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Hi, Dr. Chail: I Was Unable To Delete The Previous
Question: Hi, Dr. Chail:
I was unable to delete the previous reports in order to make room for more reports - I wrote to you asking about the cervical mri for neck pain, throat, and vertigo, and with the torso mri. Yes, the back problems have caused severe life function limitations and problems; limited range of motion, unable to sit in most chairs without pain and subsequent falling to the ground, or unable to stand up straight after sitting, unable to stand in place other than for brief periods of time, unable to run, exercise (other than walk and slow swim), unable to lift, twist, turn without extreme care, unable to lift a gallon of water or milk without extreme care and using the legs to help carry it, unable to carry groceries unless the bags are just a couple of pounds. Symptoms include falling to the ground (the back just gives out), chronic pain (made worse with activity), severe aching (made worse with activity), some burning sensations sometimes, some tingling and numbness sometimes, constant exhaustion, small time frame of stamina (2-3 hours of functioning) then having to lay down with knees fully bent to regroup, and be able to be active another few hours. Things that relieve the pain and limited mobility include: bending forward, or stretching forward, laying down with knees folded (laying flat is not possible without severe pain and inability to stand afterward and laying with knees elevated does not help - the ankles must be elevated as well or the knees folded as close tot he body as possible), walking and slow swimming helps but the swimming cannot include the up/down leg strokes, the slow frog stroke or yoga/tai chi like movements in the water help, steam/sauna/hot water jacuzzi help, but now with Covid all of these facilities are closed so the back symptoms and pain and corresponding disabilities are increasing quite quickly. Can you please give me your opinion on the bone, disks, arthritis, and facet joints? Or perhaps is there something else? Thank you for your help.
I was unable to delete the previous reports in order to make room for more reports - I wrote to you asking about the cervical mri for neck pain, throat, and vertigo, and with the torso mri. Yes, the back problems have caused severe life function limitations and problems; limited range of motion, unable to sit in most chairs without pain and subsequent falling to the ground, or unable to stand up straight after sitting, unable to stand in place other than for brief periods of time, unable to run, exercise (other than walk and slow swim), unable to lift, twist, turn without extreme care, unable to lift a gallon of water or milk without extreme care and using the legs to help carry it, unable to carry groceries unless the bags are just a couple of pounds. Symptoms include falling to the ground (the back just gives out), chronic pain (made worse with activity), severe aching (made worse with activity), some burning sensations sometimes, some tingling and numbness sometimes, constant exhaustion, small time frame of stamina (2-3 hours of functioning) then having to lay down with knees fully bent to regroup, and be able to be active another few hours. Things that relieve the pain and limited mobility include: bending forward, or stretching forward, laying down with knees folded (laying flat is not possible without severe pain and inability to stand afterward and laying with knees elevated does not help - the ankles must be elevated as well or the knees folded as close tot he body as possible), walking and slow swimming helps but the swimming cannot include the up/down leg strokes, the slow frog stroke or yoga/tai chi like movements in the water help, steam/sauna/hot water jacuzzi help, but now with Covid all of these facilities are closed so the back symptoms and pain and corresponding disabilities are increasing quite quickly. Can you please give me your opinion on the bone, disks, arthritis, and facet joints? Or perhaps is there something else? Thank you for your help.
Hi, Dr. Chail:
I was unable to delete the previous reports in order to make room for more reports - I wrote to you asking about the cervical mri for neck pain, throat, and vertigo, and with the torso mri. Yes, the back problems have caused severe life function limitations and problems; limited range of motion, unable to sit in most chairs without pain and subsequent falling to the ground, or unable to stand up straight after sitting, unable to stand in place other than for brief periods of time, unable to run, exercise (other than walk and slow swim), unable to lift, twist, turn without extreme care, unable to lift a gallon of water or milk without extreme care and using the legs to help carry it, unable to carry groceries unless the bags are just a couple of pounds. Symptoms include falling to the ground (the back just gives out), chronic pain (made worse with activity), severe aching (made worse with activity), some burning sensations sometimes, some tingling and numbness sometimes, constant exhaustion, small time frame of stamina (2-3 hours of functioning) then having to lay down with knees fully bent to regroup, and be able to be active another few hours. Things that relieve the pain and limited mobility include: bending forward, or stretching forward, laying down with knees folded (laying flat is not possible without severe pain and inability to stand afterward and laying with knees elevated does not help - the ankles must be elevated as well or the knees folded as close tot he body as possible), walking and slow swimming helps but the swimming cannot include the up/down leg strokes, the slow frog stroke or yoga/tai chi like movements in the water help, steam/sauna/hot water jacuzzi help, but now with Covid all of these facilities are closed so the back symptoms and pain and corresponding disabilities are increasing quite quickly. Can you please give me your opinion on the bone, disks, arthritis, and facet joints? Or perhaps is there something else? Thank you for your help.
