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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for arm numbness and whiplash injury

I had a motor vehicle accident approximately 3 years ago (I was the front passenger). I attended physio for approximatley 6 months due to upper arm numbness and whiplash (main impact to left hand side of neck). The numbness did subside and I ceased treatment. For the past two years I have woken at night with arm numbness, can not sit in positions that weight bear on either shoulder for more than 5 minutes without feeling discomfort. I had a MRI a few weeks ago and the results indicate degenerative changes in the mid-cervical spine with loss of the mid-cervical lordosis. C2/3 has disc desiccation with slight generalised disc bulge & mild right facet arthropathy. C4/5 has a mild generalised disc bulge and minimal indentation of the anterior thecal sac. C5/6 is disc desiccation with mild generalised disc bulge. A 2 to 3mm midline posterior disc bulge slightly indents the anterior aspect of the thecal sac. There is minor bilateral facet arthropathy. Minimal uncovertebral spurring without neural impingement. C6/7 minimal disc desiccation but no focal disc protrusion was identified. C7/T1 normal disc contour, height and signal is preserved. There is minor bilateral facet arthropathy. The overall comment was: Minimal degenerative change at a number of levels with slight indentation of the anterior thecal sac at C5/6 but no significant canal stenosis, foraminal narrowing or neural impingement is seen. Early facet arthropathy at C5/6 and C7/T1. Can you advise if these problems were as a result of the whiplash injury or are they just age wear and tear of the body - I am 41 years old and never had a neck or back problem prior to the mv accident. Thank you
Thu, 19 Feb 2015
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Orthopaedic Surgeon 's  Response
Dear patient
All of your present symptoms might ne due to motor vehicle accident and injury to cervical spine which acceleration of degenerative changes. Your mri is also suggestive of disc generation with facetal arthropathy at multiple levels. Since its already 3 years post injury and still you are experiencing numbness in arms current treatment recommend is injection of epidural kenocort. It relieves inflammation and reduces swelling around nerve roots and stabilises them. It's very effective in reducing numbness and pain. So need to consult pain specialist nearby you and get yourself examined and ask for epidural injection. All the best.
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Suggest treatment for arm numbness and whiplash injury

Dear patient All of your present symptoms might ne due to motor vehicle accident and injury to cervical spine which acceleration of degenerative changes. Your mri is also suggestive of disc generation with facetal arthropathy at multiple levels. Since its already 3 years post injury and still you are experiencing numbness in arms current treatment recommend is injection of epidural kenocort. It relieves inflammation and reduces swelling around nerve roots and stabilises them. It s very effective in reducing numbness and pain. So need to consult pain specialist nearby you and get yourself examined and ask for epidural injection. All the best.