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Old 05-04-2015, 04:17 PM
Dubious Dubious is offline
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Join Date: Jan 2009
Location: Paradise
Posts: 855
15 yr Member
Dubious Dubious is offline
Member
 
Join Date: Jan 2009
Location: Paradise
Posts: 855
15 yr Member
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Quote:
Originally Posted by Euclid View Post
I had this done on Friday and got the report on my own. Doctor hasn't looked at it yet.

I've been having some tingling and twitching in left hand off and on... forearm on left also is tight, as is the shoulder, and neck as a whole aches, my headaches are mostly left sided. I also feel like there's a tight band around forehead at times.

Anyway, here's the conclusion:

CONCLUSION:

Diffuse cervical degenerative changes with a reversed lordosis in the neutral position and the following specific findings:

1. C6-7 2 mm AP left posterolateral disc herniation and endplate/unconvertebral spur causing moderate to severe left proximal foraminal stenosis with left C7 impingement.

2. C5-C6 moderate disc degeneration and mild right ventral cord flattening without central canal stenosis.

3. C2-3 mild to moderate left chronic foraminal stenosis, and moderate left facet degeneration. 1-2 mm spondylolisthesis in the neutral position, reduced in extension.

4. No acute fracture or destructive osseous lesion.

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What does that generally mean and will physical therapy only help this? I am terrified of surgery. My body doesn't do well with any sort of anesthetic. I guess what I'm wondering is what does this basically say is going on with me and is it something I need surgery for sure or can we try conservative treatment first?

Thanks!
Hi,

No one can say if you need surgery or not without a history, knowing your subjective complaints and evaluating consistency with pertinent clinical exam findings. You may need surgery, or on the other hand your body may be well compensated. I would see a spine-fellow ortho or neurosurgeon, possibly get elecrodiagnostic tests (EMG/NCV) and dependant upon all considered, you may require conservative management, ESI or possibly decompressive surgery. But before any of that, you need someone to put the whole package together for you. Good luck!
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