I was unable to delete the previous reports in order to make room for more reports - I wrote to you asking about the cervical mri for neck pain, throat, and vertigo, and with the torso mri. Yes, the back problems have caused severe life function limitations and problems; limited range of motion, unable to sit in most chairs without pain and subsequent falling to the ground, or unable to stand up straight after sitting, unable to stand in place other than for brief periods of time, unable to run, exercise (other than walk and slow swim), unable to lift, twist, turn without extreme care, unable to lift a gallon of water or milk without extreme care and using the legs to help carry it, unable to carry groceries unless the bags are just a couple of pounds. Symptoms include falling to the ground (the back just gives out), chronic pain (made worse with activity), severe aching (made worse with activity), some burning sensations sometimes, some tingling and numbness sometimes, constant exhaustion, small time frame of stamina (2-3 hours of functioning) then having to lay down with knees fully bent to regroup, and be able to be active another few hours. Things that relieve the pain and limited mobility include: bending forward, or stretching forward, laying down with knees folded (laying flat is not possible without severe pain and inability to stand afterward and laying with knees elevated does not help - the ankles must be elevated as well or the knees folded as close tot he body as possible), walking and slow swimming helps but the swimming cannot include the up/down leg strokes, the slow frog stroke or yoga/tai chi like movements in the water help, steam/sauna/hot water jacuzzi help, but now with Covid all of these facilities are closed so the back symptoms and pain and corresponding disabilities are increasing quite quickly. Can you please give me your opinion on the bone, disks, arthritis, and facet joints? Or perhaps is there something else? Thank you for your help.
Brief Answer:
There are mild degenerative changes in the spine
Detailed Answer:
Hi,
Thanks for writing in to us.
I have reviewed the given images.
In the cervical spine, there is suspicious anterior subluxation of C3 over C4 vertebra. There are mild osteophytes in C4, C5 and C6 vertebrae. There are mild facet joint degenerative changes.
There is disc desiccation in the cervical disc levels. There is minimal posterior thecal indentation in C4-C5, C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis.
In the thoracic spine, there is a small area of focal bone edema anterior inferiorly in a mid thoracic vertebra and might be the cause of pain. In a level below that we find a mild posterior disc bulge. There is no spinal canal stenosis.
In lumbar vertebrae levels there are mild osteophytes. There is mild posterior listhesis of L3 over L4 vertebrae. There is disc desiccation in L3-L4, L4-L5 and L5-S1 disc levels.
There is minimal posterior disc bulge in L1-L2 and L4-L5 disc levels. There is mild posterior disc bulge in L2-L3 and L3-L4 disc levels and suspicious spinal canal stenosis. There is possible bilateral neural foramina compromise.
You are having features of mild degenerative changes in the spine and this is a difficult time to continue with out door activities due to pandemic. Please discuss with your doctors if you can be provided with physical therapy at home.
Regards,
There are mild degenerative changes in the spine
Detailed Answer:
Hi,
Thanks for writing in to us.
I have reviewed the given images.
In the cervical spine, there is suspicious anterior subluxation of C3 over C4 vertebra. There are mild osteophytes in C4, C5 and C6 vertebrae. There are mild facet joint degenerative changes.
There is disc desiccation in the cervical disc levels. There is minimal posterior thecal indentation in C4-C5, C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis.
In the thoracic spine, there is a small area of focal bone edema anterior inferiorly in a mid thoracic vertebra and might be the cause of pain. In a level below that we find a mild posterior disc bulge. There is no spinal canal stenosis.
In lumbar vertebrae levels there are mild osteophytes. There is mild posterior listhesis of L3 over L4 vertebrae. There is disc desiccation in L3-L4, L4-L5 and L5-S1 disc levels.
