[foxylady]

#35650

Scan results:
No acute fractures or Spondylolisthesis.
Spondylotic changes from C5 to C7 with anterior osteophyes noted.
C5-C6 – Disc heights reduced.
C5-C6 – Disc osteophyte complex causing mild canal Stenosis, abutting and flattening the ventral cord. No signal change within the cord. There is Bilateral uncovervical joint hypertrophy. Bilateral foraminal Stenosis, moderate on left and severe on right with compression of the exciting right C6 nerve root.
C6-C7 – Disc osteophyte complex mild canal Stenosis with thecal indentation. Bilateral uncocervical joint degeneration with severe bilateral foraminal stenosis resulting in compression of the exciting C7 nerve roots.
Normal prevertebral and paravertebral soft tissues.

Conclusion: Spondylotic changes in the cervail spine.
C5-C6 and C6-C7 disc degeneration resulting in ventral vord indentation and worsening C6 and C7 foraminal nerve root compression, worse on right.
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and yet Neurosurgeon has written in his report –
There is nothing wrong in her cervical spine that surgery will make any difference to. Her spinal cord is normal. Nerve roots are fine and not compromised. No particular stenosis of any nerve roots which would cause any problem. She has bulging discs which are age-related changes and normal for her age. No spinal cord or nerve root issues. There is no spinal operation that is going to make her better.
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How can he write that? When scan says I do have things wrong?
Would you say I need surgery from that mri report Sir?

Thank you.

[Donald Corenman, MD, DC]

#35651

“C5-C6 Bilateral foraminal Stenosis, moderate on left and severe on right with compression of the exciting right C6 nerve root.
C6-C7 – …with severe bilateral foraminal stenosis resulting in compression of the exciting C7 nerve roots”.

If you have radicular symptoms in the C6 or C7 roots and your report states “Severe foraminal stenosis”, that is an indication for surgical treatment.

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]

#35652

Donald Corenman, MD, DC wrote:

“C5-C6 Bilateral foraminal Stenosis, moderate on left and severe on right with compression of the exciting right C6 nerve root.
C6-C7 – …with severe bilateral foraminal stenosis resulting in compression of the exciting C7 nerve roots”.

If you have radicular symptoms in the C6 or C7 roots and your report states “Severe foraminal stenosis”, that is an indication for surgical treatment.

Dr. Corenman

Thank you Sir.
Well, when this scan was done the reason was my right arm had stopped working, I had tilted my head to the left and my neck cracked on the right, then right arm stopped working. so they said at A&E it is your spine, sent me for urgent mri and then sent me to Neurosurgeons who said: See how you get on. They just left it. I did get use of my arm back after afew weeks but I still have myelopathy signs around thumbs, on top of my hands above thumbs you can see the sinking where muscle used to be, and thumb muscles on the palm side of my hands have wasted alittle; oh and sometimes I drop things. I get the sweating from neck too. I have a tendon problem on left hand, tendon has swollen and I am going for an injection in that next month. If I try to do anything like cleaning the house, carrying shopping my shoulders hurt and go rock hard, tight. But I don’t know if that is coming from spine or shoulder impingement that I have in both shoulders. I have alot of pain in Rotator cuffs.

[Donald Corenman, MD, DC]

#35653

My answer was not a definitive answer as other factors can come into play (what your examination reveals, what other confounding factors exist-rotator cuff problems, peripheral nerve entrapments, systemic disease processes). Nonetheless, with significant root compression signs and symptoms, your surgeon ignoring that problem yields a higher desire to gain a second opinion.

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]

#35655

Thank you Sir, I shall try.

[Author]

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