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  • mohsinaliasdf
    Member
    Post count: 11

    Hi doctor my name is mohsin Ali I posted in the stand up mri vs regular MRI . I got my mris done and I’m waiting for your reply

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    I apologize for not responding more quickly but I am unclear of your request. Did you send films to my office? If so, did you call to check if my nurses received them?

    If I do have your films, it does occasionally take some time to read them and respond as I do receive many films and requests.

    Dr. Corenman

    mohsinaliasdf
    Member
    Post count: 11

    I’m sorry I wasn’t clear enough . Well actually Dr I got mris done for c spine t spine and l spine it showed some abnormality. I have posted the results of the MRI under in the back pain forum under the topic standard MRI vs stand up MRI . I went to an orthopedist and he took a look at them !nd he barely took 1 minute to address the issue he then went on saying don’t worry about it and I kept expalaining how the MRI might’ve not shown all of my problems .overall he was very arrogant. I will try to once agin explain my problems. I will start with each section of the back starting with the cervical. I have very sharp deep pain the upper neck near the skull of the headit feels like a vertebrae is loose because with little movement of the neck there is crunching clicks and pops . it is also very stiff and feels heavy like I can’t keep my neck straight for more than a minute .it gives me dizziness and headache to the extent that I feel faint.alongside I have numbness on one side of my head with burning down into my arms legs . now I have problems all over the back but specifically when I try to look down I get such a bad burn in the whole back that penetrates down into my tighs and calves . it feels like I have some nerve issue with possiably a fracture that causes the clicks. Now ill describe my middle upper back . there is sharp electrica ltrobbing pain in the mid back near the shoulder blades its really bad I can barely stand longer than a minute or sit striaght . this part of my back is the worst because even breathing in causes my back to snap . I can literaaly hear it and I know the location of it .when I touch it its very tender and hurts . the shoulder balde muscles feels as if they are torn apart of the spine and can’t be flxed anyhow . when I try to move in and pull my shoulders together my spine cracks first in the bottom after which it aches and then I feel it radiate up to my neck causing the same and then the middle spine . It’s driving my crazy because my life has been stopped compltely from this pain. Just a week ago I started noticing a new symtpm on my right rib and its specially happens when I move sideways to the right breath I hear a loud grind pop like if the rib bone contracted with another one . as for the middle back when I sit more than five minutes my back gets very stiff and I start to feel dizzy due to the slams that occur at that time and my rib bones feels as if they became very tight with the sides of the back . I’m really starting to worry because my doctors don’t know what to do . Now my lower back is the deep dull achy type of pain. . I cNt move bend flex walk or stand as it puts pressure on my lower back . The sacroilliac joints are very painfull as well they radiate burning sensations down to both legs all the way down . when I attemp to move left or right the joints snap so loud and hard that it moves the rest of my body . I don’t know how and what where to associate the pain from. It all started after a gym injury and with very strenous overuse and bad form . I’ve had mris done without constrast and it didn’t show anything major as to my problems but my concern is whether I should get more further special testing . What is your suggestion that I do because I can’t live from it. Please help doctor . I have a copy of the films and I would like you to view them . I also have the pictures . Can I post both of them online or only the pics are compatible to view . I will wait for your kind response .

    mohsinaliasdf
    Member
    Post count: 11

    LUMBAR SPINE History: Lymes disease. Rheumatoid arthritis. Pain.

    Multiplanar multisequence noncontrast MRI of the lumbar spine. Multiple images degraded by motion artifact. No priors.

    Findings:

    There is no marrow replacement process, compression fracture or spondylolisthesis. No evidence of intrathecal, paraspinal or retroperitoneal mass.

    L4-L5 and L5-S1 disc bulges are present. No herniated nucleus pulposus, central canal or neural foramen stenosis.

    Impression:

    L4-L5 and L5-S1 disc bulges. No herniated nucleus pulposus or stenosis.

    cervical spine;

    History: Lymes disease. Rheumatoid arthritis. Pain.

    Multiplanar multisequence noncontrast MR the cervical spine. CSF pulsation phenomenon is present. No priors.

    Findings:

    Visualized intracranial contents. Unremarkable. There is no definitive evidence of altered intramedullary signal, intrathecal or paraspinal mass. There is no marrow replacement process, compression fracture or spondylolisthesis.

    Straightening of the cervical lordosis is present. There is a shallow C6-C7 disc bulge. No herniated nucleus pulposus, central canal or neural foramen stenosis.

    Impression:

    1. Straightening of cervical lordosis may reflect muscle spasm.

    2. Shallow C6-C7 disc bulge. No herniated nucleus pulposus or stenosis.

    Thank you for the courtesy of this referral.

    thoracic spine:

    Clinical History: Back pain.

    Multiple MRI tomographic scans of the thoracic spine were performed in the coronal, sagittal and transaxial planes utilizing multiple pulse sequences. The study reveals all thoracic vertebral bodies are maintained in height. There is no evidence of fracture, marrow replacement process, spinal stenosis or intrathecal mass.

    The dorsal cord is seen segmentally and is unremarkable. There are no protrusional disc bulges or herniations demonstrated.

    Impression: Normal MRI of the thoracic spine.

    Thank you for the courtesy of this referral.

    please take a look at them

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    You need to keep the threads of information together so that I have a clear, continuous line of information. Putting the MRI findings in a different thread makes it very difficult for me to follow your personal information.

    Your complaints of; “I have very sharp deep pain the upper neck near the skull of the headit feels like a vertebrae is loose because with little movement of the neck there is crunching clicks and pops . it is also very stiff and feels heavy like I can’t keep my neck straight for more than a minute .it gives me dizziness and headache to the extent that I feel faint.alongside I have numbness on one side of my head with burning down into my arms legs” could go along with degenerative facet disease in the upper neck. If this is the case, facet blocks (see website) can lead to a correct diagnosis. The MRI will not be sensitive enough to pick up mild to moderate facet disease.

    The radiology reports note a history of Lyme disease and rheumatoid arthritis. Lyme disease can cause neuropathy which can cause your symptoms and rheumatoid arthritis can also cause your symptoms. You need a rheumatologist to help make that determination.

    You low back pain could be from the mild degenerative disc disease at L4-5 and L5-S1 but your symptoms of “Now my lower back is the deep dull achy type of pain. . I cNt move bend flex walk or stand as it puts pressure on my lower back . The sacroilliac joints are very painfull as well they radiate burning sensations down to both legs all the way down . when I attemp to move left or right the joints snap so loud and hard that it moves the rest of my body” does not fit with the MRI findings.

    The thoracic pain you experience does not fit with your complaints of “there is sharp electrica ltrobbing pain in the mid back near the shoulder blades its really bad I can barely stand longer than a minute or sit striaght . this part of my back is the worst because even breathing in causes my back to snap . I can literaaly hear it and I know the location of it .when I touch it its very tender and hurts . the shoulder balde muscles feels as if they are torn apart of the spine and can’t be flxed anyhow . when I try to move in and pull my shoulders together my spine cracks first in the bottom after which it aches and then I feel it radiate up to my neck causing the same and then the middle spine “.

    Because of multiple complaints that are not supported by your MRI findings, I suspect that your pain is more from an inflammatory process such as Lyme disease or rheumatoid arthritis. Again, a rheumatologist is going to be your best consult.

    Dr. Corenman

    Dr. Corenman

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