There is minimal posterior disc bulge in L1-L2 and L4-L5 disc levels. There is mild posterior disc bulge in L2-L3 and L3-L4 disc levels and suspicious spinal canal stenosis. There is possible bilateral neural foramina compromise.
You are having features of mild degenerative changes in the spine and this is a difficult time to continue with out door activities due to pandemic. Please discuss with your doctors if you can be provided with physical therapy at home.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
There are mild degenerative changes in the spine
Detailed Answer:
Hi,
Thanks for writing in to us.
I have reviewed the given images.
In the cervical spine, there is suspicious anterior subluxation of C3 over C4 vertebra. There are mild osteophytes in C4, C5 and C6 vertebrae. There are mild facet joint degenerative changes.
There is disc desiccation in the cervical disc levels. There is minimal posterior thecal indentation in C4-C5, C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis.
In the thoracic spine, there is a small area of focal bone edema anterior inferiorly in a mid thoracic vertebra and might be the cause of pain. In a level below that we find a mild posterior disc bulge. There is no spinal canal stenosis.
In lumbar vertebrae levels there are mild osteophytes. There is mild posterior listhesis of L3 over L4 vertebrae. There is disc desiccation in L3-L4, L4-L5 and L5-S1 disc levels.
There is minimal posterior disc bulge in L1-L2 and L4-L5 disc levels. There is mild posterior disc bulge in L2-L3 and L3-L4 disc levels and suspicious spinal canal stenosis. There is possible bilateral neural foramina compromise.
You are having features of mild degenerative changes in the spine and this is a difficult time to continue with out door activities due to pandemic. Please discuss with your doctors if you can be provided with physical therapy at home.
Regards,
There are mild degenerative changes in the spine
Detailed Answer:
Hi,
Thanks for writing in to us.
I have reviewed the given images.
In the cervical spine, there is suspicious anterior subluxation of C3 over C4 vertebra. There are mild osteophytes in C4, C5 and C6 vertebrae. There are mild facet joint degenerative changes.
There is disc desiccation in the cervical disc levels. There is minimal posterior thecal indentation in C4-C5, C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis.
In the thoracic spine, there is a small area of focal bone edema anterior inferiorly in a mid thoracic vertebra and might be the cause of pain. In a level below that we find a mild posterior disc bulge. There is no spinal canal stenosis.
In lumbar vertebrae levels there are mild osteophytes. There is mild posterior listhesis of L3 over L4 vertebrae. There is disc desiccation in L3-L4, L4-L5 and L5-S1 disc levels.
There is minimal posterior disc bulge in L1-L2 and L4-L5 disc levels. There is mild posterior disc bulge in L2-L3 and L3-L4 disc levels and suspicious spinal canal stenosis. There is possible bilateral neural foramina compromise.
You are having features of mild degenerative changes in the spine and this is a difficult time to continue with out door activities due to pandemic. Please discuss with your doctors if you can be provided with physical therapy at home.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, Dr. Chail:
Thank you very much for your helpful information. Just another question, in the axial images "1 Thoracic and 17 Thoracic" the disk appears to have a bubble or little lump protruding off of it on the bottom left side, is this anything?
Thank you very much for your helpful information. Just another question, in the axial images "1 Thoracic and 17 Thoracic" the disk appears to have a bubble or little lump protruding off of it on the bottom left side, is this anything?
Hi, Dr. Chail:
Thank you very much for your helpful information. Just another question, in the axial images "1 Thoracic and 17 Thoracic" the disk appears to have a bubble or little lump protruding off of it on the bottom left side, is this anything?
Thank you very much for your helpful information. Just another question, in the axial images "1 Thoracic and 17 Thoracic" the disk appears to have a bubble or little lump protruding off of it on the bottom left side, is this anything?
Brief Answer:
It is a mild disc bulge in the thoracic disc level
Detailed Answer:
Hi,
Thanks for writing in to us.
The small area is a mild disc bulge in the thoracic disc level. It is not causing any serious problems. It cannot be cured completely. Physical therapy and avoiding heavy activities or stress on the spine can prevent further worsening.
Regards,
It is a mild disc bulge in the thoracic disc level
Detailed Answer:
Hi,
Thanks for writing in to us.
