Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
160 Doctors are Online

MRI for cervical spine, marginal osteophytosis, disc desiccation, thecal sac compression, bilateral neural exit foraminal compression, numbness. Remedy?

User rating for this question
Very Good
Answered by

Orthopaedic Surgeon
Practicing since : 2005
Answered : 43 Questions
Question
Hi, I am XXXXXXX from Delhi, got MRI for Cervical Spine done with the following findings :
a. MR Study reveals straightening of cervical spine with vertebral body degenerative changes in form of marginal osteophytosis. Disc desiccation at multiple levels.
b. Posterior disc bulge causing thecal sac compression and bilateral neural exit foraminal compression at c4-5, c5-6, c6-7 levels.
c. No significant canal stenosis noted.
d. Vertebral body hieght and alignment are maintained.
e. No evidence of pre or paravertebral collection / mass lesion.
f. Visualized spinal cord appears normal with no evidence of any intradural lesion.
g. No evidence of atlantoaxial dislocation or cerebellar tonsillar herniation.
IMPRESSION - Posterior disc bulge causing thecal sac compression and bilateral Neural exit foraminal compression at c4-5, c5-6, c6-7 levels.

kindly suggest the remedy as my right arm is paining and there is numbness in right arm thumb and first fingure ?
Posted Tue, 24 Apr 2012 in Brain and Spine
 
 
Answered by Dr. Sangeet 1 hour later
Hello XXXXXXX XXXXXXX

Thanks for the query.

Is it little finger or the thumb that you are referring to as the first finger?

I am trying to interpret based on the MRI findings you reported here.

You need to visit a spine surgeon as the bulging discs are compressing your nerves supplying your shoulder/arm the cervical vertebra. That is causing the pain and the numbness.

If the symptoms are tolerable and you don't have any weakness in your arms or fingers, its advisable to wait for a few weeks and try spine stretching and strengthening exercises, analgesics orally and local sprays. You also need to improve your sitting posture. Please seek the help of Physiotherapist about the exercises and sitting postures.

I will available for your follow up queries.

Thank you.
Above answer was peer-reviewed by
 
Follow-up: MRI for cervical spine, marginal osteophytosis, disc desiccation, thecal sac compression, bilateral neural exit foraminal compression, numbness. Remedy? 2 days later
Thanks for the reply Dr. Sangeet. As you asked about the fingure , it is the Thumb and the fingure next to thumb.

Also would like to mention that, I consulted Orthopedician and he prescribed the following medicines (twice a day) :
a. Thiocolchicoside 8mg
b. flexon Mr
c. Gabaneuron

Am taking medicines for last 3 days, the pain has reduced a bit (may be because of intake of Voveron MR) but the Numbness in thumb and next fingure still persists. Will the above mentioned enough to cure ?? Also, would like to mention, that this problem started after visiting gym and training with excess weight, Doctor advised not to visit gym for next 7-8 days.

Kindly advise.

Regds,
XXXXXXX
 
 
Answered by Dr. Sangeet 5 hours later
Hello again,

Good to hear from you again.

Your prescription is impressive. He has given you everything you need. Thiocol and Flexon MR are muscle relaxants and Gabaneuron will mend your sick nerves. Your numbness will definitely be better in a few weeks time as Gaba takes some time to act. Its better to continue it.

However, you should start spine exercises under a physiotherapists supervision. Else it gets stiffer day by day. Keep your spine flexible.

At times when the pain is unbearable, you can have Voveran MR prescribed, as it works for you. Also get some hot water bag fomentation and analgesic sprays.

- The problem with most of the patients is discontinuation of exercises, so please continue it for years.

- Have Vitamin B6 and B12 prescribed. These will protect your affected nerves.

- You need to visit an Orthopaedician or a spine surgeon at the earliest if you notice weakness in any part of your arm or have severe pain.

Hope this answers your query.

Wish you good health.

Hope I have solved your queries. For further follow up queries, I will be available.

Thank you.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Neurologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor