luvromoParticipantAugust 5, 2018 at 2:16 pmPost count: 1
Dr. Corenman, we spoke on the phone in 2012 after you reviewed my MRI and I greatly appreciate your time more than you know.
I have a new MRI that was done in January 2018 after falling on the ice while holding my daughter.
My injury began first with curled pinky and ring fingers after long hours of writing notes in school followed by neck pain the following summer.
5 years later, I am still experiencing left sided neck pain starting from the base of the neck into the trap area and my left pinky/ring fingers will start to curl when the neck is aggravated. I get sharp pain in the outer 2 fingers when writing or holding silverware
My new MRI results are seen below ..is the neck pain likely causing the hand pain? if so, am i candidate for surgery? considering making a trip to you or what type of doctor you suggest I see next.
c3-4:broad-based posterior central disc herniation measuring 1mm AP, flattens anterior aspect of thecal sac. no central canal or neural foraminal stenosis
c4-5:broad based posterior central disc herniation measuring 2mm AP and containing annular tear, mildly flattens anterior aspect of spinal cord, facet joints normal, no canal or foraminal stenosis
c5-6:broad based posterior central disc herniation measuring 1 mm AP and containing small annular tear which flattens anterior aspect of thecal sac, facet joints are normal, no central canal or neural foraminal stenosis
c6-7: broad -based posterior central disc herniation measuring 3 mm AP and containing annular tear, mildly flattens anterior aspect of spinal cord and results in minor central canal stenosis.
c7-t1:broad based right to left paracentral disc herniation measuring 1 mm AP whcih flattens anterior aspect of thecal sac
Donald Corenman, MD, DCModeratorAugust 9, 2018 at 5:40 amPost count: 6574
- This topic was modified 7 months ago by Donald Corenman, MD, DC.
Your MRI finding are not significant concerning nerve root compression. There is no report of disc herniation or foraminal narrowing that would lead to the compression of a nerve root.
The ulnar side of your hand is involved (“left pinky/ring fingers will start to curl when the neck is aggravated. I get sharp pain in the outer 2 fingers when writing or holding silverware”). This could originate from the shoulder or the cubital tunnel. See https://neckandback.com/conditions/thoracic-outlet-syndrome/ and https://neckandback.com/conditions/cubital-tunnel-syndrome/.
Neck pain can originate from degenerative discs or facets. See https://neckandback.com/conditions/cervical-degenerative-disc-disease/ and https://neckandback.com/conditions/cervical-degenerative-facet-disease/.
You are certainly welcome to come into the office for diagnosis.
Dr. CorenmanPLEASE 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.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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