MRI. Clarification

MRI. Clarification
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  • Avatarmelrami198
    Participant
    Post count: 4

    13 years ago my neck was pushed violently forward which caused severe neck pain. I just had two MRIs and would like some clarification.

    Impression on most recent MRI from a different Radiologist.
    Mild broad based right sided c5-c6 disc bulge/ osteophyte causes mild to moderate right c6 neural foraminal narrowing. Also says disc bulge abuts central cord from c4-c7 Clinical Correlation recommended.

    Can you explain this? I have been in pain for years and just want it fixed.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    Is your pain only central neck pain or does it radiate to a shoulder or arm? See https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-neck-shoulder-and-arm-pain/ to understand how to describe 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.
    Avatarmelrami198
    Participant
    Post count: 4

    My neck pain radiates to my shoulder blade. Sometimes my neck is so stiff I can’t move it in any direction.

    Avatarmelrami198
    Participant
    Post count: 4

    Continued… my pain starts on right side lower neck and radiates to my shoulder blade. The pain in my shoulder blade feels like there is a knife stabbing it. The pain never goes away.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    Your complaints “pain starts on right side lower neck and radiates to my shoulder blade. The pain in my shoulder blade feels like there is a knife stabbing it” fits with a cervical radiculopathy (nerve pain). Compare to the MRI findings “right sided c5-c6 disc bulge/ osteophyte causes mild to moderate right c6 neural foraminal narrowing” gives a significant clue to the source of your pain.

    If the physical examination confirms a C6 radiculopathy (see https://neckandback.com/conditions/symptoms-of-cervical-nerve-injuries/ and your symptoms fit with a C6 root, then you would be a candidate for a C6 SNRB (see https://neckandback.com/treatments/epidural-injections-and-selective-nerve-root-blocks-diagnostic-and-therapeutic-neck/).

    If you gain great temporary relief of your neck and shoulder pain (see https://neckandback.com/treatments/pain-diary-instructions-for-spinal-injections-neck/) and you have failed conservative treatment, you could be a candidate for an ACDF or an ADR. See https://neckandback.com/treatments/anterior-cervical-decompression-and-fusion-acdf/ or https://neckandback.com/treatments/artificial-disc-replacement-adr-for-cervical-spine/

    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.
    Avatarmelrami198
    Participant
    Post count: 4

    Thank you for your answers. I have had 3 MRIs and each one says something different. I’ve been suffering for years with chronic pain and can’t get any answers or anyone to fix me. Last mri said I had a cystic lesion in the neural foramina with osteophytes. But still no answers or fixes. 🙁

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