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X-ray Showed Moderate Disc Space Narrowing And Degerative Change At C5-6. Is It Curable?

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Posted on Mon, 8 Apr 2013
Question:
There is moderate disc space narrowing and degerative change at C5-6.Mild similar changes are also XXXXXXX at C6-7 .None of the ostophytes encroach significantly uponthe spinal canal or neural foramina on left side.On right site,there is mild neuroforminal stenosis indetified at C5-6.No fracture or disiocation is seen.Right shoulder/There is somecalcification indicating calcifictendonitis on hidroxyapataite deposition disease over the supraspinatus region.There are mild changes of impigment syndrome also.Left shoulder/Similary,toright jast slghtly less.X-ray from novembar 8.2012 .

X-ray from XXXXXXX 12 2012 frst time i had injury-Right shoulder and ultrasaund:There is small calicifications ajacent to greater and lesser tuberosity of the humerus in keeping with calcific tendinitis.The suprasinatus and subscapularus tendons are heterogeneus in keeping with tendiophaty.The sall calcifications turerosities greter or lesser are seennot well.No evidence of full thicness biceps tendon appears unremarkable in the biciptal groove.No evidence of glenohumeral joint effusion or subdeltoid bursal fluid. Impression:Supraspinatus and subscapularis tendophaty.No evidance of rotator cuff tear.History of lover back pain sometames is sobbad i had to crawl from the bed.did x-ray couple months ago nothing on it.Spasam in may oll right side of the back if i use right hand left site rerly.For 10 days is my MRIScan. From past hi story jast Lipitor for colesterol in last 3 years.2 years ago i felt it wos frizing rain went to emrgancy injured bat not broke may left elbov(wos swolen like tenis ball).Hi doctor i was trying to reach you, you have my x-ray results, i was going through horrible pain full hand especially the right shoulder, and my neck and lower back, i went through physiotheraphy, pain killers, orthodontic surgeon gave me cortozone shot in my right shoulder. With that cortozone shot i been having pain on my right shoulder day in and day out i cant sleep on it or do anything whats so ever, now i have schedualed MRI on march 16, and radiologist told me they will do just right shoulder and i dont know why they are just doing right shoulder when i have pain all over im questioning that. Also can you tell me when you get cortozone shot will it show up clearly my problem again? Can you please tell me whats happening next with me because as i see this cortozone shot is not working. What should i do with my neck, should i ignore it is it normal? Can you please get back to me as soon as possible and answer all my questions because i am in pain and i want to know what is best to do. Thank you.
doctor
Answered by Dr. Ganesh Sanap (3 days later)
Hi, welcome and thanks for detailed history.
Starting with cervical spine. Main pathology is in cervical spine . As there is disc herniation witch is compressing nerves which supplies shoulder joints. Gradually there is weakness of muscles of shoulder joints.
You have pain in shoulder and complete right back because few muscles are affected and rest are being utilized and getting strained.
Till you have done correct management regarding investigation like ultrasonography and management. It will be better to go for mri as scheduled on 16. It will delineate exact nature of pathology.
Also you need to consult a shoulder specialist for treatment management. I strongly suspect there is rotator cuff pathology. General orthopaedician is not sufficient in this condition. For carpel tunnel syndrome ultrasonography and MRI is necessary . If you have images please upload it we can have discussion on it also.
Your further management is depends on MRI OF SHOULDER.


Hope I have answered your query. If you have further concern, please let me know.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ganesh Sanap (5 hours later)
Hi doctor XXXXXXX S. thank you for your opinion it is highly respect by me, i will contact you when i finish my MRI scan, i will give you my results based on what the results are from the MRI. One more question, my doctor gave me just shoulder MRI, why not my whole hand? How will they find that carpettunnel syndrome? Can i ask her to change MRI for my whole hand instead of my shoulder? Saturday i had incredible pain in shoulder, sunday i had good day, will my problem show up regardless of the shot i got on the MRI? Thank you for getting back to me hope to hear from you soon.
doctor
Answered by Dr. Ganesh Sanap (2 hours later)
Hi, welcome back.
It is not worth and possible to do MRI of whole limb. You must ask your orthopaedician for examination regarding carpel tunnel syndrome. Then only ultrasonography may suffice. It can be managed conservatively. Your investigations are going on right track. So continue it.
Looking forward for your response.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ganesh Sanap (5 hours later)
Is cortisone shoot i got to may shoulder going to impact MRI-reading or not?What i asking for if i like to have MRI reading from one more radiologist in future (is that disk or cd or....)is that ok.thank you dr XXXXXXX S.
doctor
Answered by Dr. Ganesh Sanap (6 minutes later)
Hi, welcome back.
Cortisone injection is not going to affect mri reading at all. Don't worry about that. You can ask for CD of mri study for future correspondence.

Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

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

Radiologist

Practicing since :2007

Answered : 561 Questions

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X-ray Showed Moderate Disc Space Narrowing And Degerative Change At C5-6. Is It Curable?

Hi, welcome and thanks for detailed history.
Starting with cervical spine. Main pathology is in cervical spine . As there is disc herniation witch is compressing nerves which supplies shoulder joints. Gradually there is weakness of muscles of shoulder joints.
You have pain in shoulder and complete right back because few muscles are affected and rest are being utilized and getting strained.
Till you have done correct management regarding investigation like ultrasonography and management. It will be better to go for mri as scheduled on 16. It will delineate exact nature of pathology.
Also you need to consult a shoulder specialist for treatment management. I strongly suspect there is rotator cuff pathology. General orthopaedician is not sufficient in this condition. For carpel tunnel syndrome ultrasonography and MRI is necessary . If you have images please upload it we can have discussion on it also.
Your further management is depends on MRI OF SHOULDER.


Hope I have answered your query. If you have further concern, please let me know.

Regards.