daybydayMemberMay 7, 2013 at 8:06 pmPost count: 2
I am a 59 yr old female. I noticed something different at work lifting a heavy object (which I do all day). Have pain in right shoulder and arm and right thumb and index finger are numb. I must wait on what will probably be several workers comp hearings. Any treatment for now has been stopped until everything is resolved in the hearings. I have good days and bad days. In the meantime, I have developed “tingling” in both feet. My doc says surgery will most likely need done as he describes the damage as “severe”. I was wondering if you would read my MRI report and tell me if you agree. And is the new tingling in my feet related to this? I am a little scared as I am raising a grandchild and I need to get back to normal.
Occiput to T4 evaluated in the sagittal plane. Mild to moderate disc space narrowing at the c5-c6 level. The craniocervical junction, cervical thoracic junction are normal in appearance.
C4-C5 Diffuse disc bulge with a residual AP diameter of the central spinal canal of approx. 10 mm. Mild right foraminal stenosis.
C5-C6 Diffuse disc bulge central disc protrusion with effacement of the anterior aspect of the cord and residual AP diameter of the canal of 7 mm. Uncinate process hypertrophy with severe right foraminal stenosis.
C6-C7 Diffuse disc bulge with an AP diameter of the canal of 8-9 mm. Uncinate process hypertrophy with significant right foraminal stenosis.
There are no paraspinal masses identified. The vertebral bodies and disc spaces are otherwise normal.
1. Discogenic disease at C5-C6 and C6-C7 with a residual AP diameter of the central spinal canal 7 mm and 8-9 mm respectively.
2. Severe right foraminal stenosis C5-C6 and moderate to severe right foraminal stenosis C6-C7 due to discogenic disease in uncinate process hypertrophy.
3. Mild effacement of the anterior aspect of the cervical cord at C5-C6.Donald Corenman, MD, DCModeratorMay 7, 2013 at 9:41 pmPost count: 8611
I cannot comment on the workman’s compensation issues but I will comment on the pathology on your report.
You have significant degenerative changes in the lower portion of your neck which is common. These degenerative changes include significant narrowing of your spinal canal and nerve root exit zone (the central canal and the foramen).
Your symptoms more likely than not are generated from your neck. Pain in the “right shoulder and arm and right thumb and index finger are numb” are likely from the “uncinate process hypertrophy with severe right foraminal stenosis”. This bone spur is compressing the C6 nerve root (see cervical radiculopathy on the website).
The spinal cord compression is also worrisome. “Residual AP diameter of the canal of 7 mm” is substantial narrowing and can cause the tingling in your feet. Look at the section under “Myelopathy” to understand this disorder.
You do need a surgical consult sooner than later.
Dr. CorenmanPLEASE 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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