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  • TLColfer
    Participant
    Post count: 2

    Can you please tell me what this means from my MRI report? (I have gotten a variety of answers.):

    “C5-C6: 2 mm circumferential bulge slightly flattening and effacing the ventral thecal sac. No central canal or
    neural foramen narrowing”

    Donald Corenman, MD, DC
    Moderator
    Post count: 8427

    Discs are like car tires. When discs become degenerative (and many of them commonly do), the pressure of the nucleus (the “air” inside the tire) drops and the disc bulges out. The thecal sac is the sack containing the spinal cord and the CSF (cerebral spinal fluid). There is generally, plenty of room for both the cord and the CSF. The disc bulge here is “effacing” or gently pushing the membrane or the dural (thecal) sac.

    To add this up, you have a mild degenerative disc which is slightly pushing against the thecal sac. There is no compression of the spinal cord or nerve roots (“No central canal or neural foramen narrowing”).

    Don’t lose too much sleep about this.

    Dr. Corenman

    TLColfer
    Participant
    Post count: 2

    I wish I could say I’m not losing sleep, but I’ve been in a great deal of pain for a couple weeks now. Neck pain, shoulder, arm, chest and back. Also just had mild bout of bursitis in my shoulder. Nothing is helping and everything to my hips is in pain. Weakness in my arm and lots of popping and cracking when trying to reach over my head. Shoulder MRI came back good other than the bursitis. Not sure what’s going on

    Donald Corenman, MD, DC
    Moderator
    Post count: 8427

    “Weakness in my arm and lots of popping and cracking when trying to reach over my head” sounds like a rotator cuff problem. A diagnostic bursal shoulder injection could be helpful to both diagnose and possibly treat pain of shoulder origin. Your neck should not be causing these symptoms. I can’t explain “everything to my hips is in pain” unless you have the flu or Covid 19.

    Dr. Corenman

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