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Diagnosed with C5-C6 small right para central disc herniation of protrusion type through MRI. Explain the findings from MRI
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Unforntunately, I was involved in another accident in XXXXXXX of 2010 which exacerbated a lot of the pain. I had an MRI done again and it said, C5-C6 "small right paracentral disc herniation of the protrusion type. the right ventral nerve root comes in close promisity to disc herniation. Clinical correlation advised for a regional radiculitis. Impression: right paracentral disc herniation of the protrusion type at C5-C6. I have chronic neck pain as a result. Do the findings of the 2nd MRI show a change and if so, can you please explain it to me? Thank you, April
There is no significant change between the MRI
Detailed Answer:
Hi,
Thank you for posting your query.
I have gone through both the MRI cervical spine reports, and would like to reassure you that there is no significant change between the two. Also, it does not show any serious problem. There is a mild disc bulge in the neck, but is not causing any significant compression of the nerve or the spinal cord in that region.
At this stage, you do not require surgery.
You would benefit from medications such as pregabalin or gabapentin capsules, and physiotherapy (IFT, ultrasound, neck exercises, etc).
I hope it helps.
Please get back if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
ttfn,
April
My reply is below.
Detailed Answer:
Thank you for getting back.
There could be a minor compression of nerve at C5-6 level but it is not significant as there are no symptoms (arm pain) to suggest that.
In the previous MRI, there was no nerve compression there.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
ttfn,
April
Thats it
Detailed Answer:
So your arm pain is related to mild nerve compression at C5-6.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
| Question is related to | |
|---|---|
| Diseases and Conditions | Spinal disc herniation, Nerve compression syndrome, Pain in arm, Brain herniation, Wobbler disease, Radicular pain, Neck pain |
| Drug/Medication | Gabapentin |
| Treatment/Therapy | Physiotherapy |
| Lab Tests | Magnetic resonance imaging |
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