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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Shoulder, Arm Pain, Weakness, Loss Of Mobility, MRI Done. What Does Report Mean?

Hello my MRI showed a sever left and mild right neural forminal narrowing at c6and c7 disc with thecal sac effacement and flattening of the left vental spinal cord could you exspaine this to me i have been suffering with left shoulder and arm pain with weakness and loss of mobility. Keith At YYYY@YYYY
Tue, 31 Dec 2013
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Radiologist 's  Response
Hello
Thanks for writing to HCM

According to reports you have degenerative disc prolapse of spine in cervical region.This is causing pain in left shoulder and neuropathic changes.

1.You have disc herniation at C6-7 level which is causing severe narrowing of neural foramen in left side and mild narrowing of foramen in right side with thecal sac effacement and flattening of the left vental spinal cord.

Degenerative changes occurs due to aging and development of weakness in annulus fibrosis which allows herniation of disc.

Treatment for pain includes physiotherapy or surgery.
Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.
Other pain relieving modalities are Ozone ablation,Radiofrequency ablation,percutaneous disectomy etc.
Treatment can be planned after consultation with neurosurgeon.
Get well soon.

Take Care
Dr.Indu Bhushan
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Suffering From Shoulder, Arm Pain, Weakness, Loss Of Mobility, MRI Done. What Does Report Mean?

Hello Thanks for writing to HCM According to reports you have degenerative disc prolapse of spine in cervical region.This is causing pain in left shoulder and neuropathic changes. 1.You have disc herniation at C6-7 level which is causing severe narrowing of neural foramen in left side and mild narrowing of foramen in right side with thecal sac effacement and flattening of the left vental spinal cord. Degenerative changes occurs due to aging and development of weakness in annulus fibrosis which allows herniation of disc. Treatment for pain includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Other pain relieving modalities are Ozone ablation,Radiofrequency ablation,percutaneous disectomy etc. Treatment can be planned after consultation with neurosurgeon. Get well soon. Take Care Dr.Indu Bhushan