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Interpretion of CSPINE test reports - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions

User :   Hi Doctor,
User :   I have subscribed to this
Doctor :   hi
Doctor :   how can i help you
User :   But now it is showing that the alloted chat period is over
User :   can you please help me in this
Doctor :   proceed with your query
User :   I have gone through CSPINE MRI
Doctor :   ok
User :   In the report it is showing that "Diffuese annular bulge is seen at C4-C5, C5-C6 levels causing mild thecal sac compression
User :   What does it mean
Doctor :   you have a disc bulge
User :   Yes
User :   I guess thats what the report is showing . Other than that I don't know.
Doctor :   do you have any neck pain
User :   Yes
User :   I have neck pain
Doctor :   The disc (or intervetebral disc) is a structure that is found in between the spinal vertebral bodies from the neck to the sacrum (tailbone
User :   and hand, back and left chest also
Doctor :   The disc serves as a cushion and helps the spine to move.
User :   Ok
Doctor :   you have cervical disc hernaition
User :   I don't know what it is .
User :   can you please aloberate in laymen's language
Doctor :   A single disc and its two vertebral bodies does not have much ability to move, however, when put together along the length of the spine, the amount of movement provided is considerable. Each disc is composed of two parts, the nucleus pulposus (the central part) and the annulus fibrosis (the outer part). The nucleus pulposus provides the padding and it is contained by the annulus fibrosis which forms a ring around the nucleus pulposus and also attaches to the vertebral bodies above and below.
Doctor :   disc herniations (abnormal protrusions of a portion of the disc material)
User :   May be. But my problem is severe hand , neck and back and front of left side part
User :   some times giddeness also
User :   that's what my problem
Doctor :   The most common symptom of a cervical disc herniation is neck pain that radiates (spreads) down to the arm in various locations. The specific location of the arm pain depends on which disc is involved.
User :   and i have gone through C-Spine MRI with the suggestion of a doctor
Doctor :   Most of the symptoms of a disc herniation are related to pressure on a specific nerve root.

User :   Ok
User :   Ok
User :   Ok
User :   are there any medices for this
User :   are there any medicines for this
Doctor :   there are conservbative methods of tratment
Doctor :   Immobilization with the neck in a flexed forward position may be helpful.
Doctor :   Straining should be avoided. Medication in the form of an anti-inflammatory such as aspirin, ibuprofen, naproxen,

User :   Ok

Doctor :   As these medications have side effects, patients should carefully read the package material or consult their doctor if taking any medications for longer than a few days. Physical therapy may be prescribed.
User :   Physical therapy would be good I guess
User :   How many days or months it takes to subside the pain and come to normal stage
Doctor :   but you need to enquire with your doctor
User :   Ok

User :   Is it threatening problem
Doctor :   if left untreated it can compress on big nerve leading to paralysis
User :   Ok. I have this problem from past 2 years

User :   I neglected and now I got the MRI and the report was shown that what I mentioned
Doctor :   are you on any medications
Doctor :   are you there
Doctor :   Dear user your free chat trial is over. You will have to make the payment to continue the chat. It's a very nominal cost. The system will not allow you to chat until then.
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