Severe stenosis and central spinal canal stenosis

///Severe stenosis and central spinal canal stenosis
Severe stenosis and central spinal canal stenosis
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  • Avatarramfan99
    Participant
    Post count: 1

    Hello Dr.,

    I do appreciate your time. I just had MRI and have the following findings of note:

    C5-6 Disc bulge and 2.5 mm left forminal disc protrusion contributing to left severe and right moderate foraminal stenosis as well as spinal cord contact and mild to moderate central spinal canal stenosis.

    C6-7 Disc bulge and 3 mm central to left foraminal disc protrusion resulting in left greater than right severe foraminal stenosis as well as spinal cord contact and mild to moderate central spinal canal stenosis.

    I do have Myelopathy with this with severe neck pain along with shoulders, shoulder blade, pain and numbness weakness in arms and hands, more in right hand. Even typing this causes great pain and difficulty. I ma having some gait issues and weakness in legs and numbness in toes. Previously I had a lot of dizziness, but that seems to be a bit better. I am out of work due to all of this. I also seemed to have chronic fatigue syndrome symptoms right at the same time that I noticed all of this so not sure if it is part of this.

    My problem is that I cannot get into surgeon for 2 months just for consult. My question is if this is a more urgent situation and do I risk more permenant damage if I wait that long. Not sure how I can get in sooner. What are risks for me. Thanks so much for any help you can give.

    John

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7070

    Myelopathy and radiculopathy have to be differentiated. Radiculopathy or compression of a nerve root is concerning but much less so than spinal cord compression. Nerve roots have a much greater capacity to recover than cord compression. You have some possible symptoms of myelopathy (“gait issues and weakness in legs and numbness in toes”) but these are not only exclusive to myelopathy. Your examination is important here to look for long tract signs. Complaints of “chronic fatigue syndrome symptoms” would not generally be attributed to myelopathy.

    You do have significant foraminal stenosis “left severe and right moderate foraminal stenosis” at C5-6 and “left greater than right severe foraminal stenosis” at C6-7. This will cause left arm C6 and C7 radiculopathy but your spinal cord compression is only “mild to moderate”. You still might have myelopathy but this is less certain.

    I think you probably have some time to see a specialist and 2 months is probably not too long to wait. You could consider a cervical collar to wear part time to prevent your neck from extending which narrows both the foramen and the central canal.

    See https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/ and https://neckandback.com/conditions/symptoms-of-cervical-nerve-injuries/

    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.
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