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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


Hi there, I was broadsided in a car accident in July 2010. I slammed on the brakes to avoid but he hit me in the front third of my car hard enough to push me up onto the curb and total the car. I had xrays in the ER, chiropractic and limited additional medical care (ER) due to not having health insurance. Neck pain got so bad recently after attempting to resume normal daily activities (close to 2 years post-accident) that I saw a nerologist on lien against the insurance settlement.
MRI results: There is straightening of normal lordotic curvature. There are no fractures, subluxations or destructive changes. Bone marrow within visualized bony structures demonstrates relatively normal signal intensities.
There are no abnormalities at the cervicocranial junction. Cervical cord does not show any focal enlargements or focal areas of abnormal signal intensity.
C2-C3:There is no indication of posterior disc protrusion. There is no evidence of central or foraminal stenosis.
C3-C4: same as C2-C3
C4-C5: There is a moderately significant degree of central stenosis secondary to combination of short AP diameter of the spinal canal and 3mm broad-based posterior disc protrusion causing pressure over the anterior aspect of the thecal sac and pressure over the anterior aspect of the cervical cord.
C5-C6:the same as C4-C5, with the addition of mild to moderate narrowing of both neural foramina.
C6-C7: There is a mild degree of central stenosis secondary to combination of short AP diameter of the spinal canal and 2mm broad-based posterior disc protrusion causing pressure over the anterior aspect of the thecal sac.
Symptoms include shoulder pain, neck pain and stiffness with fierce headaches that start at the back of my head and work their way around and above ear, pain radiating to mid-upper right arm often, and frequently forearm pain just below the right elbow (flares with attempts to straighten arm), and electric shock like sensations across top of hand and down middle finger, also experience mid-upper left arm pain but not both sides at the same time. The arm pain is not constant, neck/shoulder pain to some degree is constant. Based on MRI results neuro said I needed surgery, that I risk paralysis if injured in that area again. After EMG/NCS was negative (his words "not that bad", my pain was level was low that day), he dialed it back to probably won't need surgery but definitely get epidural injections, which are scheduled to start later this month. I am confused, as my insurance case is pending and I am on the hook for $5000 per injection. Is it possible to have nerve problems with a normal EMG? I am in pain most of the time, with fairly regular flares that put me down for a few days. I am hoping the injections help but at the same time I don't want to commit to the expense if they aren't going to help me. Any input would be greatly appreciated! Thanks





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