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  • Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Your MRI report focuses on the C1-2 level but the radiologist doesn’t discuss the levels below (C3-T1) which a cervical MRI typically covers. You could have a disc herniation below which is what I would suspect based upon your report of symptoms. You could have torn your rotator cuff too but some symptoms don’t fit as well. There is an outside chance that this is thoracic outlet syndrome.

    See:
    https://neckandback.com/conditions/radiculopathy-pinched-nerve-in-neck/https://neckandback.com/conditions/rotator-cuff-syndrome-shoulder-impingement-syndrome/ and
    https://neckandback.com/conditions/thoracic-outlet-syndrome/

    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.
    momof1
    Participant
    Post count: 4

    Thank you, once again, for your reply.
    This latest flare up had me in Emergency yesterday, and the Dr on call suggested Rotator cuff tear as well – although admitting some symptoms did not fit (getting better for weeks on nerve medication with full range of motion in regards to shoulder height lifting as well as above head lifting/lowering for example, or milder, yet similar symptoms on the right side being present.
    He did an x-ray of my shoulder, which was normal. He did not perform MRI of shoulder or neck.
    I have physiotherapy Friday, but I do not believe it is Rotator cuff as previous phsio/chiro visits there was alot of focus on the brachial plex/pectoral (working across chest down armpit area to elbow), shoulder blade in my back as well as alot of focus on scalenes, trapezius and scapulae. (all are inflamed currently with this flare up).
    I thank you for everything! You have relieved alot of my worries and frustrations. Whatever the cause, I just need to find it and get a plan to move forward, it has been a frustrating process so far.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    You could consider an EMG/NCV test of your nerves. This could identify if the disorder is radiculopathy vs thoracic outlet syndrome vs brachial plexopathy. A detailed physical examination by an experienced specialist (rare) can discern the disorder but an EMG test and/or a shoulder MRI can be helpful.

    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.
Viewing 3 posts - 7 through 9 (of 9 total)
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