Will I need Surgery MRI Reading Help Please
 

MRI: Mild desiccation of the disc is apparent at C3/3.At C3/4, there appears to be a small right posterolateral disc osteophyte complex causing moderate narrowing of the right inter-vertebral neutral foramen. At C4/5, desiccation of the disc is present without disc herniation,spinal stenosis or nerve root compression, although there is some minimal right-sided foraminal narrowing due to disc osteophyte complex.

The C5/6 disc shows a broad-based right paracentral posterior disc herniation with compression of the thecal sac and spinal cord resulting in spinal stenosis with the AP mid-sagittal diameter of the spinal canal being narrowed to approximately 5mm, Myelomalacia is not clearly identified. The broad-based disc protrusion results in moderate to severe right lateral recess and foraminal stenosis as well which may result in right C6 radiculopathy and milder narrowing of the left lateral recess is also noted.

P.S. I have been off of work and I am very much pain.I live in Ontario and a good Neurologist appointment. is a 2-3 year wait. I believe the second paragraph would be the one giving me much grief. Does that one look like I would require surgery to fix? or would some sort of therapy fix it?

Thank you so much, this is my first post, and hope I did it correct,
Kim

Let me see if I can help in layman's language:

At C3-4 & C4-5 you have "drying out" of the discs (dessication) which means that the discs tend to flatten out and that makes them bulge and sometimes herniate. That also makes them push on nerves and that HURTS. Everyone has this, it's just some of us get it earlier than others.

At C3-4 you also have bone spurs which causes moderate narrowing of the neural foramen. The foramen is the hole which the nerves go thru to the spinal cord.

At C4-5 you have bone spurs which causes minimal neural narrowing of the neural foramen.

At C5-6 you have a herniation of the disc with compression of the thecal sac. The thecal sac is the membrane of dura matter that surrounds the spinal cord & the cauda equina. The thecal sac is filled with cerebral spiinal fluid. The disc also compresses the spinal cord resulting in spinal stenosis with the saggital diameter of the spinal canal being narrowed to approximately 5mm. The disc protrusion results in moderate to severe lateral recess and and foraminal stenosis (narrowing) which might result in right C6 radiculopathy (radiating pain).

What kind of symptoms are you having, i.e numbness, tingling, etc? From what I can tell (and I'M NO DOCTOR) I don't think you'd need surgery, but I would certainly get more than one opinion.

I think it's AWFUL that you have to wait that long just for an appointment! Our health system is screwed up for sure, but it's nothing like that! We can go to whomever we want, and all we have to do is call someone and get in within a matter of perhaps a 3-4 week period. But PLEASE if it's at ALL possible, make sure you get more than one opinion. And try ALL conservative methods before opting for surgery because surgery will NOT relieve all your pain. Surgery is ONLY for mechanical problems. The vast majority of times you will end up with the same pain or worse after surgery! I've had 3 spinal surgeries (one was a spinal cord stimulator implant) the other 2 were open spinal surgeries and I'm in worse shape now than before. In fact, I'm disabled now. :rolleyes: So try every thing you can before undergoing surgery.

Best of luck and God bless. Please let us know what happens, ok? We really care here! Hugs, Lee :)

I thank you very much for your help and prompt reply. My neck pain is very severe, and the intense pain has subsided for the time being. I believe this is an issue that stemmed back to 2002 and driving a forklift for over 10 years a CT scan cleared my neck at the time.I had much Chiropractic care that I believe help it lay dormant for this many years but still not diagnosed. The pain continued over the years pretty bad in my left shoulder and that is what the Doctors were concentrating on. I also unaware of from what suffered ear ringing, and swooshing,flash spot i see and my whole face gets sore,numbness on my left side and feet. I have been to the eye and ear Doctor with nothing wrong. Recently at the end of June, something brought out my disc pain very severe where I get intense waves of pain where it just hurts to move, hurts my both shoulders have radiating pain, my whole body,face,numbness on left side down to my feet,hurts to swallow and my throat makes my voice raspy. The intenseness has subsided but my neck is still very sore where I cannot work. My doctor did not recommend to me any therapy, he just said I need to see a Neurosurgeon. So, I gathered its pretty bad.I believe The CT scan of my neck way back was not 100% accurate and an MRI would have save me all these years of it getting worse. 10 years I have suffered with this not being diagnosed and being persistent I had a lot of pain and being fluffed off by many Doctors.

A note to my symptoms, my front right lymph node is also swollen and tender. I am having an ultrasound of it, but I believe it is caused from the issues from my neck.

I can't really add anything to what Lee had to say. Second opinions are always in order when dealing with something as important as the spine. Don't hesitate to post and and all questions. There are no dumb ones. There's plenty of knowlege and experience here..........and broad shoulders. Best wishes.

I forgot to add one thing -- PLEASE don't go to a CHIROPRACTOR AGAIN. One more manipulation could end you in a wheelchair or paralyzed, especially the shape you're in right now.

My neurosurgeon said that ANY spinal patient risks paralyzation because Chiro's don't have the intense training that Neuro's do and they don't have access to an MRI so you're putting yourself at risk by allowing manipulation.

So I just wanted to throw that out. I know some people use Chiros as a last resort -- in fact before I'd ever been diagnosed or gone to a Neuro, I went to a Chiro myself --- and he promptly broke my STERNUM! :eek: Do you know how hard it is to breathe with a broken sternum? OUCH! lol

Anyway, PLEASE keep us posted on your progress, etc., ok? God bless & take care. Hugs, Lee :)

Thank you very much for you information and help

Dubious ~ Are you doubting he actually broke my sternum? Cause he DID. I know the difference between broken ribs & the sternum. :rolleyes:

And I meant that Chiro's didn't have "in-house" MRI's - sure, any of them can order them.

I didn't even KNOW you were disabled, so why the remark about the Chiro & Orthopedic surgeon? I thought you were still practicing. :eek:

And why do you dislike me so much? You're always picking on me. Leave me alone, will ya? Sheeesh.

Hi to all
 

Hi leesa, you were right about that report. You always do a very good job of explaining things to people. I also agree, the dear person needs a second opinion. You research carefully, and I for one value your knowledge. ginnie