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Do I stick with neurologist at clinic or go to spinal specialist center?

Started by Alexis1955 on 03/20/2016 1:44pm

I'm a 60 yr old woman. I've been in pain for over 18 months now. What would you suggest for my next step? I've never had my MRI explained to me. Is there a neck issue to be taken care of, or am I just getting old?
I did a headstand, immediate pain, did not seak medical help. Saw 3 different choropractors, one NUCCA certified. Finally went to my Dr 6 months after incident. Did MRI in Apr, 2015. Gave me neck brace and sent me to neurologist. Felt better with no movement. Given Meloxicam and neurologist wants neck CT scan. I realize they want to take a conservative approach, but I have high deductible insurance, and can't afford all these visits that continue to leave me in pain. Can anyone tell me what's wrong and what I need for pain relief? Thank you so much.
Findings:

The alignment of the cervical spine is unremarkable. The vertebral heights are well-maintained. Bone marrow signal is unremarkable. Prevertebral soft tissues within normal limits. No signal abnormality is seen in the cervical cord.

C2-3: Negative.

C3-4: Left greater than right uncovertebral joint arthropathy is present causing severe left foraminal narrowing. No spinal canal stenosis.

C4-5: There is a mild disc osteophyte complex and left greater than right uncovertebral joint and facet arthropathy resulting in severe left foraminal narrowing. No spinal canal stenosis.

C5-6: There is a disc osteophyte complex, bilateral uncovertebral joint and facet arthropathy resulting in moderate foraminal narrowing bilaterally. No spinal canal stenosis.

C6-7: Disc osteophyte complex, bilateral uncovertebral joint and facet arthropathy more pronounced the left side results in severe left and moderate to severe right foraminal narrowing. AP diameter of the spinal canal measures 9 mm.

C7-T1: There is mild uncovertebral joint and facet arthropathy but no evidence for significant foraminal narrowing or spinal canal stenosis.

Impression:
1. Multilevel degenerative change in the cervical spine.
2. At C3-4, C4-5 and C6-7 on the left, there is severe foraminal narrowing.
3. At C6-7, there is moderate to severe right foraminal narrowing.
Any suggestions would be most appreciated.

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