Tagged: 

Viewing 2 posts - 1 through 2 (of 2 total)
  • Author
    Posts
  • foxylady
    Participant
    Post count: 80

    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
    Moderator
    Post count: 8339

    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.
Viewing 2 posts - 1 through 2 (of 2 total)
  • You must be logged in to reply to this topic.