Suggest treatment for chronic spine pain
Slip disc. Needs Pregabalin
Thanks for the query.
I think you are experiencing radiculopathy symptoms and you may benefit from Tablet Pregabalin 75mg twice a day for 2 months. Physiotherapy must continue. Avoid forward neck bending and lifting weights.
If you could detail the MRI Report more specifically it would be helpful.
I hope I have answered your answered your query.
I will be available to answer your follow up queries.
Dr. Aashish Raghu
4/21/16 MRI CERVICAL SPINE WITHOUT CONTRAST
CLINICAL STATEMENT: Cervicalgia
TECHNIQUE: T1 sagittal, STIR sagittal, T2 gradient axial, T2 sagitta obtained.
COMPARISON: Prior x-ray cervical spine dated 04/13/2016
FINDINGS: Reversal of lordosis. No evidence of fracture. The paravertebral and paraspinous soft tissues are unremarkable.
Spinal cord: Normal in caliber and signal
C2/3: No evidence of disc bulging or posterior element hypertrophy. No central canal or neural foraminal stenosis.
C3/4: 1 mm posterior disc bulge without central canal or eural foraminal stenosis.
C4/5: 2.5 mm posterior osteophyte complex producing mild central canal stenosis. Moderate biateral neural foraminal stenosis due to uncinate hypertrophy and facet spurring.
C5/6: Disc dessication with loss of height. 4 mm posterior disc osteophyte complex indenting ventral surface of thecal sac producing moderate central canal stenosis. Moderate to severe right and severe left neural foraminal stenosis due to uncinate hypertrophy and facet spurring.
C6/7: 3.5 mm posterocentral disc osteophyte complex indenting the ventral surface of thecal sac producing mild to moderate central canal stenosis. Mild right neural foraminal stenosis.
C7/T1: 1 mm posterior disc bulge without central canal or neural foraminal stenosis
IMPRESSION: Multilevel disc disease and posterior element hypertrophy causing central canal and neural foraminal stenosis as detailed above.
I stopped by imaging place and received the above transcribed report. What are your thoughts based on this additional information? I have a great deal of muscle tension on the left side of my neck (cords and knots are felt) down through the trap muscle and under my scapula. This is a almost daily occurance and only can be mitigated through deep tissue massage, otherwise the pain increases.
CORRECTION TO C6/7:
3.5 mm posterocentral disc osteophyte complex indenting the vventral surface of thecal sac producing mile to moderate central canal stenosis. Mild right neural oraminal stenosis due to uncinate hypertrophy and facet spurring.
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