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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


Hi all,

This is my first post. Actually it is my second time typing it, because something went wrong the first time. I have had 2 cervical mri's in the last year. The second one because my dr is sending me to a new NS, and he wanted a new mri. I'm not sure if the second one is worse, or if it is just worded differently. The first one reads:

The craniocervical junction is unremarkable and the intrinsic cord signal is normal in appearance. Reversal of the lordotic curve apexes at c5.
c1-c2m c2-c3, c3-c4 and c4-c5 are unremarkable.
c5-c6: Disc dehydration is accompanied by mild to moderate loss of disc height and anterior vertebral body osteophyte formation. Type 1 anterior sterile endplate marrow signal alteration is compatible with a fibrovascular inflammatory response. Broad based disc herniation of the protrusion type indents the ventral aspect of the thecal sac with rightward ventral cord effacement and mild cord flattened contour alteration. concomitant aburment of the c6 right nerve root is also demonstrated. Luschka and facet joint degenerative arthropathy combined to produce mild bilateral foraminal canal narrowing.
C6-c7: shallow broad based posterior subligamentous protrusion slightly indents the ventral aspect of the thecal sac without evidence of neural compression. Mild degenerative facet arthropathy is demonstrated without substantive foraminal stenosis.
c7-t-4: unremarkable.

Conclusion:
1. Broad based disck protrusion involving c5-c6, resulting in right hemicord effacemengt. Coexisting luschka and facet joint degenerative arthropathy combined to produce mild biforaminal stenosis.
2. shallow broad based noncompressive subligamentous protrusion involving c6-c7

My new MRI reads:

The cercical vertebral bodies are in anatomic alignment. There appear to be mild degenerative changes in the discs at c5-c6 and c6-c7. There is no evidence of any significant prevertebral soft tissue swelling. The craniocervical junction in intact. No significant signal abnormalities in the bone marrow.
c2-c3 normal
c3-c4 normal
c4-c5 normal
c5-c6 lefel reveals a moderate sized osteophytic ridge disc complex along the uncovertebral joint. This causes partial effacement of both of the ventral and dorsal subarachnoid CSF space. The AP diameter of the spinal canal measures 8mm. There is mild narrowing of the neuroforamina bilatterally.

c6-c7 level reveals a small osteophytic ridge disc complex along the uncovertebreal joint. This is slightly asymmetric to the right. This causes partial effacement of both the ventral and dorsal subarachnoid CSF space. The AP diameter of the spinal canal measures approximately 9.5mm. Ther does appear to be mild narrowing of the right neural foramen.

Impression: Ther eis evidence of moderate central spinal stenosis seen at c5-c6 and mild cental spinal stenosis seen at c6-c7 as described above.

I have had bad neck pain for 3 years now. I was going to PT and chiro, and it was the chiro that ordered the first mri, after he got the results, he said he couldn't treat me anymore because he was afraid of making it worse. He sent me home with a tens unit, which doesn't really help much.

My dr then sent me to a neurosurgeon who said I would be fine, and just needed an epidural. She said I would be fine after, and probably not have any more pain. I have since had an episural, facet joint injections, and a medial branch block with no relief at all. Since I started having the injections I now have tingling in my neck that radiates down into my right shoulder. I thought this was caused by the injections, but I haven't had one since May, and I'm still having the tingling. Last month I also started having that tingling on my right thigh. I have a hard time walking when this happens, but I'm not sure if its being caused by my neck.

Sleep is very hard, as I can't find a comfortable position for my neck. I have been tried many different pillows. Some nights I have to sleep in my recliner.

I know this is kind of long, but any feedback would be greatly appreciated.

Thank you,
Patty
[QUOTE=Patec8ke;4904516]Hi all,

This is my first post. Actually it is my second time typing it, because something went wrong the first time. I have had 2 cervical mri's in the last year. The second one because my dr is sending me to a new NS, and he wanted a new mri. I'm not sure if the second one is worse, or if it is just worded differently. The first one reads:

The craniocervical junction is unremarkable and the intrinsic cord signal is normal in appearance. Reversal of the lordotic curve apexes at c5.
c1-c2m c2-c3, c3-c4 and c4-c5 are unremarkable.
c5-c6: Disc dehydration is accompanied by mild to moderate loss of disc height and anterior vertebral body osteophyte formation. Type 1 anterior sterile endplate marrow signal alteration is compatible with a fibrovascular inflammatory response. Broad based disc herniation of the protrusion type indents the ventral aspect of the thecal sac with rightward ventral cord effacement and mild cord flattened contour alteration. concomitant aburment of the c6 right nerve root is also demonstrated. Luschka and facet joint degenerative arthropathy combined to produce mild bilateral foraminal canal narrowing.
C6-c7: shallow broad based posterior subligamentous protrusion slightly indents the ventral aspect of the thecal sac without evidence of neural compression. Mild degenerative facet arthropathy is demonstrated without substantive foraminal stenosis.
c7-t-4: unremarkable.

Conclusion:
1. Broad based disck protrusion involving c5-c6, resulting in right hemicord effacemengt. Coexisting luschka and facet joint degenerative arthropathy combined to produce mild biforaminal stenosis.
2. shallow broad based noncompressive subligamentous protrusion involving c6-c7

My new MRI reads:

The cercical vertebral bodies are in anatomic alignment. There appear to be mild degenerative changes in the discs at c5-c6 and c6-c7. There is no evidence of any significant prevertebral soft tissue swelling. The craniocervical junction in intact. No significant signal abnormalities in the bone marrow.
c2-c3 normal
c3-c4 normal
c4-c5 normal
c5-c6 lefel reveals a moderate sized osteophytic ridge disc complex along the uncovertebral joint. This causes partial effacement of both of the ventral and dorsal subarachnoid CSF space. The AP diameter of the spinal canal measures 8mm. There is mild narrowing of the neuroforamina bilatterally.

c6-c7 level reveals a small osteophytic ridge disc complex along the uncovertebreal joint. This is slightly asymmetric to the right. This causes partial effacement of both the ventral and dorsal subarachnoid CSF space. The AP diameter of the spinal canal measures approximately 9.5mm. Ther does appear to be mild narrowing of the right neural foramen.

Impression: Ther eis evidence of moderate central spinal stenosis seen at c5-c6 and mild cental spinal stenosis seen at c6-c7 as described above.

I have had bad neck pain for 3 years now. I was going to PT and chiro, and it was the chiro that ordered the first mri, after he got the results, he said he couldn't treat me anymore because he was afraid of making it worse. He sent me home with a tens unit, which doesn't really help much.

My dr then sent me to a neurosurgeon who said I would be fine, and just needed an epidural. She said I would be fine after, and probably not have any more pain. I have since had an episural, facet joint injections, and a medial branch block with no relief at all. Since I started having the injections I now have tingling in my neck that radiates down into my right shoulder. I thought this was caused by the injections, but I haven't had one since May, and I'm still having the tingling. Last month I also started having that tingling on my right thigh. I have a hard time walking when this happens, but I'm not sure if its being caused by my neck.

Sleep is very hard, as I can't find a comfortable position for my neck. I have been tried many different pillows. Some nights I have to sleep in my recliner.

I know this is kind of long, but any feedback would be greatly appreciated.

Thank you,
Patty[/QUOTE]

you might try a memory foam pillow , it helped me a lot , I have some of the same problems that you have and the pillow really helped me sleep, only about 20 bucks





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