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I Have A Lot Of Degenerative Disease In Neck Most

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Posted on Sun, 28 Apr 2019
Question: I have a lot of degenerative disease in neck most at C 3 or 4. I have had a dull ache on and off deep in shoulder with occasional pain between ribs just under breast and sometimes at back just under scapula in same plane as front. I also had frozen shoulder about 6 years ago same side. What do you think causes the shoulder ache and other pains I described which all come and go throughout the day. Pain more of an ache and 3 or 4 on scale of 10
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Follow up: Dr. Dr. Praveen Tayal (0 minute later)
I have a lot of degenerative disease in neck most at C 3 or 4. I have had a dull ache on and off deep in shoulder with occasional pain between ribs just under breast and sometimes at back just under scapula in same plane as front. I also had frozen shoulder about 6 years ago same side. What do you think causes the shoulder ache and other pains I described which all come and go throughout the day. Pain more of an ache and 3 or 4 on scale of 10
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Follow up: Dr. Dr. Praveen Tayal (0 minute later)
Neck moderate to severe with spurs spondylitis and some minor bulges
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Follow up: Dr. Dr. Praveen Tayal (0 minute later)
Neck moderate to severe with spurs spondylitis and some minor bulges
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Follow up: Dr. Dr. Praveen Tayal (4 hours later)
Comparison: 6/10/17.

Procedure Comments: MRI of the cervical spine was performed without
intravenous contrast.

Findings:

Alignment: Mild reversal the normal cervical lordosis.

Bone marrow: Normal for age.

Vertebrae: Degenerative changes are seen at the atlantoaxial articulation.

C2-C3: Posterior disc bulges seen asymmetric towards the left with left
greater than right uncovertebral arthrosis and mild bilateral neural foraminal
stenosis. AP thecal sac diameter measures 8-9 mm.

C3-C4: Posterior disc osteophyte complex with uncovertebral and facet
arthrosis. 4 mm AP this diameter appears without significant change. Some
subligamentous extension of the disc material is seen. Moderate bilateral
neural foraminal stenosis. AP thecal sac diameter is 8 mm not significantly
changed.

C4-C5: Diffuse posterior disc osteophyte complex with partial effacement of
the ventral subarachnoid space. Uncovertebral and facet arthrosis. Mild
bilateral neural foraminal stenosis. AP thecal sac diameter measures 9 mm.

C5-C6: Posterior disc osteophyte complex is seen asymmetric in the midline and
to the left of the midline measuring up to 2 mm in thickness. AP thecal sac
diameter is 10 mm. Uncovertebral and facet arthrosis is seen. Moderate left and
mild right neural foraminal stenosis.

C6-C7: Mild diffuse disc bulge with uncovertebral arthropathy. Moderate right
and mild left neural foraminal stenosis.

C7-T1: No spinal canal or neural foraminal stenosis.

Cord: Normal.

Extra-vertebral soft tissues: Normal.

Visualized brain: Normal.

Additional comment: None.

IMPRESSION:

1. Multilevel degenerative disc disease appears without significant change
since 6/10/2017. This is most significant at the C3-4 level

default
Follow up: Dr. Dr. Praveen Tayal (0 minute later)
Comparison: 6/10/17.

Procedure Comments: MRI of the cervical spine was performed without
intravenous contrast.

Findings:

Alignment: Mild reversal the normal cervical lordosis.

Bone marrow: Normal for age.

Vertebrae: Degenerative changes are seen at the atlantoaxial articulation.

C2-C3: Posterior disc bulges seen asymmetric towards the left with left
greater than right uncovertebral arthrosis and mild bilateral neural foraminal
stenosis. AP thecal sac diameter measures 8-9 mm.

C3-C4: Posterior disc osteophyte complex with uncovertebral and facet
arthrosis. 4 mm AP this diameter appears without significant change. Some
subligamentous extension of the disc material is seen. Moderate bilateral
neural foraminal stenosis. AP thecal sac diameter is 8 mm not significantly
changed.

C4-C5: Diffuse posterior disc osteophyte complex with partial effacement of
the ventral subarachnoid space. Uncovertebral and facet arthrosis. Mild
bilateral neural foraminal stenosis. AP thecal sac diameter measures 9 mm.

C5-C6: Posterior disc osteophyte complex is seen asymmetric in the midline and
to the left of the midline measuring up to 2 mm in thickness. AP thecal sac
diameter is 10 mm. Uncovertebral and facet arthrosis is seen. Moderate left and
mild right neural foraminal stenosis.

C6-C7: Mild diffuse disc bulge with uncovertebral arthropathy. Moderate right
and mild left neural foraminal stenosis.

C7-T1: No spinal canal or neural foraminal stenosis.

Cord: Normal.

Extra-vertebral soft tissues: Normal.

Visualized brain: Normal.

Additional comment: None.

IMPRESSION:

1. Multilevel degenerative disc disease appears without significant change
since 6/10/2017. This is most significant at the C3-4 level

doctor
Answered by Dr. Dr. Praveen Tayal (4 hours later)
Brief Answer:
Can be due to frozen shoulder.

Detailed Answer:
Hello,
Thanks for posting your query.
The pain under the scapula and between the ribs that you have can be related to muscle spasm or frozen shoulder or rotator cuff tendonitis. The spondylottic changes in the cervical spine are minimal and are not likely to cause the pain that you are having.
You need to get an MRI scan done which is a more sensitive test for soft tissue and muscular injuries. An Orthopedician is the best person to be consulted.

Here are some general treatment measures which you can follow:

1) Provide complete rest and avoid overhead activities.
2) Apply cold compresses and take some anti inflammatory pain killer after consulting your doctor. 

You may also need an oral muscle relaxant for relief.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dr. Praveen Tayal (0 minute later)
Brief Answer:
Can be due to frozen shoulder.

Detailed Answer:
Hello,
Thanks for posting your query.
The pain under the scapula and between the ribs that you have can be related to muscle spasm or frozen shoulder or rotator cuff tendonitis. The spondylottic changes in the cervical spine are minimal and are not likely to cause the pain that you are having.
You need to get an MRI scan done which is a more sensitive test for soft tissue and muscular injuries. An Orthopedician is the best person to be consulted.

Here are some general treatment measures which you can follow:

1) Provide complete rest and avoid overhead activities.
2) Apply cold compresses and take some anti inflammatory pain killer after consulting your doctor. 

You may also need an oral muscle relaxant for relief.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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I Have A Lot Of Degenerative Disease In Neck Most

I have a lot of degenerative disease in neck most at C 3 or 4. I have had a dull ache on and off deep in shoulder with occasional pain between ribs just under breast and sometimes at back just under scapula in same plane as front. I also had frozen shoulder about 6 years ago same side. What do you think causes the shoulder ache and other pains I described which all come and go throughout the day. Pain more of an ache and 3 or 4 on scale of 10