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pain in neck and shoulder

Started by kerriray on 03/15/2021 9:48pm

Hi everyone, I am new to this site, I have had pain in my neck, shoulder and lower back ever since my car accident almost 2 years ago. I have been through PT, chiro, trigger point injections, burning of the nerves in my neck from c2-c5 on both sides and none of this has helped me. I had an MRI last week and later the same day I got a call from the Dr. office that the surgeon wanted to see me asap. I am including my report from the MRI, please any advice you can give would be greatly appreciated.

Study Result
Impression
IMPRESSION:
1. New large disc extrusion at the C5-C6 level which compresses the
spinal cord causing severe spinal canal narrowing as well as severe
right and moderate-to-severe left neural foraminal narrowing.
2. Probable spinal cord edema at the level of C5-C6 in the region of
compression.
3. Marked degenerative disc changes at C6-C7 that is similar to prior
MR 8/22/2016. This results in moderate spinal canal narrowing as well
as severe bilateral neural foraminal narrowing.
4. Mild degenerative disc changes at C3-C4 and C4-C5 without spinal
canal or neural foraminal narrowing.
COMPARISON: Cervical spine MR 8/22/2019.

FINDINGS: Straightening of the normal cervical lordosis. Anterior
posterior alignment of the spine is within normal limits. Vertebral
body height is maintained without evidence of fracture. There are no
destructive osseous lesions. No significant STIR hyperintense endplate
edema (Modic type I changes).

Probable mild T2 hyperintense signal in the spinal cord at the level
of C5-C6 and the region of compression. This is concerning for spinal
cord edema.

Level by level as follows:

C2-C3: No loss of disc height. No significant disc herniation. Normal
facets. No spinal canal or neural foraminal narrowing.

C3-C4: Mild loss of disc height. Shallow posterior disc bulge. Normal
facets. No spinal canal or neural foraminal narrowing.

C4-C5: Mild loss of disc height. Shallow posterior disc bulge. Normal
facets. No spinal canal or neural foraminal narrowing.

C5-C6: Mild loss of disc height. New large central and right
subarticular disc extrusion that extends above and below the disc
level. Normal facets. Disc extrusion abuts and compresses the spinal
cord causing severe spinal canal narrowing. Severe right neural
foraminal narrowing. Moderate-to-severe left neural foraminal
narrowing.

C6-C7: Marked loss of disc height and signal with degenerative
endplate changes. Circumferential disc bulge with endplate osteophytic
spurring. Normal facets. Moderate spinal canal narrowing. Severe
bilateral neural foraminal narrowing.

C7-T1: No loss of disc height. No significant disc herniation. Normal
facets. No spinal canal or neural foraminal narrowing.

Paraspinous soft tissues are unremarkable.

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