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  • amabdallah03
    Member
    Post count: 3

    Hello Dr,

    I have made an MRI for my neck, the report says;

    -straightening of the cervical spine due to muscle spasm.
    -vertebral bodies height are preserved with no bone signal abnormality.
    C5-C6;
    -Large diffuse disc bulge with left paracentral disc herniation compressing the left aspect of the spinal cord and the left nerve root.
    -The rest levels appear normal.
    -No cord signal abnormality.
    Normal cranio-cervical junction.

    Does this mean that I have a big problem disc issue?

    Awaiting your kindly feedback

    Donald Corenman, MD, DC
    Moderator
    Post count: 8427

    The MRI findings always need to be correlated with your symptoms. If you have no symptoms, the findings might not matter.

    The MRI demonstrates a disc bulge or herniation at C5-6 which compresses the left spinal cord and the left C6 nerve root but there is not signal abnormality of the cord.

    A C6 nerve compression on the left could cause left sided neck pain radiating into the arm down to the thumb. The pain would be worse with certain neck maneuvers such as looking up (extending the neck) or bending the head to the left side (lateral bending). Weakness could be noted in the biceps (lifting a heavy object) and the wrist extensor (weaker grip strength). Paresthesias might radiate down the left arm (pins and needles). You might also have neck pain as your primary complaint.

    Dr. Corenman

    amabdallah03
    Member
    Post count: 3

    Thank you Dr,

    but I think you have described the most symptoms that I feel,
    for example: today I had lift the laptop but it was with pain in my back and shoulders

    Does those symptoms means that I have discs?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8427

    These symptoms indicate that your C6 nerve is compressed and malfunctioning. You need a consult with a spine surgeon.

    Dr, Corenman

    amabdallah03
    Member
    Post count: 3

    Hello Dr,

    I have visited a spine surgeon as per your recommendation,
    he just described a medicine called “Proxen 500 mg active substance: Naproxen anti-rheumatic anti-inflammatory analgesic”

    Dr, what do you think?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8427

    Naprosyn is a good medication for inflammation. Inflammation is a component any time there is nerve root compression. However, with motor weakness, my personal opinion is that there is severe dysfunction of the nerve root due to mechanical deformation and surgical decompression should be considered.

    Dr. Corenman

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