help deciphering my mri results? confused and frustrated
I am having constant pain in my neck as well both shoulders and right bicept, my head is leaning to the right when i bring it up straight i get a stabbing pain both in my neck and between my shoulderblades and my fingers tingle. I was not happy with the lack of information and help i recived from my doctor. When i asked about alternative treatments other than surgery such as steroid epidural injections , home traction, and acutpuncture he answered "sure you could try that". Then sent me out the door with a script for pain meds and muscle relaxers and told me " give me a call when you ready for me to do another discectomy and fusion." he gave me no script for PT or guideance. I am confused and trying to weigh my options and figure this out on my own. I have made an appointment for a second opinion which i hope yields a bit more information. I feel like i never should have gotten that last discectomy and fusion. I have had mild to severe pain off and on every since it was done. Having my ortho Dr. tell me I am too young to have these problems then pretty much leaving me hanging with no answers or plan of action other than call me when you decide to have me do the surgery, doesn't leave me with much faith in the doctor. I'm confused and very frustrated. The report accompanying the mri images is as follows:
There is straightening od the cervical lordosis. Again noted is evidence of c6-7 discectomy and fusion with plate and screw device transfixing the spine anteriorly at this level. susceptibility artifact does obscure detail within the vertebral bodies of C6 and C7 due to metalic fixation.
at c2-3 there is some mild disc bulge. no significant abnormality
at c3-4 There is generalized disc bulge with right lateral disc protusion. Moderate narrowing of the right neural foramen and lateral rescess is present. Left neural foramen is patent. Mild to moderate central canal stenosis is noted.
at c4-5 there is generalized disc bulge without significant central canal stenosis or significant neural forminal narrowing
at c5-6 there is generalized disc bulge and posterior spondylitic ridging and mild to moderate central canal stenosis but not significant cord compression. Mild to moderate bilateral neural forminal narrowing is present.
at c6-7 post surgical changes are noted. no significant central canal stenosis is present. The right neural foramen is patent and again noted is the mild to moderate left neural foraminal narrowing.
at c7-t1 no significant abnormality.
Impression post surgical and degenerative changes as described. A new right lateral disc protrusion is present at c3-4 which narrows the right neural foramen and lateral recess.
I just need some advice. I really don't want to have a multi level fusion in my neck but i also can't live with this pain and weakness in my arm and shoulders and intermitten numbness in my right hand and fingertips. I truly hope the second Dr. takes more time to explain what's going on or someone here can help me. I have arranged for a spinal epidural steroid injection and made an appointment with a differrent doctor who is a spine specialist.