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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


Hello all,

Thank you for the encouragement and insight regarding my health status. I met with my Dr. last night and he went over the MRI results with me. He was happy to see that there are no ruptured disks, spinal stenosis or extrusions goining on anywhere.

However at C3-C4 I have a small central disc protrusion with compression of the Thecal Sac

Also at C4-C5 I have a small central disc protrusion with indentation of the Thecal Sac. A left paracentral posterior spur with compression of the left exiting nerve root. No spinal stenosis

At C5-C6 I have a small central disc protrusion with compression of the Thecal Sac. A left paracentral posterior spur with compression of the left exiting nerve root. No spinal stenosis.

So from that It looks like several things can happen. (1) continued physical therapy could free up the possibly trapped nerve which seems to be causing the numbness/tingling (2) A cervical epidural could possibly help alleviate the pain and discomfort either short or long term. (3) Surgery to remove the calcium spurs if it is determined they are severe enough or (4) Continued P.T. anti-inflamatories and pain meds to see if they work out the problem. I'm having a neurologist look at me tomorrow and he will later be testing me... Electromyography I think.

This seems to be the beginning of what I pray is a very short road to recovery for me. Obviously the major hope is to eliminate or fix the root problem if possible. I have come to understand that there are a lot of hurting people out there in much worse shape than me and I wish you all the best of possible outcomes. Thank you to those who have been kind enough to lend some insight and encouragement to me through your replies.
I too am under 50, had radiculopathies (nerve root compression) at C4-7. My advice differs from LBB.

1. Try to get EMG soon to help confirm true nerve root compression versus, tight space irritation casuing chemical reaction type irritation. The sooner you know the better decisions you can make.
2. PT will probably make it worse. We used a rule - if it makes you worse after 1 session - try up to 2 more sessions. If you are worse stop all but heat/ice!
3. Disc bulge might shrink from PT/rest . PT or rest will not make a bony spur or ridge go away. They only get bigger - some take years , others faster, depends on genetics and other stuff.
4. If you have EMG confirmed nerve root compression do not hesitate to accept surgical measures if advised by dr. The quicker the root compression is relieved, the higher chance it will heal pain free. There is data out there that says higher success if fixed <6 months from start. Worst case is nerve damage if untreated (chronic pain, very rare loss of use type scenarios)
5. There is a theory that nerve root compression causes re-wiring /recruiting of pain receptors if long term untreated. Too long to explain now but can chat later if u r interested.
6. Get a Transforaminal ESI and flush it - for pain help and clear out inflammation best as possible. Inflammation leads to more bony growth changes.

Your other issues although serious you can work on them. Your goal is to not develop into a chronic pain patient!!!





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