Update: I had facet joint injections on 8/12 and had some short term relief. Instead of moving forward with the next steps, I decided to try the epidural cortisone injection on 9/23. The doctor said I may feel pain across the chest and down the arms as he does the injection, which I did feel. After a few days, I started having bad pain in my neck (shock-like and intense aching) and sharp pains in my arms, hands and fingers as well as parentheses.
I had an upcoming appointment with my neurologist that performed a nerve conduction test on my legs and an EMG since my neurosurgeon only did my arms and hands. The test revealed a possible pinched nerve in my left leg. He also ordered another MRI and MRA of my C-spine and an MRI of my L-spine and wrote me a referral to see a neuromuscular doctor to evaluate me for small fiber neuropathy or other neuromuscular diseases. My feet have hurt me for 30 years (since I had CFS). The difference is the numbness and shooting pains.
I am not able to get a follow-up appointment with him until mid December. I made an appointment with a neuromuscular doctor which is in Dec. as well. I have a follow-up with the neurosurgeon coming up.
After talking to my pain management doctor, he suggested I ask the neurosurgeon about trying a spinal cord stimulator.
The results from the current MRI of my C-spine and L-spine is below. I haven’t had the MRA yet.
HISTORY: 55 years Female 55 year old female. Neck pain with bilateral upper extremity radiculopathy for a year. No recent trauma. History of cervical spine surgery October 2021.
TECHNIQUE: Using a 3.0 Tesla magnet, multiplanar T1 and T2 weighted images were acquired.
COMPARISON: MRI 3/12/2022, CT 7/11/2022
FINDINGS: Stable anterior fusion with plate and screws at C5-6. There is no evidence of acute compression fracture or subluxation.
Bone marrow signal shows no evidence of bone marrow edema.
Disc spaces are maintained.Spinal Cord: Normal caliber, contour and signal intensity.
C1-2: Preserved with no atlantoaxial subluxation or significant separation.
C2-3: No disc bulge. No herniation. No facet and/or uncovertebral arthropathy. No central canal stenosis. No foraminal stenosis.C3-4: No disc bulge. No herniation. No facet and/or uncovertebral arthropathy. No central canal stenosis. No foraminal stenosis.
C4-5: No disc bulge. Stable small central herniation. No facet and/or uncovertebral arthropathy. No central canal stenosis. No foraminal stenosis.
C5-6: Stable moderate bony ridging. Stable mild degenerative buckling of ligamentum flavum. No disc bulge. No herniation. No facet and/or uncovertebral arthropathy. Stable moderate central canal stenosis. Stable moderate bilateral foraminal stenosis.
C6-7: Stable mild disc bulge. No herniation. No facet and/or uncovertebral arthropathy. No central canal stenosis. No foraminal stenosis.
C7-T1: No disc bulge. New small herniation. No facet and/or uncovertebral arthropathy. No central canal stenosis. No foraminal stenosis.Paravertebral/Prevertebral soft tissues: Unremarkable.
IMPRESSION: Stable anterior C5-6 fusion. Stable C5-6 annular bulging, degenerative buckling of ligamentum flavum, moderate central and bilateral foraminal stenosis. Stable small C4-5 central disc herniation, mild C6-7 annular bulging, and new small C7-T1 disc herniation.
HISTORY: 55 year old female with left side lower back pain. Pain radiates down the left leg and into bot feet. Symptoms began years ago. No trauma. No prior lumbar spine surgery.
TECHNIQUE: Sagittal T1, T2 and inversion recovery, coronal T2, and axial T1 and T2 images are obtained through the lumbar spine without intravenous contrast in a 3.0 Tesla scanner.
COMPARISON: MR lumbar spine 7/23/2020.
FINDINGS: Conus medullaris ends at L1 and appears unremarkable.The kidneys show no evidence of hydronephrosis. Included portion gallbladder shows no evidence of calculi .normal size common bile duct. Small umbilical hernia containing only fat.
At L1-2, annular bulge. Neural foramina and thecal canal are adequate.
At L2-3, neural foramina and thecal canal are adequate.
At L3-4, left lateral disc herniation narrowing left L3 foramen without foraminal nerve root compression image 6 series 3. Tarlov cyst at L3 foramen on the right side image 11 series 4. Mild bilateral facet degeneration. Thecal canal is adequate.
At L4-5, annular bulge. Neural foramina and thecal canal are adequate. Small Tarlov cyst on the left side.
At L5-S1, neural foramina and thecal canal are adequate.Visualized portion of the sacroiliac joints appear unremarkable. Tarlov cyst at L5 on the right side measuring 8.2 mm at S1 on the left side measuring 15 x 13.5 mm and S2 on the left side measuring 8.5 mm and on the right side measuring 9.3 mm. Tarlov cyst scalloping the posterior margin of the S1 and S2 vertebral bodies.No pedicle edema or spondylolysis detected.
IMPRESSION: Left paracentral and lateral disc herniation at L3-4 level narrowing the left L3 foramen. Tarlov cysts in the right L3 foramen. Additional Tarlov cysts in the right L5 and left and right S1 and S2 foramina. These are usually asymptomatic. Occasionally they can be a source of nerve root compression. Findings unchanged since previous examination 7/23/2020.