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    What causes minor pains in the cervical area?

Posted on Tue, 25 Jul 2017 in Bones, Muscles and Joints
Question: Costis has minor pains in the cervical region. He can do all daily activities without a problems. He jogs one hour every day.

1) What is your opinion on the MRI of the cervical and lumbar region?

2) What is your opinion on the presence of a cyst in the liver?

3)What is your opinion on the presence of a cysts in the kidneys?

since i cannot upload the mri i sent it in this way.

•Lesions of chronic spondyloarthropathy in the neck with degeneration of the discs, development of osteophytes and straining(straightening) of cervical curvature
•Posterior right projection of diskosterophilic material in the C5-C6 interval exerts focal pressure on the spinal cord and the C6 right-hand root, while the width of the vertebral canal and the right lateral foramen is reduced. Despite the absence of gross signal lesion in the spinal cord, the probability of onset of myelopathy can not be ruled out. (NeuroSURGEON EVALUATION NEEDED.)
•The central projection of discosterophilic material in the C4-C5 interval exerts less pressure on the spinal cord, eliminating the anterior epidural space.
•In the lumbar region, there are again spikes of chronic spondyloarthropathy with a picture of degeneration and active inflammation predominantly in the OUTGROWTH vertebral joints.
•Concentrated rear projection of the fibrous ring of the discs at L1-L2-L3 (predominantly) and L3-L4, exerts moderate pressure on the meninges bag. The condition is more intense in the L3-L4 interval from the beginning of the central hernia of the disc with anterior suture of the sac
•Roughing of the fibrous ring of the discs on multiple planes, the larger one at the L4-L5 space, on the right rear side space, without a hernia development at the present stage.
•The end of the medulla cone is controlled at the height of the vertebra L1
•Small hemangioma in the body of the vertebral L3
•Alteration in the right liver lobe 2.3 cm (CYST)
•Small rectal cysts in the kidneys, particularly left
Answered by Dr. Mahaveer Patil 58 minutes later
Brief Answer:

Detailed Answer:

Thank you for posting the question.
I have gone through your medical history and the reports in detail.

1.There are intervertebral disc prolapses at cervical (neck region).One of them is causing significant nerve root and spinal cord compression.

2.At the lumbar (lower back level)-multiple disc prolapses are noted in similar fashion.These are more of a degenerative disc lesions which are expected at this age.

If the symptoms of pain and neuropathy are severe,then it is better to get decompressive surgery done at the disc prolapse levels.An endoscopic spine surgery by a skilled neurosurgeon would be a better option than an open surgery.

Physiotherapy and rehabilitation exercises would be helpful.

3.Small hemangioma in the body of the vertebral L3- is an incidental finding and seems to be least significant.

4.Alteration in the right liver lobe 2.3 cm (CYST)- needs consideration, may be a hemangioma,or a simple liver cyst or an amoebic cyst.Confirmation can be done by a CT guided biopsy and histopathology.

5-Small rectal cysts in the kidneys, particularly left-If the renal functions and urine output is normal,then these cysts can be ignored.Consult a urologist to see if this needs further evaluation in the form of biopsy and other kidney function tests.

I hope the answer was useful.

Feel free to ask me any follow up queries that you may have.

Thank you.
Best wishes.

Above answer was peer-reviewed by : Dr. Nagamani Ng
Answered by
Dr. Mahaveer Patil

Orthopaedic Surgeon

Practicing since :2002

Answered : 1209 Questions


The User accepted the expert's answer

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