[foxylady]

#35098

Sir, can you tell me do I have anything that could be causing numb feet? or affecting shoulder muscles, causing tightness and inflamed tendons in shoulders. Thank you.
———————————————————————-
MRI whole spine
Report
Cervicothoracic spine

There is slight straightening of the cervical lordosis with spondylotic changes in the lower cervical spine C5-6 and
C6-7. At both levels, there are posterior disc osteophyte complexes and bilateral uncovertebral joint hypertrophy.

At C5-6, there is moderate vertebral canal stenosis and marked indentation and flattening of the ventral cord but no
overt compression or evidence of intra medullary signal abnormality. There is severe intervertebral foraminal on the
right and moderate on the left

At C6-7, further moderate vertebral canal stenosis and ventral cord flattening is demonstrated. Again there is no
overt compression or cord signal abnormality. Severe right and moderate left sided intervertebral foraminal
narrowing is demonstrated.

At C7-T1, moderate to severe intervertebral foraminal narrowing is demonstrated, worse on the right.
No other significant neuroforaminal narrowing or evidence of any compressive radiculopathy elsewhere.
Modest atlantoaxial joint degeneration is noted otherwise the craniocervical junction is normal.

Thoracic alignment, vertebral body/disc heights are normal. The thoracic vertebral canal is capacious and the rest
of the cord exhibits no intrinsic disease or extrinsic compression.

Lumbar spine

Mild to modest age related degenerative changes are evident.
There is straightening of the lumbar lordosis otherwise alignment and vertebral body heights are preserved.
The degenerative changes are most pronounced at L4-5 and L5-S1 with mild disc dehydration and slight loss of
height at the latter level.
There are multilevel disc bulges with a tiny posterior midline annular tear at L5-S1.
At L3-4, there is moderate vertebral canal stenosis and crowding of the cauda equina roots but without overt
compression. There appear to be subtle bilateral degenerative facet joint effusions. The exiting L3 nerve roots are
contacting the disc bulge laterally but without overt compression.

1 / 2

No other significant neuroforaminal narrowing or evidence of compressive radiculopathy elsewhere.

Conclusion

Spondylotic changes as described in the cervical spine from C5-6 to C7-T1 with bilateral moderate to severe
intervertebral foraminal narrowing, worse on the right.
Mild to modest age related degenerative changes in the lower lumbar spine.
Tiny posterior midline annular tear at L5-S1.
Moderate vertebral canal stenosis at L3-4 without overt cauda equina compression.
The exiting L3 nerve roots are contacting the disc bulge at this level laterally but without overt compression.
——————————————————

[Donald Corenman, MD, DC]

#35099

You don’t give me as much knowledge of your symptoms (“numb feet” and “symptoms in the shoulders”) but I can give you a rundown of what could be occurring. You do have central canal narrowing which could lead to myelopathy (compression and dysfunction of the spinal cord). The shoulder symptoms could be from the shoulders or from nerve compression in the neck (“severe intervertebral foraminal on the right and moderate on the left”)

“At C5-6, moderate vertebral canal stenosis and marked indentation and flattening of the ventral cord but no overt compression or evidence of intra medullary signal abnormality. There is severe intervertebral foraminal on the right and moderate on the left
At C6-7, further moderate vertebral canal stenosis and ventral cord flattening is demonstrated. Again there is no overt compression or cord signal abnormality. Severe right and moderate left sided intervertebral foraminal narrowing is demonstrated.
At C7-T1, moderate to severe intervertebral foraminal narrowing is demonstrated, worse on the right.
No other significant neuroforaminal narrowing or evidence of any compressive radiculopathy elsewhere.
Modest atlantoaxial joint degeneration is noted otherwise the craniocervical junction is normal”.

At L3-4, there is moderate vertebral canal stenosis and crowding of the cauda equina roots but without overt compression. There appear to be subtle bilateral degenerative facet joint effusions.

I’ll give you some homework to read about and we can talk after you have a better understanding of what could be going on.

https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/
https://neckandback.com/conditions/radiculopathy-pinched-nerve-in-neck/
https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-neck-shoulder-and-arm-pain/
https://neckandback.com/conditions/lumbar-spinal-stenosis-central-stenosis/

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.

[foxylady]

#35141

Thank you Sir. I have co-ordination problems with hands sometimes. I have numb feet on outer and underneath and toes. I have episodes where all balance goes and I fall over. I have inflamed tendons in shoulders. My right arm has had sudden onset weakness last week, cannot lift thumb up, cannot grip things. A&E Dr told me I most likely need surgery. I have tingling down legs at times. I have moments when legs give way for a second and then are ok. I have electric shocks down lumbar area and down shoulder blade area with gnawing pain and itching there too. I was told I have a snapping Scapula, but I’m wondering if the spine is causing any of the shoulder pain and problems? One Dr told me the shoulder pain is referred pain from the neck.

[Donald Corenman, MD, DC]

#35142

You could be developing myelopathy. See. https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/. Your physical examination results would be important to help diagnose this condition. If myelopathy is present (long tract signs) and a new MRI noted further canal narrowing, surgery to open the canal would be advised.

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.

[foxylady]

#35143

Thank you Sir. You have taught me alot over the years. You’re a very clever man.

[foxylady]

#35144

I have had lots of weird symptoms over the years, needed ambulances out to me many times. Sometimes it is my heart as I have SVT and A-fib, along with Sinus Tachycardia, but alot of it now I think, is my spine. I get tingling around my knees and down my legs. I get electric strikes as you call them in my lumbar when I am stood up. It will just come on suddenly, stop me in my tracks for a second or two then go again. A sharp pain in lumbar that takes my breath away. Other attacks I have are – I lose all balance sense and fall to left, face goes white on left and sags slightly, face goes red on right as does right ear. I fall over and it lasts afew hours then just goes. Sometimes my A-fib does it, but I wonder if there is some blockage of blood to my head? I had scans years ago for this and they said all was normal but they didn’t scan my head turned I don’t think? I shall have to check that with GP. In 2016 Physio` said I was occluding Vertebral arteries when he did the test – hanging my head over the end of the bed and turning it. But no Dr will ever listen when I tell them because it isn’t written on my records, and they only believe what Drs have put on my records, which i find odd. But recently these past 2 years I have had trouble with arm usage, every time I used my right arm I nearly fainted. We noticed it when I tried to decorate my room so I was using arm alot. My son noticed everytime I used right arm I felt faint, so we went to A&E. I had doppler scans which found inflamed tendons and Bursa, and impingement provocative test on right was positive. But shoulder Dr wouldn’t operate and has since told me in my complaint reply that NHS banned funding for the surgery needed. I have asked NHS if this is true and they say no. So you can see what I am up against. Lots of either useless Drs that know nothing or Drs that lie.

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