The small area is a mild disc bulge in the thoracic disc level. It is not causing any serious problems. It cannot be cured completely. Physical therapy and avoiding heavy activities or stress on the spine can prevent further worsening.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
It is a mild disc bulge in the thoracic disc level
Detailed Answer:
Hi,
Thanks for writing in to us.
The small area is a mild disc bulge in the thoracic disc level. It is not causing any serious problems. It cannot be cured completely. Physical therapy and avoiding heavy activities or stress on the spine can prevent further worsening.
Regards,
It is a mild disc bulge in the thoracic disc level
Detailed Answer:
Hi,
Thanks for writing in to us.
The small area is a mild disc bulge in the thoracic disc level. It is not causing any serious problems. It cannot be cured completely. Physical therapy and avoiding heavy activities or stress on the spine can prevent further worsening.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, Dr. Chail:
Thank you so much for the information, you are very helpful.
I asked a follow-up question in another thread about 15 minutes ago as I could not load more reports here.
Thank you so much for the information, you are very helpful.
I asked a follow-up question in another thread about 15 minutes ago as I could not load more reports here.
Hi, Dr. Chail:
Thank you so much for the information, you are very helpful.
I asked a follow-up question in another thread about 15 minutes ago as I could not load more reports here.
Thank you so much for the information, you are very helpful.
I asked a follow-up question in another thread about 15 minutes ago as I could not load more reports here.
Brief Answer:
There is thickening of ligamentum flavum as mentioned in reply to follow up
Detailed Answer:
Hi,
Thanks for writing in to us.
I have sent a reply to the follow up asked.
Regards,
There is thickening of ligamentum flavum as mentioned in reply to follow up
Detailed Answer:
Hi,
Thanks for writing in to us.
I have sent a reply to the follow up asked.
Regards,
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
There is thickening of ligamentum flavum as mentioned in reply to follow up
Detailed Answer:
Hi,
Thanks for writing in to us.
I have sent a reply to the follow up asked.
Regards,
There is thickening of ligamentum flavum as mentioned in reply to follow up
Detailed Answer:
Hi,
Thanks for writing in to us.
I have sent a reply to the follow up asked.
Regards,
Above answer was peer-reviewed by :
Dr. Kampana
Hi Dr. Chail:
I responded with follow-up questions in the other thread.
Thank you so much for all of your help.
I responded with follow-up questions in the other thread.
Thank you so much for all of your help.
Hi Dr. Chail:
I responded with follow-up questions in the other thread.
Thank you so much for all of your help.
I responded with follow-up questions in the other thread.
Thank you so much for all of your help.
Brief Answer:
Please confirm the area marked in the picture mentioned in the reply sent
Detailed Answer:
Hi,
Thanks for writing in to us.
Please find reply sent to the questions.
Regards,
Please confirm the area marked in the picture mentioned in the reply sent
Detailed Answer:
Hi,
Thanks for writing in to us.
Please find reply sent to the questions.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Please confirm the area marked in the picture mentioned in the reply sent
Detailed Answer:
Hi,
Thanks for writing in to us.
Please find reply sent to the questions.
Regards,
Please confirm the area marked in the picture mentioned in the reply sent
Detailed Answer:
Hi,
Thanks for writing in to us.
Please find reply sent to the questions.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, Dr. Chail:
Thank you again for your help I really appreciate it.
I responded with follow-up questions in the other thread.
Thank you again for your help I really appreciate it.
I responded with follow-up questions in the other thread.
Hi, Dr. Chail:
Thank you again for your help I really appreciate it.
I responded with follow-up questions in the other thread.
Thank you again for your help I really appreciate it.
I responded with follow-up questions in the other thread.
Brief Answer:
There are degenerative disc changes and L3-L4 disc protrusion
Detailed Answer:
Hi,
Thanks for writing in to us.
There are degenerative disc changes and L3-L4 disc protrusion.
Reply is sent to the follow up.
Regards,
There are degenerative disc changes and L3-L4 disc protrusion
Detailed Answer:
Hi,
Thanks for writing in to us.
There are degenerative disc changes and L3-L4 disc protrusion.
Reply is sent to the follow up.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
There are degenerative disc changes and L3-L4 disc protrusion
Detailed Answer:
Hi,
Thanks for writing in to us.
There are degenerative disc changes and L3-L4 disc protrusion.
Reply is sent to the follow up.
