asheetMemberFebruary 1, 2013 at 4:51 pmPost count: 2
I am 35 years old male.
My MRI findings of cervical spine are mentioned below.I have problem in my neck for last 2 yrs.I am perfectly fine if I keep my neck straight but if i have to look in left or right direction then after 5 minutes max,I get stiffness in my neck followed by pain in neck and pain in my right arm and elbow. I have taken medicines/injections/Exercise/physiotherapy/Homeopathy/Acupressure but I beleive that no one is able to diagonise the problem and give me suitable treatment.I have been told by the radiologist that as the space between c5-6 disk is reduced and it is compromising a right nerve because of which i experience pain.Please help me and advise suitable treatment.
MRI CERVICAL SPINE FINDINGS
• PARTIAL CERVICAL LORDOSIS NOTED
• CERVICAL VERTEBRAE ARE NORMAL IN SIGNALS AND MORPHOLOGY.
• MILD LOSS OF BRIGHT SIGNALS IS SEEN IN CERVICL IV DISKS.
• VARIOUS MID SPINAL CANAL AP DIMENTSIONS ARE AS FOLLOWS:
C2-3 =13.6 MM
• MILD DESICCATION OF CERVICAL IV DISKS.
• SPINAL CANAL NARROWING FROM C3-4 TO C5-6 LEVELS
• RIGHT PARACENTRAL/FORAMINAL PROTRUSION OF C5-6 DISK INDENTING THE THECAL SAC AND MILDLY COMPROMISING RIGHT EXITING NERVE ROOT(RIGHT NEURAL FORAMEN AP DIAMETER=3 MM & LEFT NEURAL FORAMEN AP DIAMETER=4.8 MM)Donald Corenman, MD, DCModeratorFebruary 2, 2013 at 4:59 amPost count: 8468
Your symptoms could originate from degenerative disc disease and/or facet syndrome for the neck pain and foraminal stenosis for the arm pain. The spinal canal diameter is narrowed but cord compression normally does not cause neck or arm pain but paresthesias (pins and needles) or electrical shocks in the arms and legs.
Since you have run out of therapies to consider and have continued symptoms, it is possible that an epidural or SNRB (see website) might be helpful both for diagnosis (see pain diary) and for treatment.
It is also possible that a precise physical examination can help to diagnose your disorder. You should find an experienced and good spinal surgeon to have a consult.
Dr. CorenmanasheetMemberFebruary 3, 2013 at 8:58 pmPost count: 2
Sir,Thanks for your reply .I would like to share one more MRI Finding which I got done for my right shoulder and its quite possible that the pain i experience is because of right shoulder.
1.Focal increased signal intensity is seen in the supra-spinatous tendon just proximal to its insertion at the greater tuberosity.Focal disruption of fibres noted along bursal surface of the tendon.This lesion shows intermediate signals on T1W1 and hyperintense signals on STIR images.It involves the superior surface of the tendon.these findings suggest partial tear.
2.Mild fluid is seen in the subcoracoid bursa.
3.Small amount of fluid is seen on around the beceps tendon in the bicipital groove.This suggests biceps tenosynovitis.
4.Mild joint effusion in the right shoulder joint.
As i am writing this on my laptop I would share my sitting position,laptop is on the bed and I am sitting and writing it ,both arms are in downward direction,if i would keep laptop on the bed and continue doing this then i would experience pain in my right elbow after 10 minutes so i have to raise height of the laptop .
I hope it tells you about the problem.
please study the MRI findings and my observation to see if it can be related to my neck and right arm problem.Donald Corenman, MD, DCModeratorFebruary 3, 2013 at 9:54 pmPost count: 8468
This is why a precise history and physical examination will be one of your best diagnostic tools. The history can always hone down the potential diagnosis and the physical examination can then be specific. If there is any question regarding the diagnosis after that, it is a simple matter then to use diagnostic blocks to determine what is causing pain.
A bursal injection into the shoulder can be performed right in the office and help to indicate if the shoulder is the pain generator. The injection can also be therapeutic (give longer term relief).
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