Donald Corenman, MD, DC
Post count: 8427

The MRI might note solid fusion but the MRI is generally not a reliable test to determine if fusion is present. This MRI however does note no evidence of compression of neurological structures so unless there is a lack of fusion, the neck is probably not the source of your pain. A CT scan however would eliminate that lack of fusion diagnosis for pain generation as the CT test is the gold standard for determining if fusion is solid or not.

Thoracic pain (not generated from the cervical spine) could be from disc, facet or nerve origin. The MRI notes degenerative changes of the disc and no evidence of nerve of cord compression. Facet generated pain will not be demonstrated by an MRI and has to be diagnosed by facet blocks (see website). Disc pain is generally diagnosed by discograms but I generally do not recommend discograms in the thoracic spine. Also, discograms are a pre-surgical test which is again not generally recommended in the thoracic spine.

An epidural injection may help relieve symptoms at the level of the degenerative disc.

Dr. Corenman