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Back Problems Message Board

Back Problems Board Index

I was involved in a rear end collision approximately 6 months ago. I drive for a living so workers comp is involved. I have not been off work, but they send me to the doctors they choose. I have neck pain, shoulder pain, pain down my spine between my shoulder blades, strange feelings down my arms, tingling in my hands, lower back pain, pain down both buttocks, occasional numbness of two toes on both feet, and general all over back pain. It is not intense more chronic with varying levels. I have had a CSpine MRI with these results...1. C4-5 right paracentral disc herniation indenting the thecal sac and deforming the ventral cord. 2. C6-7 central disc herniation indenting the thecal sac. 3. C3-4 shallow central disc herniation indenting the thecal sac. 4. Sever cervicothoracic scoliosis is noted (was diagnosed with this years ago with no real problems). I have had LSpine MRI with these results...At L1/L2 level, there is diffuse mild bulge. At L2/L3 level, there is diffuse mild bulge. At L3/L4 level, there is diffuse mild bulge. At L4/L5 level, there is mild left paracentral herniation. Both were done without contrast. I have completed 2 months of physical therapy, taken muscle relaxers, have not done pain meds as they make me very ill, and I have had 1 ESI in my neck and 1 in my lower back. Pain management says there is nothing significant in my MRIs and all the doctors (GP, Orthopaedic, and DO) say the pain should go away as soft tissue (whiplash) heals. I still have pain, not excrutiating, but chronic. Don't know whether to believe them or not as Workers Comp is involved. Any thoughts???
Welcome to the board. Before I give you my impressions of your situation, please keep in mind that members do not have formal medical training. We are fellow spineys basing our information on personal experience. It appears to me that your cervical spine is of more concern than the lumbar. You need to find out the extent that the thecal sac is being "indented" by the disc herniation. It looks like this may be the worst at C4-C5 where the report indicates [B]paracentral disc herniation indenting the thecal sac and deforming the ventral cord.[/B]

Any time the spinal cord is being affected, it has the potential to be a serious issue. This I would want to have clarified by the spine specialist.

The other levels are also herniated, with the herniations indenting the thecal sac. (but it doesn't mention that they are affecting the cord).

Was the orthopedic doctor an orthopedic SPINE surgeon or a general orthopedist? If you haven't done so, I would suggest you see a fellowship trained orthopedic spine surgeon or a neurosurgeon who limit their practice to issues of the neck and back. The central canal in the cervical area is confined in a small space. The spinal cord runs through it and contains the nerve system for the body. Any time something is pushing into this, there is a risk of nerve compression, which can result in nerve damage or even paralysis. You don't want to take anyone else's word that this is not serious. They do not have a specialized training to be making that decision when it involves the spinal my opinion, of course. ;)

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