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What Does This MRI Report Of Spine Indicate?

Posted on Sat, 6 Dec 2014

Question: I got operated cervical C6&C7 5 years back . Again neck pain started now and did MRI scan. As per scan C5 having stretch. Need your suggestion why it is extending to C5 and how to control this pain.

Answered by Dr. Mukesh Chugh (6 hours later)

Brief Answer:
Can be managed with drugs

Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern.The nerve stretching can be managed with drugs like pregablin (cap.metneurobion P) along with thiospas A4 mg.l have seen the MRI report and film.It is suggestive of improvement with above drugs.
The changes described are of degenerative nature and at a different level,can occur after surgery.
Do you have radiating pain in upper limbs?
Looking forward to your reply.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (16 minutes later)

Yes Dr, I am getting radiating effects in upper back side penelin elbow some times. But more pain in backside of neck route to left arm . Cannot able to do head up and down or left and right in common way getting pain. And also sometimes feeling my neck has locked after doing left to right with the help of both the hands will come to normal .

Answered by Dr. Mukesh Chugh (1 hour later)

Brief Answer:
As follows

Detailed Answer:
Hello
You are welcome
I have gone through your reply carefully and quite hopeful of improvement with following measures-
1.No head loading and may do gentle neck exercises along with hot water fomentation.
2.Cap.Metneurobion P 75 mg once daily for 3 days at bedtime then twice daily for 7 days. It may cause sedation/dizziness initially.
3.Tab.Thiospas 8 mg twice daily for 7 days after meal.
Avoid prolong sitting and may use soft cervical collar till the pain subside.
How is your grip strength?
Take care
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (15 hours later)

Yes, have strength and grip in both the hands. not finding any weakness . Pls fond the attached prescribed tab details . Kindly suggest shell I drop this tab and continue as you suggested ?

Answered by Dr. Mukesh Chugh (7 hours later)

Brief Answer:
You may follow the treatment as discussed earlier

Detailed Answer:
Hello
Thanks for posting
I have gone through your reply carefully. You may continue the treatment as discussed earlier after discussing with your treating doctor.
Wishing you early recovery.
Take care

Above answer was peer-reviewed by : Dr. Ashwin Bhandari