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Suggest Treatment For Disc Displacement At C3-C4 And C5-C6 Level
1. Mild loss of normal cervical lordosis with multilevel disc displacements c
C3-4 through C7-t1 most pronounced for a leftward radiculopathy at C7-T1, a left paracentral and proximal foraminal protrusion/extrusion abuts and flattens the left paracentral cord resulting in borderline mild central canal stenosis with narrowing of the proximal foraminal entrance and abutment of the existing left C8 nerve root.
2. Additionally at C6-7 where a broad based central/left paracentral protrusion abuts and flattens the ventral cord resulting in borderline mild central canal stenosis. Moderate to severe left foraminal narrowing secondary to uncinate hypertrophy with abutment of the exiting left C7 nerve root.
3. Shallow broad based disc displacement C3-4 without cord compression or central canal stenosis. Mild left foraminal narrowing with abutment of the exiting left C4 nerve root.
4. Central protrusion C4-5 abuts and mildly flattens the ventral cord.
5. Shallow broad based disc displacement C5-6 eccentric to the right with borderline mild central canal stenosis without cord compression.
C3-4 through C7-t1 most pronounced for a leftward radiculopathy at C7-T1, a left paracentral and proximal foraminal protrusion/extrusion abuts and flattens the left paracentral cord resulting in borderline mild central canal stenosis with narrowing of the proximal foraminal entrance and abutment of the existing left C8 nerve root.
2. Additionally at C6-7 where a broad based central/left paracentral protrusion abuts and flattens the ventral cord resulting in borderline mild central canal stenosis. Moderate to severe left foraminal narrowing secondary to uncinate hypertrophy with abutment of the exiting left C7 nerve root.
3. Shallow broad based disc displacement C3-4 without cord compression or central canal stenosis. Mild left foraminal narrowing with abutment of the exiting left C4 nerve root.
4. Central protrusion C4-5 abuts and mildly flattens the ventral cord.
5. Shallow broad based disc displacement C5-6 eccentric to the right with borderline mild central canal stenosis without cord compression.
Mon, 15 Sep 2014
Hi, welcome to our site. I am Dr Saumya Mittal, MD.
Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query
The treatment needed in your case would basically be surgical. There is no point in wasting too much time in medicines or physiotherapy. I think you should meet a neurosurgeon as soon as possible. the deficits may be more difficult to ease, and will take longer to go if the deficit lasts longer.
There is also temporary medical treatment in the form of pregabalin or gabapentin or methycobalamin> However this treatment is not expected to give much relief. Physiotherapy may in fact increase the symptoms if the practitioner is not too good. SO I think surgery is the best option available
Check sugars and TSH
I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.
I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.
Please do understand that some details could be extracted from a detailed history and examination.
Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query
The treatment needed in your case would basically be surgical. There is no point in wasting too much time in medicines or physiotherapy. I think you should meet a neurosurgeon as soon as possible. the deficits may be more difficult to ease, and will take longer to go if the deficit lasts longer.
There is also temporary medical treatment in the form of pregabalin or gabapentin or methycobalamin> However this treatment is not expected to give much relief. Physiotherapy may in fact increase the symptoms if the practitioner is not too good. SO I think surgery is the best option available
Check sugars and TSH
I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.
I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.
Please do understand that some details could be extracted from a detailed history and examination.
Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
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