What Do These Attached Reports Of Cervical Area Indicate?
Improvement is there.
Detailed Answer:
Hello,
Thanks for posting your query.
I have seen both the attached reports. There is some improvement over 4 months. The cervical canal compression at the level of C4-C5 is reduced now. You must be feeling symptomatically better now. Do continue with the physiotherapy. Using a cervical collar can also help. In case there is persistent severe pain that is not relieved with medicines then surgical fixation m,ay be considered.
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
do you think that this would need surgical intervention? and what type..i am concerned..what sort of condition if the disc C5C6? is there a lot of degeneration of this disc.thanks
Disc protrusion is at C5-C6.
Detailed Answer:
Hello.
Thanks for writing again.
The tightness in the arm can be due to slight nerve root compression. There is a mild disc protrusion at C5-C6 that shows an improvement.
The May scan is better than January scan.
The compression is due to disc and not due to osteophyte.
The protrusion at the thecal sac causes narrowing of the spinal canal causing a stenosis.
The degeneration is a mild one is improving on conservative treatment. Since the symptoms are mild there is no need to consider for surgery. Just continue with the physiotherapy and your symptoms will gradually improve.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Please note I have uploaded a slide from 2013 (February 2013). Has there much difference here..between the three...is it possible for that herniation to heal..would it not be safer to operate now (has not been offered). I am afraid I could get nerve damage in the arms from the squeezed feeling...thaniks
I meant to ask.. I still have whiplash after the accident.. is there any evidence of whiplash on my scan. thanks
Details below.
Detailed Answer:
The protrusion is close to the cord but not dangerous. It can improve further with treatment you are getting and physiotherapy.
Ultrasound treatment can help in reducing pain.
Yes, This condition is called spinal canal stenosis.
Your surgeon has suggested you correctly. No active intervention is needed right now since you are improving.
The squeezing feeling is just due to minor compression. It is not likely to cause a nerve damage. The herniation can heal with time or at least should not progress further with regular physiotherapy. Regarding the images of 2013 scan, we need longitudinal sections also for proper assessment.
No evidence of whiplash has been seen on this scan.
Regards.
Is the spinal canal stenosis bad or is it been caused by the t he herniation..can other stuff show up later as a result of the crash? Are injections advisable. I read that spinal canal stenosis can not be reversed. When it says broad based protrusion.. what does this mean..what does c6 c7 looked like.. would you guess that the arm pain (stiffness) is coming from the canal narrowing. Is it safe to use those arms in activies like swimming. I am not working and rarely use the computer... is my degenerative condition very bad..thanks
Stenosis is a mild one.
Detailed Answer:
It depends on the degree of stenosis. In your case it is a very mild one and the chances of complete compression of the spinal cord are minimal. Also you are improving with treatment.
Do not read too much online. Self diagnosis like this can add to your anxiety.
The effect of crash are not likely to show up later. Injections are not needed right now if there is no severe pain.
The stenosis is difficult to reverse but we can retard the further progression. C6-C7 is almost normal. There can be nerve compression due to a soft tissue swelling around the nerve root. Taking methylcobalamin supplements will help.
You can do arm exercises like swimming and aerobics. Your condition is not so bad. Please do not worry. You are getting the right treatment and you will improve soon.
Regards.
always a worry...if surgery was contemplated..is it successful..? can herniations like what I have got heal on their own..can the soft tissue swelling improve..
thanks so much .. I am finding you very helpful..have you seen scans much worse than this.. is that c5c6 disc in a bad way..i would imagine surgery is the last resort.i attend physio regularily
I meant to ask is the stenosis just in that specific area...? or is it all over the neck area
thanks alot
Do not be so anxious. Just relax.
Detailed Answer:
Surgery is usually successful but in your case since it is just a mild prolapse, surgery is not needed.
The soft tissue swelling can improve with anti inflammatory medicines and a hot compress.
I do come across many worse scans in my daily practice. Do continue with physiotherapy and you will improve. The stenosis is only on the focal area.
Regards.
Can eb due to a soft tissue swelling.
Detailed Answer:
The compression seems to be 7-8 mm. A nerve root decompression surgery can help. But if it is due to a soft tissue swelling then surgery will not help you much.
Regards.
Yes. It can improve.
Detailed Answer:
Yes. The swelling improves after taking anti inflammatory medicines and hot compress done regularly.
Regards.