C6/C7 ACDF in 2008 - 3 yrs of pain now level above..help
I have been through the gammit (sp?) with pain mgmt. drs. over the last three years with this. Significant pain, injections, PT, I'm on oxycodone 5 mg, 4 times a day. Over last two months, pain is down right arm now and I can't even use a stapler or hold my coffee cup in right hand. Arm and hand hurts incredibly. Yesterday I had an MRI with contrast. I have no report yet, but have pics. I picked this one because it looks as though something significiant is going on at the level of 5/6 and 6/7, Is the plate backed away or the screw loose? I have I have at least by looking at it a herniated disc and ostephytes at the 5/6 level. What are the shadows ?? Thanks. I'll report back when I have a full report from Dr. Thanks.
My arm pain is becoming more severe. Last night it has now spread down my left arm and my right arm is becoming worse. I wish they would call with MRI results. I would welcome surgery at this point as i"ve been through everything else and I've put it off for over three years now, I guess it's time. I will still post back with my complete MRI results. Thanks for the thoughts Kalvin, I hope you are feeling better today.
Yeah right now I wish I was from some place warmer. We've been up in N.E. WI for the past month and it's probably 10 degrees colder than Milw. They're talking -25 to -30 tomorrow nite and a high of -10 to -15 Monday.
What medical group have you been using, I've seen Doctors in both N.E. and S.E. WI. You can PM me if you don't want to post it on the open forum.
and my arm is to the point now, that I am barely able to use it. My Dr. STILL has not called me with the results (MRI was last Monday) I had to call Medical Records to get them myself. I have an appt. with him on the 10th but I don't think I can wait that long as the pain meds he prescribed for my neck DO NOT even touch the pain in my arm. The one question I have really is it possible that even though it all says "left side" on the report then why is all my arm pain on my right side?
There is re-demonstration of interior fusion hardware at C6/7. The other cervical bodies are of normal height and marrow signal. There is mild narrowing of the C5/6 disc space and redemonstration of ventral extradural disc impression at this level. The upper cervical interspaces are well maintained. The cranio cervical junction are normal in appearance. There is no abnormal post contrast enhancement in the cervical spine or in the central canal.
The axial images demonstrate a midline posterior disc protrusion at C5/6 similiar to the prior exam, narrowin gthe AP thecal diameter from 11 mm at the normal C4/5 disc level to 8mm at the C5/6 disc level. It produces mild impression on the ventral cord here. The disc protrusion or partial herniation is now slightly asymmetric to the left where it is in proximity to the budding c6 nerve root uncovertebral and facet hypertrophic changes here are moderate, greater on the left, where there is mild/moderate foraminal stenosis. There is no abnormal intramedullary signal.
Findings are very similar to the study dates 10/25/11 with a partial midline posterior disc herniation at C5/6 producing mild central stenosis, and moderate left foraminal stenosis. Anterior C6/7 fusion.
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