WimsicleParticipantJanuary 6, 2020 at 8:26 amPost count: 1
INDICATION: electrmyogram abnormal, 26 yo M with EMG showing ulnar nerve
involvement an positive spurlings test on exan concerning for cervical nerve root
TECHNICAL FACTORS: Multiplanar MR images of the cervical spine are obtained.
FINDINGS: There is mild loss of signal and height of most of the cervical intervertebral
discs. There is mild posterior spondylosis at C3-4, C4-5 and C5-6. Marrow signal is
normal. The neural foramina and lateral recesses are widely patent at all levels. There is
left dorsolateral spondylosis at C5-6 causing very mild flattening of left ventral hemicord.
The remaining levels the central canal is widely patent. The remainder of the cord and
straits normal shape. There are no cord signal abnormalities. There are no perivertebral
soft tissue abnormalities.
IMPRESSION: Left dorsolateral spondylosis at C5-6 is causing mild left ventral
hemicord flattening. No other neural compressive abnormalities present.
My symptoms have been neck pain, and pain radiating down shoulder, arm and into fingers, as well as tingling. It is not 100% constant, but flare up’s every day.
Thanks :)Donald Corenman, MD, DCModeratorJanuary 7, 2020 at 12:58 pmPost count: 8652
By the EMG results, you have cubital tunnel syndrome so I would assume you have tingling into your ring and little finger. This condition is separate from your neck which has some degenerative changes but no noted nerve compression (“The neural foramina and lateral recesses are widely patent at all levels”).
For your neck and elbow problems, try at least six weeks of physical therapy to see if symptoms improve. See these to understand your conditions. https://neckandback.com/conditions/cubital-tunnel-syndrome/ and https://neckandback.com/conditions/cervical-degenerative-disc-disease/
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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