JimhipMemberMay 30, 2012 at 1:13 pmPost count: 4
I have just had a ct of the cervical spine taken.
Could you explain the following.
” The bony central spine canal and lateral recesses are moderately capacious at all levels.”
“Early c4-c5,c5-c6 and c6-c7 disc generation is noted.”
I have mild neck pain but moderate to severe shoulder pain with shooting pains down right arm.My hand gets pins and needles.
Any advice would be most welcome.
Thanks.Donald Corenman, MD, DCModeratorMay 30, 2012 at 7:37 pmPost count: 8459
Your MRI report is not too bad. ” The bony central spine canal and lateral recesses are moderately capacious at all levels” simply means that there is plenty of room for the spinal cord and nerves (although there is no mention of the foramen which houses the exit of the nerves from the canal).
“Early c4-c5,c5-c6 and c6-c7 disc generation is noted” means that there is some degenerative changes of those discs which is not an infrequent finding.
Your right shoulder pain with radiation down to the hand associated with pins and needles could originate from a nerve root compression (probably C6 or C7) or less likely from a condition called thoracic outlet syndrome. I suspect that the MRI report contains some note of nerve compression in the foramen.
Dr. CorenmanJimhipMemberMay 31, 2012 at 12:34 pmPost count: 4
Thank you for such a timely reply Dr.
There is no mention of the foramen or a pinched nerve in the report so I will ask my doctor about this at my next appointment.
Thanks once again.Donald Corenman, MD, DCModeratorMay 31, 2012 at 1:25 pmPost count: 8459
Ask you doctor to check for thoracic outlet syndrome. You might instead have a stretch radiculopathy (called a stinger or burner) if you had a fall onto that outstretched arm. There are also entrapment syndromes (carpel tunnel and cubital tunnel syndrome) that can occur. Ask your physician to check for those also.
Dr. CorenmanJimhipMemberMay 31, 2012 at 1:28 pmPost count: 4
Thank you for the advice.
Great website by the way.JimhipMemberJune 19, 2012 at 12:25 pmPost count: 4
I have seen a chiropractor for my problem.
He advised he doesn’t think the symptoms stem from the neck but from the upper back.
My understanding is the nerves from the thoracic spine do not travel through the shoulder and down the arm.
Am I correct and cam problems with the thoracic spine cause problems thru the arm down to the hand.
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