Regards,
There are degenerative disc changes and L3-L4 disc protrusion
Detailed Answer:
Hi,
Thanks for writing in to us.
There are degenerative disc changes and L3-L4 disc protrusion.
Reply is sent to the follow up.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi again Dr. Chail:
I have one more lumbar question, I attached the image titled "Lumbar with red circle", the area in question in circled in red; I asked the follow up question in a new thread.
Thanks so very much, you are very helpful.
I have one more lumbar question, I attached the image titled "Lumbar with red circle", the area in question in circled in red; I asked the follow up question in a new thread.
Thanks so very much, you are very helpful.
Hi again Dr. Chail:
I have one more lumbar question, I attached the image titled "Lumbar with red circle", the area in question in circled in red; I asked the follow up question in a new thread.
Thanks so very much, you are very helpful.
I have one more lumbar question, I attached the image titled "Lumbar with red circle", the area in question in circled in red; I asked the follow up question in a new thread.
Thanks so very much, you are very helpful.
Hi again, Dr. Chail:
In the other most recent question thread... I attached two images:
"1 throat with yellow circles" and "2 throat with green circles", the area in question is circled in yellow and green.
Thank you so very much for all of your help.
In the other most recent question thread... I attached two images:
"1 throat with yellow circles" and "2 throat with green circles", the area in question is circled in yellow and green.
Thank you so very much for all of your help.
Hi again, Dr. Chail:
In the other most recent question thread... I attached two images:
"1 throat with yellow circles" and "2 throat with green circles", the area in question is circled in yellow and green.
Thank you so very much for all of your help.
In the other most recent question thread... I attached two images:
"1 throat with yellow circles" and "2 throat with green circles", the area in question is circled in yellow and green.
Thank you so very much for all of your help.
Brief Answer:
The prevertebral area and the voice box are visualised in the throat
Detailed Answer:
Hi,
Thanks for writing in to us.
The prevertebral area and the voice box are visualised in the recent images of the throat.
Regards,
The prevertebral area and the voice box are visualised in the throat
Detailed Answer:
Hi,
Thanks for writing in to us.
The prevertebral area and the voice box are visualised in the recent images of the throat.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
The prevertebral area and the voice box are visualised in the throat
Detailed Answer:
Hi,
Thanks for writing in to us.
The prevertebral area and the voice box are visualised in the recent images of the throat.
Regards,
The prevertebral area and the voice box are visualised in the throat
Detailed Answer:
Hi,
Thanks for writing in to us.
The prevertebral area and the voice box are visualised in the recent images of the throat.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi again, Dr. Chail:
In the other most recent question thread... I asked a follow-up question and attached 3 images:
"3 Front of throat with yellow circle"
"4 Front of throat with yellow circle"
"5 Font of throat with yellow circles"
Thank you very again much for all of your help.
In the other most recent question thread... I asked a follow-up question and attached 3 images:
"3 Front of throat with yellow circle"
"4 Front of throat with yellow circle"
"5 Font of throat with yellow circles"
Thank you very again much for all of your help.
Hi again, Dr. Chail:
In the other most recent question thread... I asked a follow-up question and attached 3 images:
"3 Front of throat with yellow circle"
"4 Front of throat with yellow circle"
"5 Font of throat with yellow circles"
Thank you very again much for all of your help.
In the other most recent question thread... I asked a follow-up question and attached 3 images:
"3 Front of throat with yellow circle"
"4 Front of throat with yellow circle"
"5 Font of throat with yellow circles"
Thank you very again much for all of your help.
Brief Answer:
Prevetebral soft tissues and vertebral artery
Detailed Answer:
Hi,
Thanks for writing in to us.
Prevetebral soft tissues and vertebral artery are visualized in the recent images.
Regards,
Prevetebral soft tissues and vertebral artery
Detailed Answer:
Hi,
Thanks for writing in to us.
Prevetebral soft tissues and vertebral artery are visualized in the recent images.
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Prevetebral soft tissues and vertebral artery
Detailed Answer:
Hi,
Thanks for writing in to us.
Prevetebral soft tissues and vertebral artery are visualized in the recent images.
Regards,
Prevetebral soft tissues and vertebral artery
Detailed Answer:
Hi,
Thanks for writing in to us.
Prevetebral soft tissues and vertebral artery are visualized in the recent images.
Regards,
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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