meganc268MemberNovember 20, 2012 at 12:07 amPost count: 3
Hello. I was wondering about a couple different things.
I had an MRI done and it showed a ‘small focal left paracentral disk protusion at the C6-7 level’. Could you tell me the signs and or sympyoms this could cause? I have extreme neck pain and muscle pain. Sometimes this pain also causes my shoulders to hurt and will radiate down my right arm. I can sometimes get numbness in my right hand. Is this normal? Are there other symptoms that this disc protrusion can cause? I also have kyphosis of the spine greater than 50 degrees. I do not think that the kyphosis is as bad as some people experience, but the muscles that run along my spine and sometimes my ribs can hurt or I can feel shortness of breath with pain and weakness in my legs. These symptoms can come and go but the pain in my neck and spine always remains and a feeling of my muscles being “bruised” when I press along those muscles. What are the symptoms of these two issues and is what I’m feeling normal with these problems? I am in desperate need of advice and any info would be so greatly appreciated! Thank you.Donald Corenman, MD, DCModeratorNovember 20, 2012 at 1:17 amPost count: 8455
A ‘small focal left paracentral disk protrusion at the C6-7 level’ can cause two separate sets of symptoms. One is neck pain. Disc tears regardless of whether there is a disc herniation present of not can cause central neck pain that can radiate into the top of the shoulders.
The second set of symptoms are radiculopathy or compression of a nerve root. In this case, it would be the C7 root. This nerve covers the arm into the middle three fingers. Pain from this nerve can radiate from the side of the neck into the hand. Numbness would follow the same pattern.
If you have a kyphosis of the thoracic spine measuring greater than 50 degrees, especially if Scheuermann’s disorder is associated (see website), this can cause burning mid-back pain with prolonged standing and activity.
Dr. Corenmanmeganc268MemberNovember 20, 2012 at 1:25 amPost count: 3
Thank you so much for the info. I wasn’t sure what the “left paracentral disc protrusion” would mean, as in if it says left does that mean it should be in my left arm? Because I feel more pain in shoulder, arm with numbness in the right arm. Not the left. I wasn’t sure if those symptoms are normal with this issue or not since it doesn’t seem to affect my left arm as much.Donald Corenman, MD, DCModeratorNovember 20, 2012 at 1:40 amPost count: 8455
Left sided herniations should affect only the left nerve root. There are many different causes of arm pain with radiculopathy being only one of the various disorders. Right sided arm pain could be from thoracic outlet syndrome, cubital or carpel tunnel syndrome, artery and vein disorders or inflammatory disorders.
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