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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following CT Scan Report Suggest?

I had a CT Scan due to some recent pain in my left arm from a c5-6 fusion done 4/3/2015. My CTScan from 3/24/17 Stated there has been some previous anterior fusion at C5-6.There are mild lucences adjacent to the vertebral body screw at C5. There is mild to moderate degenerative disc height loss at C5-6.
C4-5 There is a mild disc bulge. There is a facet and uncoverertabral, arthropathy causing severe bilateral foraminal stenosis.
Impression:
Degenerative changes of the cervical apine . Foraminal stenosis most severe C5-C6 Bilaterally followed by left C4-5. Anterior fusion at C5-6 . There are lucencies adjacent to the C5 vertabral body screw suggesting loosening
Wed, 12 Apr 2017
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General & Family Physician 's  Response
Hello Dear. The report suggest degenerative formainal stenosis. I will explain you what exactly is this condition.

Degenerative foraminal stenosis is a type of spine deterioration that is a common result of aging. Specifically, foraminal stenosis involves the narrowing of one or both of the canals around the vertebrae through which nerve roots are given space to branch off the spinal cord. As the foraminal canals become smaller, the resulting compression of spinal nerves is often a source of pain and other debilitating symptoms.

As the word “degenerative” indicates, foraminal stenosis is a condition that can appear gradually over time, as the diameter of the foramina slowly shrinks. Since a foraminal canal is already narrow, even slight changes in the spinal anatomy can result in nerve compression and foraminal stenosis symptoms. Common causes of this condition include:

1. Intervertebral discs that have bulged or ruptured
2. The presence of growths such as bone spurs or tumors
3. Soft tissue that has become swollen and misplaced
4. Spinal osteoarthritis

Treating degenerative foraminal stenosis often begins with conservative therapy to help reduce the pain and symptoms. Nonsurgical treatments can involve physical therapy, the application of heat and ice, and the use of painkillers or anti-inflammatory medications. Only in the event that the patient has not responded to nonsurgical treatments will other options be considered.

If you have undergone several months of conservative treatment that have yielded little to no pain relief, you should consider a surgical treatment for your condition.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini
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What Does The Following CT Scan Report Suggest?

Hello Dear. The report suggest degenerative formainal stenosis. I will explain you what exactly is this condition. Degenerative foraminal stenosis is a type of spine deterioration that is a common result of aging. Specifically, foraminal stenosis involves the narrowing of one or both of the canals around the vertebrae through which nerve roots are given space to branch off the spinal cord. As the foraminal canals become smaller, the resulting compression of spinal nerves is often a source of pain and other debilitating symptoms. As the word “degenerative” indicates, foraminal stenosis is a condition that can appear gradually over time, as the diameter of the foramina slowly shrinks. Since a foraminal canal is already narrow, even slight changes in the spinal anatomy can result in nerve compression and foraminal stenosis symptoms. Common causes of this condition include: 1. Intervertebral discs that have bulged or ruptured 2. The presence of growths such as bone spurs or tumors 3. Soft tissue that has become swollen and misplaced 4. Spinal osteoarthritis Treating degenerative foraminal stenosis often begins with conservative therapy to help reduce the pain and symptoms. Nonsurgical treatments can involve physical therapy, the application of heat and ice, and the use of painkillers or anti-inflammatory medications. Only in the event that the patient has not responded to nonsurgical treatments will other options be considered. If you have undergone several months of conservative treatment that have yielded little to no pain relief, you should consider a surgical treatment for your condition. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini