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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done Neck MRI. Pain From Neck To Arm. History Of MS. Could You Explain Report?

I recently had MRI done of my neck due to pain to rt arm s/p fall. Pain has increased to my neck and travels down to hand of rt arm. I have a history of MS and my MRI states as follows: c2-3 no significant disk protrusion canal or foraminal comprimise demonstrated c3-4 there is disk protrusion with extension into the canal.This is most marked centrally in the right paramedian area. There is compression of the thecal sac . No significant cord compression ot foraminal compromise dem. c4-5 no significant disk protusion canal or forminal compromise noted. c5-6 There is an area this space. Very mild diffuse disk protrusion noted. No significant canal or forminal compromise demonstrated, c6-7 There is disk protrusion of moderate degree which extends into the canal and there is compression if the thecal sac. There may bemild spinal cord compression centrally and in the left paramedian area. Minimal compromise neural formina to the left. No abnormality of the right. c7-t1 No significant disk protrusion canal ot foraminal compromise. Impression: Narrow canal and degenerative disease as described in greater detail oer level above. Magnectic resonance if the cervical spine demonstrates no other definite significant abnormality. There is minimal increased signal superior aspect of l4. this may reflect degenratinve disk disease,Is narrow on about no basis, The spinal cord demonstrates no intrinsic abnormality. There is an area of increased signal posterir to c2 within the spinal cord which may be artifacutal related to dental work. No abnormailties indentified at craniovertebral junction. There is a degree of straightening of normal lordotic curve. Sorry so long but I am concerned and not sure if I should be could you please explain this to me.
Thu, 6 Dec 2012
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As I went through your MR report and correlate with your clinical symptoms it implies that you have degenerative change (that is age related)
As you have disk c5-6 and C6-7 that demonstrates disk protrusion,This is not harmful as long as it does not compress thecal sac but in C6-7 there is significant disk protrusion that causes compression of thecal sac that results in the symptoms that you are feeling eg pain in the neck that travels down to right arm.
If the pain keeps on increasing and does not respond to conventional medication you should consult a spine surgeon who can suggest you surgical intervention and that may alleviate the symptoms.
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Done Neck MRI. Pain From Neck To Arm. History Of MS. Could You Explain Report?

As I went through your MR report and correlate with your clinical symptoms it implies that you have degenerative change (that is age related) As you have disk c5-6 and C6-7 that demonstrates disk protrusion,This is not harmful as long as it does not compress thecal sac but in C6-7 there is significant disk protrusion that causes compression of thecal sac that results in the symptoms that you are feeling eg pain in the neck that travels down to right arm. If the pain keeps on increasing and does not respond to conventional medication you should consult a spine surgeon who can suggest you surgical intervention and that may alleviate the symptoms.