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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Shoulder Blade Pain/numbness In Hand While Having Disc Bulging

C3-C4 right paracentral disc bulge with end plate osteophytosis and right sided facet hypertrophy. There is mild central canal narrowing with severe right sided foraminal stenosis. No left sided foraminal narrowing identified.
C7-T1 there is endplate oseophytosis with diffuse disc bulging. There appears to me mild central canal narrowing with moderate left sided neural foraminal narrowing.
I am fused C4 thru C7. Extreme shoulder blade pain and right hand numbness. Pcp doesn't seem too concerned but I am unable to work.
Mon, 14 Sep 2015
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Orthopaedic Surgeon 's  Response
Hi there. Thanks for your question at HCM.

Pain spinal fusion surgery is definitly a very frustrating proposition for both patient and treating doctor. Your MRI findings are manageable and do neee any surgical interventional at present. Pain around yhe shoulder blade and axial neck pain can be due to facetal arthropathy in your spine. Which can get better with facetal injections shots and physical therapy for neck and shoulder over 2 to 4 weeks. The hand numbness is not fully explained by your mri finidings. It needs further evaluation by neurologist.

Hope this helps.

All the best. Regards.

Dr.SBK
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Suggest Treatment For Shoulder Blade Pain/numbness In Hand While Having Disc Bulging

Hi there. Thanks for your question at HCM. Pain spinal fusion surgery is definitly a very frustrating proposition for both patient and treating doctor. Your MRI findings are manageable and do neee any surgical interventional at present. Pain around yhe shoulder blade and axial neck pain can be due to facetal arthropathy in your spine. Which can get better with facetal injections shots and physical therapy for neck and shoulder over 2 to 4 weeks. The hand numbness is not fully explained by your mri finidings. It needs further evaluation by neurologist. Hope this helps. All the best. Regards. Dr.SBK