Kam

Dr. Corenman- Thank you so much for your response. I do indeed have significant cord compression on my cervical mri at level c5/6 and a slight compression at level c3/4. EMG shows that arm and hand symptoms are only coming from 5/6 so I will be getting a fusion at 5/6 to correct that( I had prior fusion at c/6/7 in 2005). So this surgery “could” resolve the scapula pain or I could have permanent damage there since it’s been so many years without diagnosis. How do I address the pulsating scapula and rock hard knots all at the left scapula? Can the cervical spine issue cause those 2 symptoms as well? From your comments I want to address the nerve root or facet issue prior to fusion surgery( to rule things out) and not sure which tests can adequately get an answer. Thank you.

Hello. I noted something in your MRI report that I would like to get feed back on, from Dr. Corenmand and would also like to ask the patient, Johnmpb, about another symptom that he may or may not have.
I am an x-ray tech, with chronic, increasing pain in medial border of left scapula for over 10 years. The pain many times, will radiate up into my neck and left side of face. Ive had many different treatments and diagnosis without relief. My scapula area has so many painful numerous knots, rock hard, under the medial border that I’ve mostly been treated with myofascial release techniques. I haven’t been able to sleep on my back in years. The pain is often a strong pulsating pain and when I lay on my back, it feels like I have a strong vascular pulsating throb, like a strong heartbeat.
I wanted to know if Johnmpb has any similar symptom like this that he did not mention.
Also, equally important, I noted that we both had MRI reports that had incidental findings of a hemangioma/hemangiomata at the upper thoracic level. My question for Dr. Corenman is that although these are rarely symptomatic, I find it more than coincidental that we both have complex left scapular pain, not adequately diagnosed or treated and have this incidental finding. I have no skin hemangioma on my back; my hemangiomata is internal at the level of my left scapula, noted on an wide filed of view on recent cervical spine MRI. What specialist would be better to further investigate this connection (suggest further diagnostic studies of this area)? First A vascular specialist or which type of radiologist would best be suited for this?