MRI results are as follows:
Cervical
1. Disc sp narrowing at the C5 & C6 levels w/ minimal degenerative changes.
2. Multi level disc disease as described. The most prominent levels are at the C5-6 & C6-7 levels followed by the C4-5 and C3-4 levels.
3. The C5-6 level shows a 1-2mm retrolisthesis of C5 on C6. There is a 3 mm disc herniation in the central and left paramedian position. There is mild canal narrowing. There is mild cord impingement. There is mild foraminal narrowing on the left.
4. The C6-7 level shows a 3 mm disc herniation which is broad based with mild canal narrowing and slight cord impingement.
5. The C4-5 level shows 2-3 mm disc bulge and/or herniation more prominent on the left and mild foraminal narrowing off to the left.
6. The c3-4 level shows a 2 mm central disc herniation with mild canal narrowing w/o cord compression.
7. The C2-3 level shows a 1-2 mm disc bulge.
8. The C7- T1 level shows a 1-2 mm anterolisthesis of C7 on T1.
MRI LUMBOSACRAL (w/o contrast).
Degeneration of L3-4 & L4-5 discs. The conus terminates at the T12 level. Safittal STIR images show signal in the soft tissues or bony structures.
The L1-2 level is normal.
The L-2-3 level shows a 1 mm retro thesis of L2on L3. There is a 3 mm disc bulge.
The L3-4 level shows a 3-4 mm disc bulge with annular tear. There is minimal caudal extrusion.
The L4-5 level shows a 3 mm disc bulge w/ annular tear. There is foraminal narrowing on the left w/o nerve root impingement. There is mild facet arthrosis.
The L5-S1 level shows a 2mm retrolisthesis of L5 on S1. There is a 1-2 mm disc bulge. There is mild facet arthrosis.
The upper sacrum and retroperitoneum are normal.
IMPRESSION:
1. Degeneration of the L3-4 and L4-5 discs.
2. Multilevel disc bulges as described, most prominent at the L3-4 level, described.
3. Small annular tear is also noted at the L3-4 & L4-5 discs.
4. Mild facet arthrosis is also present at the L4-5 and L5-S1 levels.
CURRENT SYMPTOMS STATED IN PREVIOUS POST:
New symptoms are in addition to; left anterior shoulder burning
Top of left foot burns and aches intermittently for couple seconds for no apparent reason.
I still sit on coccyx pillow due to pain when standing.
My questions are:
1. What does all this mean?
2. Is this attributed to high impact rear end MVA?
3. Is any of it pre existing?
4. Is reason for numbness in left pinky and ring finger found?
5. What are treatment options and will current symptoms subside?
6. Can I possibly be feeling early signs of caudal equinal syndrome?
Thank you so much.