Laura1963ParticipantMarch 12, 2020 at 11:58 pmPost count: 35
I was wondering Dr Corenman if you could read this recent MRI ..my question is if this is actually compressing my spinal cord …if it could be causing the issues of nerve pain in my mouth or throat …or if this protrusion is effecting the messages going and coming from the Brain to Spinal cord ..
The MRI report
At C 2-3 and C3-4 there is central disc bulging
At C 4-5 ,there is mild central disc bulging
At C5-6 there is disc bulging with a small broad central disc protrusion MILDY indenting / flattening the anterior OF the spinal cord.
At C6-7 there is very mild disc bulging
At C7-T1 there is mild disc bulging
At T1-2 T2-3 and T3-4 there is central disc bulging and mild osteophyte mildly indenting the thecal sac
There is prominence of the central canal of the spinal cord / tiny stable syrinx at the C5-C6 levels measuring up to 2mm in caliber .The cervical spinal cord is otherwise unremarkable ..The cerebellar tonsils are normally located ..
Mildly degenerative changes as describe
At C5-6 there is a small broad central disc protrusion mildly indenting / finding the anterior spinal cord
Prominence of the central canal of the spinal cord /tiny syrinx at the C5-6 levels as described which is if uncertain significance but possibly related to the disc protrusion..Long term MRI follow up advised to ensure stability or resolution ..
This report is an actual second opinion based on last MRI report and recent image done Dec 2019 ..The tiny syrinx has been stable exact same size as it was first d/x in 2005 …no change ever as it states in other Reports verses a prominent central canal verses a tiny syrinx ..in 2005 I never had any disclosure degeneration as it is now …so last comment I feel is invalid when mentioned probability related to disc protrusion ..
But was wondering if the significance of the protrusion is causing messages going and coming from the Brain to Spinal cord ..As in previous messages that these symptoms only started after taking a medication that should of not been prescribed to me …
Thank you for your time and knowledge …
Sincerely LauraDonald Corenman, MD, DCModeratorMarch 14, 2020 at 9:29 amPost count: 8459
The terminology used can be misinterpreted but generally, “mild” means of no or minimal concern. It is highly unlikely that you have myelopathy or damage to the spinal cord that would cause impairment of transmission of spinal cord signals. Your physical examination could give some clue as to the function of the cord as with long tract signs (see attached link), this could give some evidence of the malfunction of the spinal cord. Probably there is no cord malfunction.
Dr. CorenmanLaura1963ParticipantMarch 14, 2020 at 10:15 amPost count: 35
Thank you so much …You are definitely truly am amazing Dr to take the time to answer everyone’s questions and concerns ..Thank you again ..
In response to your answer …I am greatful for the reasurrance …If you don’t mind I was wondering if the disc bulge that’s op can reverse itself or any disclosure bulging if so is there anything I can do to help that …Also I have been excercising on treadmill and eliptical ..with inclining my treadmill going up hill ..as well as jogging ..can or will that cause the disc bulge worse or help it.I read that link thank you ..I don’t seem to have any myopathy ..So hoping it could stay that way ..Can the buldge on the c5-6 that’s mildly protruded stay that way always without getting worse ? Is that possible ? …thank you againDonald Corenman, MD, DCModeratorMarch 14, 2020 at 12:02 pmPost count: 8459
The disc has no blood supply so can’t heal. The disc in one year will either look the same or have some advances in degenerative changes. It can certainly stay stable and not get worse. Only time will tell.
Dr. CorenmanLaura1963ParticipantMarch 14, 2020 at 12:16 pmPost count: 35
Thank you .. appreciate it …Can excercising the way I am doing it make it get get Wiese or have no impact on it at all ..thank you againDonald Corenman, MD, DCModeratorMarch 14, 2020 at 1:33 pmPost count: 8459
The disc is like a bushing on a car. The more miles you put on it and the harder you drive it, the more it can wear out. I’m not suggesting you “put the car in the garage” but impact especially with rotational motion wears the disc out faster.
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