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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Spondylosis From C3 4 Through C5 6

Good Evening Doc, I had a MRI on my neck because of the pain I am in since Feb. and I wanted to know from reading these results what your suggestions are? Severe disc space narrowing at c5-6, at C3-4 broad based osteophyte/disc bulge complex thins anterior thecal sac without cord compression. C4-5 small central noncompressive osteophyte/disc protrusion complex indents anterior thecal sac. At C5-6 theres a broad based bony ridge which thins the anterior thecal sac. There is right sided component, which abuts emerging nerve root and narrows the foramen. Impression: Spondylosis from C3-4 through C5-6 with accentuated bony ridge on the right at C5-6 narrowing the foramen and abutting the nerve root.? What would you do if this were your neck?
Wed, 4 Feb 2015
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Neurologist,  's  Response
I read your question carefully and I understand your concern.

That report indicates degenerative changes of the spine (found in many people with the advancing of age) and the possibility of compression of the nerve root at C5-C6.
For the degenerative changes I would recommend only physiotherapy and over the counter painkillers when in pain.
You don't mention what symptoms you have in order to judge if the abutment is causing nerve compression or not. If you have symptoms suggesting compression, apart from physio and painkillers, if ineffective local injections with steroids and analgesics can be considered. As a last resort when those are not effective surgery. If on the other hand you have no such compression symptoms then management remains physiotherapy and over the counter painkillers.

I hope to have been of help.
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Suggest Treatment For Spondylosis From C3 4 Through C5 6

I read your question carefully and I understand your concern. That report indicates degenerative changes of the spine (found in many people with the advancing of age) and the possibility of compression of the nerve root at C5-C6. For the degenerative changes I would recommend only physiotherapy and over the counter painkillers when in pain. You don t mention what symptoms you have in order to judge if the abutment is causing nerve compression or not. If you have symptoms suggesting compression, apart from physio and painkillers, if ineffective local injections with steroids and analgesics can be considered. As a last resort when those are not effective surgery. If on the other hand you have no such compression symptoms then management remains physiotherapy and over the counter painkillers. I hope to have been of help.