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ChrisMD 08-15-2016 08:19 PM

Help Understanding MRI Results
 
I was hoping somebody could help me understand my MRI results. The report reads:

7/9/12 cervical x-ray Slight levoscolosis of the cervical spine otherwise WNL 5/20/13 MRI Brain: WNL MRI C-spine: C4-5: extremely tiny subligamentous central protrusion, minimally effacing CSF, right ventral cord but no stenosis. Upper thoracic DDD.

These results are from scans that were performed 3 years ago. I suffer with several pain conditions including Occipital Neuralgia, Migraines, Chronic Pelvic Pain, and CRPS. In the past year, my neck pain has greatly increased. The pain caused daily migraines, tightning of my neck muscles, swelling of my neck and glands, and seems to aggravate my CRPS pain especially in my upper chest/face. I have a hard time tolerating the touch of my clothes/sheets on my skin and my prescription glasses causes the same aggravating pain/discomfort on my face. I also experience numbness/tingling of my face, hands/arms, and feet/legs. The symptoms are now present 24/7 and worsen as the day wears on, which makes it difficult to sleep.

I was looking through my medical records and found these results from a previous MRI and was hoping somebody could explain the findings. I'm wondering if I should consider asking for a new MRI to see if anything has changed?

Thanks in advance for your help,
Chris

glenntaj 08-16-2016 05:46 AM

What you posted as results--
 
--is considerably lacking in detail, although in summary it doesn't look like there was significant spinal cord or nerve compression in the cervical spine. Widespread degenerative disc disease (DDD) is mentioned, but that is almost universal as we age--the disc lose moisture and height--and unless there are disc or osteophyte (bone spur) herniations/growth sufficient to cause compression of the spine or exiting nerve roots, there's usually not much caused in the way of symptoms.

In any case, these are from so long ago you definitely would benefit from a new MRI--things may have changed considerably since 2013. There is also the possibility you have something more systemic going on beyond the cervical spine. Not that cord compression in that area can't cause body wide symptoms--it can--but a full neurologic exam would seem to be in order, as spinal cord symptoms can be exactly mimicked by more widespread peripheral nerve conditions.


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