DCalParticipantAugust 5, 2018 at 10:34 pmPost count: 1
Hello Dr Corenman
I’d like to have your opinion on my recent MRI. I am 53 y/o female. In Nov 17, I started experiencing what I thought was shoulder pain. I self treated with Advil but by Dec I saw my GP. He prescribed Baclofen 10mg and Naproxen 500. March ’18 took me to an orthopedic Dr who concluded that my problem was in my neck rather than the shoulder. After 8 weeks of physical therapy with little progress, I had this MRI. I am currently in a good bit of pain at all times. Sitting upright with nothing touching my shoulder blades pain level is in the 6-7 range. Leaning against the back of the chair or sleeping on my back is unbearable. Left arm pins and needles sensation with a good bit of numbness. Left shoulder blade is very tender. Bending over to tie shoes or such breaks me out in a cold sweat. Putting my chin up to look overhead is not possible as well as turning my head to the left. I have been compensating by pivoting from my waist. I have left my job as the pain has become too intense. What are your thoughts? I am waiting for the referral and appointment from my Ortho Dr to the Neurosurgeon.
Technique: Magnetic resonance imaging of the cervical spine was performed using standard pulse sequences without contrast material.
Craniocervical junction, foramen magnum and cerebellar tonsils are well outlined and appear normal.
Normal alignment from C2 through C5 with mild retrolisthesis C5 over C6. Minimal retrolisthesis C6 over C7. Normal alignment C7-T4
Marrow signal shows normal appearance.
Cervial cord shows normal size and signal intensity.
C1-2 Degenerative changes of the predental space. Persistent thickening of the transverse ligament.
C2-3 No significant abnormality
C3-4 No significant abnormality
C4-5 Spondylosis and protrusion on the RIGHT, effacing the thecal sac with mild flattening anterior aspect of the RIGHT side of the cervical cord. Mild central stenosis. Fluid density posteriorly indicates annular fissure. No foraminal stenosis.
C5-6 Spondylosis and bulge effaces the anterior thecal sac causing moderate central stenosis. Fluid density posteriorly indicates annular fissure. Moderate bilateral foraminal stenosis due to uncinate hypertrophy
C6-7 Minimal bulge, minimally effacing anterior thecal sac. No significant central stenosis. Fluid density posteriorly indicates annular fissure. Moderate bilateral foraminal stenosis due to uncinate hypertrophy
C7-T1: No significant abnormality
T2-3 Mild LEFT facet hypertrophy
1. Cervical muscle spasm with degenerative malalignment at C5-6
2. Spondylosis of protrusion, eccentric to the RIGHT at C4-5 with flattening anterior cervical cord. Posterior annular fissure. No foraminal stenosis.
3. Moderate central stenosis at C5-6 with posterior annular fissure. Moderate bilateral foraminal stenosis.
4. Minimal bulge at C6-7 without central stenosis. Moderate bilateral foraminal stenosis.Donald Corenman, MD, DCModeratorAugust 9, 2018 at 5:16 amPost count: 6574
I assume this is your left shoulder as you are not very clear on your report.
Your report of “Moderate central stenosis at C5-6 with posterior annular fissure. Moderate bilateral foraminal stenosis. Minimal bulge at C6-7 without central stenosis. Moderate bilateral foraminal stenosis” indicates that either the C5-6 or C6-7 foraminal stenosis could be causing your symptoms. Please read this; https://neckandback.com/conditions/radiculopathy-pinched-nerve-in-neck/ and this: https://neckandback.com/conditions/symptoms-of-cervical-nerve-injuries/
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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