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Cervical MRI results

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Andyman73

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Hello all you Vets in Hadit land!!!

I recently had an MRI done at the behest of my PCP.  I am posting the results for youse guys to ruminate upon.  I filed a claim some time ago for pain in the neck that was secondary to back issues.  Well, that was a no go.  I didn't remember if I ever had been seen during my AD years for any neck issues.  Well, I did find a complaint of pain in my neck.  It was when I fell down the stairs during my first week of boot camp, in November 1992.  On the ER report it shows complaint of defuse pain in the neck, and other areas.  And while no injury was found during the exam, in my neck area, it was sore for a few days.  I was given 800mg Motrin for pain in other body areas, which subsiquently were granted SC after my enlistment. 

I have mentioned to my PCP, over the past 2-3 years, feeling tingling, numbness and hot flashes in my upper extremities, and shoulders.  It varies depending on the activity and position of my neck.  My neck is stiff all the time, and I am constantly cracking and stretching my neck.  If I don't it leads to headaches rather quickly.

Report:

Cervical spine MRI

 

Clinical history: Evaluate for evidence of cervical radiculopathy

 

Procedure: Sagittal Ti-weighted, T2-weighted, STIR sequences, axial T2-weighted gradient echo and turbo spin echo sequences

 

Discussion: Comparison is made with cervical spine radiographs performed  2/27/2015.

 

The alignment of the vertebral bodies is normal and the heights of the vertebral bodies are maintained. The signal characteristics of the bony elements are normal. There is no evidence of an acute osseous abnormality. The spinal cord

demonstrate normal morphology and normal signal characteristics.

 

At C2-C3 the disc spaces unremarkable. The spinal canal and the neuroforamina are patent. There is slight narrowing of the right neural foramen secondary to uncovertebral spurring.

 

At C3-C4 the disc space is unremarkable. The spinal canal is widely patent. The right neural foramen is mildly to moderately narrowed by uncovertebral spurring. The left neural foramen is moderately narrowed by uncovertebral spurring.

 

At C4-C5 there is very mild disc degeneration. The spinal canal is widely patent. The neuroforamina widely patent.

 

At C5-C6 there is mild disc degeneration. There is slight central disc bulge which does not cause significant spinal canal narrowing. The left neural foramen is mildly narrowed by uncovertebral hypertrophy. The right neural foramen is largely patent.

 

At C6-C7 there is mild disc degeneration. There is a linear focus of high signal along the left paracentral dorsal aspect of the

disc which may represent a fissure of the annulus fibrosis. There is a slight central disc bulge that significant narrowing of the spinal canal and the neuroforamina bilaterally mildly narrowed secondary to uncovertebral hypertrophy

 

At C7-T1 the disc space appears normal. The spinal canal and neuroforamina widely patent.

The last part didn't paste, so here is the last few lines;

paraspinous soft tissue is unremarkable,  impression: Multilevel mild disc disease with mild to moderate neural foramina narrowing as detail above.  Primary diagnostic code; abnormality noted.

Thanks again to all who opine here.

Andyman

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Had an EMG done yesterday.  Oh the joys of electro-shock fun!!!  So, I guess I got carpal tunnel in both hands.  I've been having numbness and pins and needles, in both hands, but only when I was having same in the arms too.  Also, some kind of nerve irritation in the R bicep. And on the left facilitator had to push the electro probe deep into L bicep and give me a 40% "fun" zap!

Also something with the back of the neck, she couldn't get a good reading on the R side, muscles wouldn't relax enough even with my head resting on the exam table.

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Ok, here's the official word on the emg results;

sensation decreased on both hands, all fingers, MRI of cervical spine shows mild multilevel disc disease with multilevel mild and mild to moderate neuroforaminal narrowing.

Findings;

1) carpal tunnel syndrome, moderate, bilateral; affecting the motor and sensory components of the median nerve on both sides.

2) suggestive by not diagnostic of acute cervical radiculopathy, C5, C6 on the right.

There is no electrodiagnostic evidence on this study of focal ulnar nerve entrapment on either side, cervical radiculopathy on the left, brachial plexopathy on either or generalized peripheral neuropathy.

So...there that is.

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