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Spinal Cord Disorders Message Board

Spinal Cord Disorders Board Index

I have yet to meet with a neurosurgeon in regards to my cervical stenosis. This appointment is soon.

I am a 38 year old male. No injury, accident caused this. I believe it is because I have been sitting at a desk for the last 14 years as a software engineer. My pain level continues to rise. My symptoms now include odd feelings such as my hand involuntarily grasping things or not being able to type efficiently (fingers weren't where I thought them to be). Weakness in upper body, less so below the waist but do have off-balance moments.

A year ago it was discovered (due to pain in my right arm and hand) that I had mild to moderate cervical stenosis. A year later it is now moderate and severe.

My doctor has put me on pain medication and I have since lost the ability to work. Now, after a few weeks, I am almost bedridden as the only comfortable position is on my back. I have had some in my family tell me that this is nonsense and that I should not be in as much pain as I'm in. I am also not sure if disc bulging means herniated. I'm quite new to all this. What I'm asking is, in general, is the findings below serious?

Here is the results of the latest:

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CLINICAL HISTORY: RADICULOPATHY. Neck pain as well as right shoulder and arm pain.


FINDINGS: The posterior fossa unremarkable with no Chiari malformation. Cervical and upper thoracic cord normal in size with normal signal throughout. No syrinx. The vertebral bodies are normal in height. There is edematous degenerative endplate change abutting the the C5-6 disk interspace and to a lesser extent C6-7 disk interspace to the right of midline. Signal intensity within the visualized skeletal structures otherwise normal.

C5-6: Broad-based disk bulge and asymmetric uncovertebral osteophytes worse on right than the left. Minimal effacement of the thecal sac anteriorly. Moderate to severe narrowing right-sided neural foramina. Only mild mass effect right lateral recess. This could potentially affect the right C6 nerve root.

C6-7: Less severe disk bulge and uncovertebral osteophytes are present, but there still appears to be severe narrowing of the right-sided neural foramina which could affect the right C7 nerve root. The remaining disk interspace levels unremarkable with no impingement.

IMPRESSION: Asymmetric uncovertebral osteophytes and disc bulging on the right at C5-6 and C6-7 with moderate to severe narrowing right-sided neural foramina C5-6 and severe narrowing right-sided neural foramina at C6-7. This could potentially affect the right C6 and C7 nerve roots. Severe degenerative endplate change at C5-6 and minimally at C6-7. Exam otherwise negative.

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