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  • Chellbe
    Member
    Post count: 3

    Dear Dr Corenman

    I presently have a lot of pain in my neck radiating down my left should and arm. It’s got worse and my neck has started to lock up. Also my head is forced forward ( i.e.I cannot lay flat on my back with my head flat on the floor, my head can only stay raised in this position)

    Theses are my MRI results. My doc says its not a severe case ( I am being referred to osteopath) but I’d appreciate your comments:

    C3/4 degenerate disc exhibiting diffuse disc bulging which causes marked compromise of both exit foraminae
    C4/5 Similar appearance to the level above
    C5/6 There is less marked foraminal compromise at this level, due to disc-osteophyte bar formation.

    C6/7 Diffuse disc bulging is marked and particularly on the left side where it constitutes a broad based protrusion. There is some flattening of the cord, particularly on the left where the exit foramen is almost obliterated.

    C7/T1 Normal

    There is just a suggestion of some high signal developing in the cord laterally on the left side at C6/7 which may reflect early myelomalacia change but the alteration is extremely subtle.

    Many thanks
    Michael

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    Pain in the neck radiating into the left shoulder and arm sounds like radiculopathy. Your head being “forced forward” is also a classic symptom for radiculopathy. The nerve exit holes change in volume with head position. Bending the head backwards decreases the room for the nerves and bending forward opens the holes. If you have significant narrowing of these exit holes, you will want to hold your head forward to prevent compression of the nerve with the resultant pain and numbness.

    The MRI report uses some terms that are concerning. “Marked compromise” of both exit foramen sounds to me like severe foraminal compression at C3-4 and especially at C4-5. The left sided foramen at C6-7 is “almost obliterated”. That also sounds like severe foraminal stenosis. “Suggestion” of myelomalacia from central stenosis at C6-7 certainly sounds pretty significant to me.

    I would not undergo manipulation by an osteopath for these MRI findings. I think a good spine surgeon should comment on these findings, perform a thorough physical examination and give you his recommendations.

    Dr. Corenman

    Chellbe
    Member
    Post count: 3

    Thank you very much Dr, this is very helpful, I appreciate your time responding to me, thank you
    Michael

    Chellbe
    Member
    Post count: 3

    Update, after a lot of further pain and a referral to a good UK spine surgeon I was advised by him after thorough examination that I required urgent surgery due to the condition I was in and most importantly due to the danger the compression on my spinal cord at c6-7 was posing. I was fortunate to have disc replacement surgery at this level a week after my consultation with him and I am now 2 weeks post surgery and am in good shape. I’m a new man!

    Thanks again Dr Corenman for the information you have me in your response.

    Michael (UK)

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    This is great. Your care was expedited and a good example of your national health system working well. Good luck in the future.

    Dr. Corenman

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