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  • Avatarniki
    Participant
    Post count: 10

    The Doc also said I had osteoarthritis of my CPine, which you didn’t mention so I’m not sure what that means? I’m just 33 so I can’t really see a path for me..

    I’m trying not to be discouraged, from a patient perspective perhaps my radiating pain from my neck is from a pinched nerve if it’s causing numbness?

    Still no diagnosis sadly… Thanks for your time again

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7400

    “Arthritis” of the cervical spine is generally a poor term as arthritis refers to a synovial joint and the only synovial joint in the spine is the facet. Now facets can become degenerative or arthritic but more commonly, the disc becomes degenerative which is not considered “arthritis”. Patients with degeneration of the disc and/or facet can have local neck pain but many have no 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.
     
    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.
    Avatarniki
    Participant
    Post count: 10

    Understood, that’s interesting!
    If I have a trapped nerve is it possible they didn’t see it on the MRI? Is my CSpine so bad that would cause the shooting pains down my left arm and cause these headaches?

    They just don’t known where to go anymore so I feel stuck with this pain and numbness in my arm, temperature changes and grip strength. Multiple of my other MRI mention sciatic issues but I’m not sure where to go diagnositically to get better. Afraid to ecersize because sometimes it kills all feeling in that arm.

    As a patient I’d just love an injection somewhere so I don’t have back spasms 80 percent of the month.. Or just to know a path forward. Thanks for all your support your ideas helped me get this far, I may come fly to you or ask about a true MRI interpretation if that exists but I’m honestly looking to resolve issues locally if possible.

    Here’s another copy of my CSpine results so you don’t have to scroll.

    PROCEDURE COMMENTS: MRI of the cervical and thoracic spine was performed without IV contrast at 3 Tesla. The following MR sequences were obtained: 3 plane localizer SSFSE, sagittal T2, sagittal T1, sagittal STIR, axial T2, and axial MERGE.

    FINDINGS:

    Localizer image: No visible abnormality.

    Alignment: Straightening of the normal cervical lordosis.

    Bone marrow: Normal for age. Vertebral body heights are preserved.

    Discs: Disc desiccation and mild disc height loss from C4-C7. Thoracic disc heights are preserved.

    Vertebrae: Multi-level degenerative changes as follows:

    Cervical spine:

    C2-C3: Mild facet hypertrophy. No significant neural foraminal or spinal canal stenosis.

    C3-C4: Left asymmetric mild uncovertebral and facet hypertrophy which result in mild left neural foraminal stenosis. No significant spinal canal stenosis.

    C4-C5: Broad-based posterior disc osteophyte complex, left asymmetric mild uncovertebral and facet hypertrophy which result in partial effacement of the ventral thecal space without significant spinal canal stenosis. No significant neural foraminal stenosis.

    C5-C6: Small posterior central disc protrusion, mild uncovertebral and facet hypertrophy which result in near-complete effacement of the ventral thecal space with mild indentation of the ventral spinal cord and mild spinal canal stenosis. No significant neural foraminal stenosis.

    C6-C7: Broad-based posterior disc osteophyte complex, mild uncovertebral and facet hypertrophy which result in partial effacement of the thecal space without significant spinal canal stenosis. No significant neural foraminal stenosis.

    C7-T1: Mild facet hypertrophy. No significant neural foraminal or spinal canal stenosis.

    Thoracic spine: No significant degenerative changes, neural foraminal or spinal canal stenosis.

    Cord: Normal.

    Extra-vertebral soft tissues: Normal.

    Visualized brain: Normal.

    Visualized chest: Normal.

    Additional comment: None.

    There is no component information for this result.
    —–

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7400

    There are disorders other than nerve compression that can cause “pain and numbness in my arm, temperature changes and grip strength. Look at thoracic outlet syndrome, carpel tunnel syndrome and CRPS. See https://neckandback.com/conditions/thoracic-outlet-syndrome/,
    https://neckandback.com/conditions/carpal-tunnel-syndrome/,
    https://neckandback.com/conditions/chronic-radiculopathy-neck/ and
    https://neckandback.com/conditions/complex-regional-pain-syndrome-crps-reflex-sympathetic-dystrophy-rsd-causalgia-neck/

    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.
     
    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.
    Avatarniki
    Participant
    Post count: 10

    These are very comprehensive, well written articles. Thank you!

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