MRI results tspine

MRI results tspine
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  • AvatarMissie
    Participant
    Post count: 5

    Operation: Pedicure spurring extra pleural extra cavity approach and exceed of left sided disc prolapse.

    Failed ten years ago. This is scan 8 years later.

    Chronic discovertebral changes at t7-8 level with destruction of the endplate contours predominantly anteriorly and the related intervertebral disc with significant sclerosis and relativley minor marrow odema in the rest of the veterbral bodies. A central disc herniation/soft tissue thickening/bone fragments are seen indenting the theca with flattening of the cord anteriorly at this level. There is also no evidence altered signal from the cord at this level. There is also no evidence of a syrinx above and below this level. Facet joint degeneration change is also seen at this level and the level above.There is no evidence of foraminal encroachment on the exiting nerve roots although some soft tissue thicking is seen around the exiting left sided nerve root at t7-8 level. However in addition the headof the left sided rib at the t7-8level is not clearly seen while the right appears normal. some soft tissue thickening/bone fagments is also noted here outside the left sided neural foramen probly related to the left costo transverse joint at this level which is also involved. there could be a chronic osteoarticular destruction here related to the costovertebral /cost0 transverse joints and allied with the t7-8 discovertebral changes, the appearences could be those of a chronic progressive neuropathic state in this level of the spine. a ct is recommended. There is an old superior endplate fracture involving the T2/3 levels. No other significant abnormality is seen in the cervical or lumbar spine. The rest of the cord appears normal.

    t6 browns sequard syndrome incomplete
    I’m now on no meds as they don’t help.
    At all. I’ve already got my diagnosis from many years ago now. I’ve got help with neurophysio now after many years and I very happy. It’s helping with spasticity pain a lot. From a spinal surgeons point of view. I would like some opinion about severe side stitch pain that I’ve lived with since the operation. You can see the results of the MRI that shows what the surgeon did when deflated the lung. I have trigger point injections coming and wonder if you recommend any particular area of help. I wonder if this side stitch is from the disc herniation/stenosis or result of the operation. No one has ever explained it to me. Thank you. I Was left undiagnosed by The neurosurgeon who did the operation. I was undiagnosed with this for two years before the operation. A spinal surgeon is who diagnosed me. This why I asking your opinion. As I’m aware spinal surgeons think both orthopaedic/neuro.

    Kind regards.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7151

    You had a prior thoracic disc herniation at T7-8 with a thoracic decompression. It appears the surgeon who did the decompression did not do a fusion with the decompression. Your MRI notes; “A central disc herniation/soft tissue thickening/bone fragments are seen indenting the theca with flattening of the cord anteriorly at this level. There is also no evidence altered signal from the cord at this level”.

    You developed a spinal cord injury called a “Brown Sequard syndrome”. See https://neckandback.com/conditions/spinal-cord-injuries-neck/.

    The chronic “stitch” you have is probably from a radiculopathy (nerve injury) from the approach that was required. Taking out the rib head is common to get to the canal and the nerve root is right at that point. Manipulation of the nerve or scar formation can cause that “stitch” symptom.

    Generally, treatment is nerve steroid injections to calm the root and if no good relief, then a spinal cord or peripheral nerve stimulator can be attempted. See https://neckandback.com/treatments/spinal-cord-peripheral-nerve-stimulation/

    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.
    AvatarMissie
    Participant
    Post count: 5

    Dr Coleman, thank you so very very much.

    Now I understand the fear has been removed from my memory.

    I learnt to think logically about pain.
    So instead of thinking ‘ pins and needles’. I think ‘ ok nerves settle down, there’s no pins and needles around here’. Removes the unconscious emotional idea I’m being harmed. I distract with any thoughts that are happy

    It’s been a big challenge without much understanding and having no medication. Yet now you have helped me. I feel this is already much less so. I look forward to reading from the website. Thank you millions. My clear mind without medication is wonderful. Even more so now. 🌞

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7151

    Keep in touch with the forum to follow your treatment pathway.

    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.
    AvatarMissie
    Participant
    Post count: 5

    Thank you Dr Coleman I sure will 🙂

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