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Old 02-28-2018, 01:01 AM #1
quadbkat quadbkat is offline
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Attention spine issues - looking for some assistance/support

I was in a fairly bad car crash in Oct. 2015. I was rear-ended by a car going about 60mph, as I was stopped waiting to make a left-hand turn. In the past 2 years and (less than) 5 months, I’ve been dealing with recovering from multiple injuries from that crash. A majority of it now is related to my spine. And I want to get some advice / insight / comments / support from some people who know about spine injuries and pain. Here is what my MRI results have found:

Cervical:
preserved disc height with disc desiccation at C3-4 through C6-7
C2-3: minimal disc degeneration with disc desiccation
C3-4: small uncinated spurs
C4-5: minimal bilateral facet arthropathy
C5-6: 3mm central disc protrusion touching the ventral surface of the cord; borderline spinal canal stenois; minimal bilateral facet arthropathy; small uncinated spurs / endplate osteophytes; mild bilateral foraminal compromise; small annular tear
C6-7: mild disc bulging
C7-T1: minimal bilateral facet arthropathy
T1-2: 2mm right central disc protrusion indenting the thecal sac [membrane that covers spinal cord]; mild facet arthropathy on the left

Thoracic:
mild anterior wedge compression [fracture] deformity at T7
mild to moderate Schmorl’s nodes (endplate irregularities) from T5-6 through T9-10
moderate disc height loss at T5-6, T6-7, T7-8, T8-9, and T9-10
T5-6: 1-2mm AP central disc extrusion abutting the cord
T6-7 and T7-8: minor disc bulge

Lumbar:
generalized dextrocurvature with 1 to 2 mm retrolisthesis of L5 on S1
edematous degenerative endplate changes at L4-5
disc desiccation and annular bulging at L5-S1 through L3-4
multilevel degenerative lumbar spondylosis
L2-3: mild left facet hypertrophy; minimal isolated annular bulging
L3-4: mild bilateral facet hypertrophy
L4-5: annular bulging is more prominent left paracentrally; mild disc space narrowing; mild bilateral facet hypertrophy
L5-S1: left paracentral annular fissure [tear]; mild disc space narrowing; mild right facet hypertrophy with mild bilateral chronic foraminal narrowing


I can ‘google’ most of the terms and figure out what they mean. My growing concern is now about the strength and integrity of my spine. (not to mention the pain ‘volume’ that is adding up) When the whole spine is taken into consideration, along with the damage that has been done to it, how concerned should I be? I’m not even 35 years old - what does all this mean for the future of my spine, short and long term??? And if doctors don’t share my concerns, who do I go to, or what type of doctor??

thanks everyone
p.s. I will mention part of my neck issues are from before this crash, the rest is new
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Old 02-28-2018, 03:02 PM #2
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If you want to describe related symptoms & pain levels it give more info for better replies.
Imaging reports are great , but some may have severe damage on report but not much pain or symptoms. Or the opposite, report shows mild and higher pain & sx.

Soft tissue injury is an added factor and maybe even the c1 c2 (atlas/axis/upper cervical)
Up C Spine for more info on that..

Abutting the cord items could be an issue, I'm sure your Dr will look into any possible surgical/treatment indicators..
Plus sometimes laying stil for MRI may not show things happening during activities &movements or even standing with gravity factors.... so more would need to be addressed with dr during follow up appts..
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Old 03-01-2018, 04:08 AM #3
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Question reply:

well, from the injuries of the crash, i've literally had pain from head to toe. i have a three-inch scar on the back of my head, which still hurts from time to time. but aside from that and the other 'minor' injuries...

i will say first, i do have a high tolerance level for pain. which is a good thing cuz it has helped me thru this. but is also a not-so-good thing as it does mask some things/pain that isn't super strong. (and my 'delayed response' to pain-things makes doc appts really hard)

the pain intensity and frequency varies from location to location on the body. plus i will from time to time get 'random' pains in areas that i don't know what to make of them, so haven't really brought them up to docs yet because i don't want them to make fun of me/write it off as nothing/think it's made up due to 'lack of evidence'. (or simply label it fibro and leave it at that)

i've had four lumbar injection shots, which helped enough so that I'm not limping due to pain anymore. well, i still do from time to time but it's not daily! still have a decent amount of pain in my back/butt/hips, which i figured the shots wouldn't make go away completely but maybe there's more factors/contributors on that. mid-back pain/tingling is the newest one to be 'discovered or uncovered', so not sure on that yet. neck pain not only in the neck, but also causes headaches. (and the random tingling/numbness in hands which is probably a muscle thing - maybe in part due to the spine?) i usually sit on a pillow, pain makes me lean from side to side at times to 'lessen' it, i take a 'back pillow' with when i ride in my parents van, etc....

and it's to the point where one of the first things i do when i wake up is crack my neck, numerous times daily! and to top it all off, i have two MIs! so the concerns grow now that i have become a person with chronic pain!!!! the physical makes the non-physical worse and the non-physical makes the 'rehab part' of things super complicated.......
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Old 03-01-2018, 07:12 PM #4
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Terminology in the sticky thread- Medical Dictionary & MRI/CT Terminology
might explore all sticky thread at top of each forum you find of interest..

I had delayed pain with my RSI/TOS injury so I know how difficult that is to describe to drs, when you may not be hurting as much at the time of the appts..
Did you have a whiplash effect from the accident?
TOS can happen sometimes after whiplash incident..

That might explain the headaches, cracking neck , tingly hands and even tilted sitting , there is some related co factors..
The c1 c2, whiplash/neck trauma , soft tissue, strains, trigger points , then the other spinal issues also..
Have you had any PT ? advanced or generic .. some are better than others..

You might consider some sticky threads on our TOS forum too..see if it sounds familiar -
https://www.neurotalk.org/forum24/
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Old 03-05-2018, 06:07 PM #5
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OP: If you can see your way clear to an MD who does PRP/Stem Cells therapy which is regenerative work vs surgeries, you could probably get some help.

Find Regenerative Medicine Doctors - GetProlo.com

More and more MD's are doing this work but it still has a LONG way to go.

I would do more of this type work but funds hold me back.
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