[asimmons87]

#31377

Hello,

I had anterior cervical discectomy and fusion about 3 years ago on C4-C6. I have been having burning, numbing and shooting pains throughout the back of neck, shoulder blades, shoulder extended out to arms and hands and also loss of strength in hands/wrist.

Can someone please give me an idea from the MRI report of what is going on?

Thank you,
Ashley

FINDINGS: Cervical cord is normal in size and signal intensity and cerebellar tonsils are in normal position. Fusion changes at C4-5 and C5-6.

C2-3: No neural impingement.
C3-4: Uncinate process hypertrophy produces at least moderate neural foraminal narrowing on the left.
C4-5: No neural impingement.
C5-6: No neural impingement.
C6-7: No neural impingement.
C7-T1: No neural impingement.

Impression: At least moderate neural foramina on the left at C3-4.
99U:

[Donald Corenman, MD, DC]

#31424

Your symptoms do not fit with a cervical problem according to this MRI. You only have possible left C4 nerve involvement (“Uncinate process hypertrophy produces at least moderate neural foraminal narrowing on the left”). The C4 nerve does not radiate pain down below the shoulder and symptoms would only be on the left.

Check out these potential sources of arm pain:
https://neckandback.com/conditions/thoracic-outlet-syndrome/,
https://neckandback.com/conditions/cubital-tunnel-syndrome/,
https://neckandback.com/conditions/carpal-tunnel-syndrome/

Dr. Corenman

[Author]

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