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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does MRI Results Of Neural Foraminal Stenosis Mean?

I had a c6-c7 spinal fusion August 2012 and still having problems with headaches, neck and shoulder pain. Recent MRI shows Postsurgical changes. Mild to moderate left neural foraminal stenosis secondary to uncovertebral/facet hypertrophy. What does this mean? Is this my condition after surgery?
Tue, 1 Apr 2014
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Neurologist, Surgical 's  Response
Hi, I'm so sorry to hear about your pain and the fact that the surgery doesn't seem to have helped as anticipated.

"Mild to moderate left neural foraminal stenosis secondary to uncovertebral/facet hypertrophy."

A neural foramen is a medical term for the tiny canal that spinal nerves use to escape from the spinal coloumn and travel through the body to the area that they serve. It's just a canal.

In this case the canal is being narrowed by an overgrowth of the 'facets' or bones that stick out from the vertebrae and connect one vertebra with another at the back of the spine.

This commonly happens in arthritis affecting the spine. There are several ways of dealing with this this issue.. not the least of which is another surgery (but i'm not saying that needs to happen)

What I would do is take the MRI report back to your Neurosurgeon (or Orthopedic Spine surgeon) and discuss the issue with them. They will do a complete neurological exam and check if that spinal nerve is truly being affected by the narrowing and is causing your issues.

I hope this helps. Feel free to use our "Ask a specialist" option and discuss this issue with me or any of the other Neuro or Spine guys at HealthCareMagic.com
We may be able to help you understand whats going on in a bit more detail.

Take care and thanks for coming to HealthCareMagic.com

Vin
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What Does MRI Results Of Neural Foraminal Stenosis Mean?

Hi, I m so sorry to hear about your pain and the fact that the surgery doesn t seem to have helped as anticipated. Mild to moderate left neural foraminal stenosis secondary to uncovertebral/facet hypertrophy. A neural foramen is a medical term for the tiny canal that spinal nerves use to escape from the spinal coloumn and travel through the body to the area that they serve. It s just a canal. In this case the canal is being narrowed by an overgrowth of the facets or bones that stick out from the vertebrae and connect one vertebra with another at the back of the spine. This commonly happens in arthritis affecting the spine. There are several ways of dealing with this this issue.. not the least of which is another surgery (but i m not saying that needs to happen) What I would do is take the MRI report back to your Neurosurgeon (or Orthopedic Spine surgeon) and discuss the issue with them. They will do a complete neurological exam and check if that spinal nerve is truly being affected by the narrowing and is causing your issues. I hope this helps. Feel free to use our Ask a specialist option and discuss this issue with me or any of the other Neuro or Spine guys at HealthCareMagic.com We may be able to help you understand whats going on in a bit more detail. Take care and thanks for coming to HealthCareMagic.com Vin