 level, there is moderate posterior marginal spurring and disc bulging, which does cause mild effacement to the left ventral aspect of the spinal cord. There is no evidence for spinal stenosis.

    At the c4-c5 level, there is mild posterior disc bulging and marginal spurring.

    No evidence for dis herniation or spinal stenosis. No signal abnormality demonstrated within the visualized spinal cord.

    Findings : Examination at the c2-3 and the C3-4 levels demonstrate no evidence for disc herniation or spinal stenosis.

    Examination at the C4-5 level demonstrates mild posterior disc bulging and marginal spurring. There is no evidence for stenosis of the central spinal canal or neural foramina.

    Examination at the C5-6 level demonstrates moderate posterior marginal spurring and disc bulging, what does cause a mild effacement to the ventral aspect of the spinal cord. There is no evidence for stenosis of the central spinal canal or the neural foramina.

    Examination of the c6-7 and C7-Ti levels demonstrate no evidence for disc herniation or spinal stenosis.

    No Abnormality is demonstrated at the craniovertebral junction or within the visualized spinal core

    The One that was taken on Jan 2017:

    Normal signal intensity within the cervical and upper thoracic cord. No chiari malformations of the syrinx, no intrinsic cord lesion and no intradural mass.

    Cervical Spondylosis with moderate disc space narrowing at the C5-6 preservations of the disc space height and the c3-4 and straightening of the cervical lordosis. Degenerative changes are associated with thicken the posterior longitudinal spinal ligament at the C6 and C5.

    T2-3 through c6-7: dorsal disc margins unremarkable with mild dorsal bulging at the c6-7 normal facets at each level and no stenosis or impingement.

    C5-6: Moderate-sized 4mm broad based left paracentral disc protrusion/osteophyte with thickening possible ossification of the posterior longitudinal spinal ligament, mild to moderate narrowing of the canal and moderate left ventral cord flattening/ Normal facets joints and patent neural foramina.

    C3-4 and C2-3 : dorsal margin and facet joints normal. No stenosis or impingement.

    No degenerative or erosive changes within the atlantoaxial or cervical-occipital joints.

    Normal signal intensity with the vertebral marrow spaces.

    Conclusion: Cervical spondylosis and thickening /ossification of the posterior longitudinal spinal ligament with straightening of the lordosis.

    No md has gone over this with me nor will they will for weeks after PT.

    Doesn’t seem possible to have my neck change that bad within 13 months, as I’m a healthy 32 year old.

    Dr. CorenmanDr. Corenman
    Moderator
    Post count: 4956

    The MRI readings by themselves are not very helpful. It really depends upon the symptoms you have the comparison between these symptoms to the MRI (and X-ray) findings. See the section https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-lower-back-and-leg-pain/ to understand how to describe symptoms.

    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!

    Yousavefer
    Participant
    Post count: 3

    With the first one I had left arm numbnes ( my first three fingers) I was D.X with whiplash and frozen shoulder with impingement. I was sore and stiff for 4 months with headaches but it got better.

    With the last accident, the headaches I’m having are horrible, they start at the base then go behind my eyes to the point where my eyes hurt.
    Very limited ROM, pain in the neck that goes down to shoulders. Left fingers are numb again as well. Can’t sleep. Haven’t driven a car very much either.

    Also my SI joint has inflammation, as I have been having issues with the right hip going down my leg pain.

    The first car accident I was hit from behind. By two cars. The last one I tboned a lady who ran a red light.

    Dr. CorenmanDr. Corenman
    Moderator
    Post count: 4956

    Your findings of cord and root compression are not too remarkable. The worst level is noted to be C5-6 (C5-6: “Moderate-sized 4mm broad based left paracentral disc protrusion/osteophyte with thickening possible ossification of the posterior longitudinal spinal ligament, mild to moderate narrowing of the canal and moderate left ventral cord flattening/ Normal facets joints and patent neural foramina”. There is no mention of cord compression but some “flattening”. Your symptoms do not appear to be from cord compression which is generally painless.

    Headaches can be from injury to the upper facets but this pain generally will not radiate to the eyes. The left fingers being “numb” should not be generated from the cervical spine based upon your imaging studies. Numbness could be generated by peripheral nerve entrapment. See https://neckandback.com/conditions/nerve-entrapment-compression/ to understand how these nerves become entrapped.

    Neck pain and loss of range of motion could be disc related and you do have degenerative changes of the discs. You would need to see a neck specialist to have this worked up.

    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!

    Yousavefer
    Participant
    Post count: 3

    I have an appt in a month or so.
    What was concerning to me how the two MRI are so different in 13 months.
    Is it possible for such change naturally or is it from the trauma?

    Dr. CorenmanDr. Corenman
    Moderator
    Post count: 4956

    The fact you had a trauma and a change in symptoms after the second accident indicates probable new-onset injury. The previous MRI performed so close to the newer accident is generally a documentation of the results of the second accident.

    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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