Quote:
Originally Posted by aneczka
Hi Chloe,
I've found a place which does positional MRI (if that's what you mean) here in Greece. How did they do it for you? Did you just stand without moving, or did you move? "extension and flexion" sounds like actively moving.
Did CT scan show anything in your case?
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aneczka,
There is an article written by Dr. Andrew Holman of Pacific Rheumatology Associates...the article was written in 2008 however when I corresponded with him, he stated the protocol for how the MRI is done is still valid as what was done then.
When you do you search, type in "Andrew Holman and positional cord compression" and numerous sites will come up...click on the one titled " 2008 J Pain PC3 article-Pacific Rheuatology Associates Inc. PS....", this explains the information on his research of treating actually Fibromyalgia Patients and how it was discovered that MRI's done showed compression of the spinal cord done on flexion & extension views not seen on neutral position views.....these results were calculated based on a measurement that would be done by radiologist when they review those images. Table 1 will show the protocol that should be followed by.
When I had mine done I was laying down and there were cushion & pillows placed under my upper back to raise that area so my neck & head would bend back for the extension images and pillows placed so I was able to push my head to my chest comfortably for the flexion images. My report results did not show the "measurements" done by the radiologist so not sure how the accuracy of the findings relates other than "near abutment" sounds like a possible problem to me!
Have started seeing a Doctor close to where I live here in the U.S. as Seattle, Wasghington is not close to where I live. He is also a Rheuamtologist as well as an Internist & Pain Managment Doctor. Just had an EMG done of my legs and the Neurologist, in the same office, saw no pheripheral neuroapthy or muscle fiber disorder....I feel he needs to see my MRI images & report because I really think that there is something causing my symptoms that is related to possible cervical spinal compression......when I brought that up to him he did not seem to be really interested..... just might have to go through the Rheumy, he is a bit more receptive to listening to my concerns.
Hope this info helps for your situation
chloecasey