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  • tanita78
    Member
    Post count: 3

    Multilevel degenerative changes predominate at C5-6 with
    central and right paramedian posterior nucleus pulposus protrusion
    measuring 4 x 8 x 9 mm, slightly encroaching on the anterior aspect of
    the right side of the cervical cord. No focal nerve root encroachment is
    evident. Less severe degenerative change at C3-4, C4-5, and C6-7 does
    not result in significant neural foraminal narrowing or canal stenosis.
    No other nucleus pulposus protrusion/extrusion is seen. Soft tissue
    structures surrounding the cervical spine appear unremarkable. The
    cervical spine cord has normal signal characteristics and morphology.
    Visualized portions of the brainstem, posterior fossa contents, and skull
    base appear unremarkable.

    IMPRESSION:
    1. Mild to moderate severity degenerative disc disease and spondylosis,
    most severe C5-6 as described above.
    2. Central and right paramedian C5-6 nucleus pulposus protrusion with
    resultant slight cord encroachment and canal stenosis.

    tanita78
    Member
    Post count: 3

    Mild reversal of the cervical lordosis was also stated in my previous x-ray.

    Symptoms include :
    Pain and swelling
    arm and outside 3 fingers numbness and tingling in left side
    Severe migraines
    occasional clumsy hands and dropping things
    neck locking or catching and unable to move without slow movements and rotation to ” unlock”
    and last but weirdest …. I get a crackling water rushing sensation/ sound in the back of my neck that i can hear and my husband has even heard. I almost feels like fluid letting loose and rushing down my neck ???

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    You have multilevel degenerative changes in your cervical spine with a disc herniation at C5-6. This herniation is central and right sided but according to the radiologist, does not cause nerve compression. It does cause some cord compression which could lead to myelopathy (see website). Your complaint of “occasional clumsy hands and dropping things” could be related to myelopathy.

    The most common complaint you have; “neck locking or catching and unable to move without slow movements and rotation to ” unlock” and “I get a crackling water rushing sensation/ sound in the back of my neck” are facet related. When the facets become arthritic (the smooth surfaces become pitted and irregular), these sliding joint surfaces can become “caught’ on each other. The gristle and “sand paper” sounds you hear are these surfaces attempting to slide on each other.

    Interestingly, you have arm symptoms on the left side but your herniation is on your right side. You might have an entrapment syndrome on your left (cubital tunnel syndrome-see website) which might explain the left symptoms.

    The weird symptom of “cracking/water rushing” in your neck is probably the feeling of the facet finally popping over a large divot in the surface of the joint and the relief from this immobility.

    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.
    tanita78
    Member
    Post count: 3

    Thank you for the reply ! Im kind of concerned if any further treatment should be done at this point. I currently have very good insurance that I will only have for 11 more months because I will be relocating and losing my current insurance. Does anything sound of concern to you at this point that I should take care of before losing insurance. I dont want to jump into anything even through I do have a lot of pain and discomfort but if I would benefit from any surgeries or treatment I would like to do it now. Thanks again !

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Further treatment depends upon your current symptoms and your potential need to have them reduced. If you can tolerate your current complaints without too much sacrifice, you do not need treatment. See the section “When to have neck surgery” to understand this concept.

    This I say with a grain of salt as I have not reviewed your images and I do not like to make judgments without seeing the MRI for myself. A radiologist might fully describe what he or she sees but the descriptors he or she uses are interpretable.His descriptor “slightly encroaching on the anterior aspect of the right side of the cervical cord” might be correct but I like to see the images myself.

    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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