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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Problems With Body Balance. MRI Done. Recommendations?

my husband is having problem mri show posterior osteophye disc complex at c2-3 level associated with uncovertebral joint hypertrophy causing asymmetrical indentation on thecal sac, mild narrowing of right lateral recess, mild impression on right ventrolateral surface of cord and encroachment of right neural ext foramen, with likely compromise of ipsilateral exiting nerve roots
posterior osteophye disc complex at c5-6 level associated with uncovertebral joint hypertrophy causing mild indentation on thecal sac and mild encroachment of bilateral neural exit foraminae with likely compromise of biulateral exiting nerve roots
kindly tell us his body balance is disturb due this or their is any other reason
Wed, 24 Apr 2013
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Orthopaedic Surgeon 's  Response
Hello, you have clearly explained the MRI but I don't know how much he is suffering and what are his symptoms. As per MRI he can be put of physical therapy treatment for 2-3 weeks and later cervical exercises. Kindly get back to me at drgautamsipani@gmail.com with the clinical symptoms so that I can advise you more. Thank you
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Radiologist Dr. Vamshi Kotha's  Response
Hi,

Your MRI report suggests degenerative changes which are usually age-related. Disc osteophyte complex implies a backward slipping of the disc with some new bone formation (osteophytosis). These can compress the nerve roots and spinal cord which is reflected in your report. The compression may lead to various symptoms (eg: tingling or shooting pain along the arm or weakness of the hand). However, usually, if the patient has no severe symptoms, management is mostly by medication. An orthopedic surgeon would better advise you on the same.

Sometimes, the new bone formation can lead to compression of the foramen transversarium on either side through which the vertebral arteries (supplying the posterior brain circulation) course. Compression of the vertebral arteries can lead to lacunar infarcts in the cerebellum and these may cause problems with body balance. It maybe advisable to get an MRI scan of the brain done to look for these.

Sincerely,
Vamshi
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Significant degeneration of the spine with compression effects are there...
Nerve conduction studies and EMG may be necessary for further evaluation...he may need decompression surgery...

'Balance' may have several causes - this may be one. Ear / brain-stem / arrhythmia / anaemia - all may need attention. Investigations have to be correlated with the clinical picture and not in isolation

Take care
Wishing speedy recovery
God bless
Good luck
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Problems With Body Balance. MRI Done. Recommendations?

Hello, you have clearly explained the MRI but I don t know how much he is suffering and what are his symptoms. As per MRI he can be put of physical therapy treatment for 2-3 weeks and later cervical exercises. Kindly get back to me at drgautamsipani@gmail.com with the clinical symptoms so that I can advise you more. Thank you