[Courtney14]

#31926

I was just wonderimg if you could simplify this for me? I have been to physical therapy where everything they did made my numbness in my arms worse. I have been to orthopedics and have an appointment with a neurosurgeon the 28th. I was just wanting some clarification before that appoi tment if possible. My primary care dr said it was just mild arthritis.

EXAMINATION:
MRI OF THE CERVICAL SPINE WITHOUT CONTRAST 1/7/2020 8:08 am

TECHNIQUE:
Multiplanar multisequence MRI of the cervical spine was performed without the
administration of intravenous contrast.

COMPARISON:
None.

HISTORY:
abnormal MRI, C7-C8 radiculopathy
Pt. C/o bilateral arm numbness, weakness. Some neck pain and headaches. No
injury.

FINDINGS:
BONES/ALIGNMENT: Mild levo scoliotic curvature of the upper thoracic spine.
Vertebral body heights are preserved. No focal subluxation.

SPINAL CORD: No abnormal cord signal is seen.

SOFT TISSUES: No paraspinal mass identified.

C2-C3: Minimal asymmetric disc bulge to the left of midline without any
significant spinal canal stenosis or neural foraminal narrowing.

C3-C4: Mild asymmetric disc bulge indenting the thecal sac without any
significant spinal canal stenosis. Minimal neural foraminal narrowing on the
left. .

C4-C5: There is no significant disc protrusion, spinal canal stenosis or
neural foraminal narrowing.

C5-C6: There is no significant disc protrusion, spinal canal stenosis or
neural foraminal narrowing.

C6-C7: Mild diffuse disc bulge abutting the thecal sac without any
significant spinal canal stenosis or neural foraminal narrowing

C7-T1: There is no significant disc protrusion, spinal canal stenosis or
neural foraminal narrowing.

IMPRESSION:
1. Mild multilevel degenerative changes of cervical spine without any
significant spinal canal stenosis are critical neural foraminal narrowing as
detailed above.

[Donald Corenman, MD, DC]

#31931

You have mild degenerative changes in your discs which is typical. There is no evidence of nerve root compression so your “numbness in my arms” would not be generated by your neck. You might have thoracic outlet syndrome. See if this fits with your symptoms.

https://www.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.

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