cat scan findings

[elbar56]

hi
i had a cat scan as i have been having upper left shoulder pain and neck pain. also herniated disc at l4 l5 the cat scan was at the thoracic and cervical spine. here are the findings multilevel disc degeneration c4 c5 c5 c6 c7 t1 t1 t2 also spondylotic ridging is present transversing the posterior disk margin at c4 c5 c5 c6 c7 t1 and t1 t2 also moderate foraminal narrowing at c45 c56
1 what does this cat scan mean
2 what normally causes this to happen
3 getting alot of wrist bilateral pain
4what type of doctor should i see
and finally what could be the treatment for all this

[elbar56]

as per number 3 my dr thinks it could be coming from the c5 c6 stenosis as i also have ulnar neuropathy and carpal tunnel in both wrists

[Jyoti Kalra, MBBS]

Dear Friend,
Please find my answers -

1 what does this cat scan mean - It means that you are having a multiple level disc degeneration (arthritis), due to which you are facing all sorts of problems. The issue must be causing a lot of sufferings, due to multiple levels involved in the same.

2 what normally causes this to happen = Improper sleep pattern / postures, improper rest can result for the same.

3 getting a lot of wrist bilateral pain = You are right. It maybe due to reactive arthritis as no other history can be co-related.

4what type of doctor should i see = A good Orthopaedician with physiotherapist's opinion would help.

5) finally what could be the treatment for all this = Treatment is Medicines with Exercises, to be followed for 6 weeks. In-case of this treatment fails, we will discuss further.

I hope i was answer your doubts. If you still have doubts, please discuss.
Regards.

[Abhijeet Ghosh]

Dear Elbar,
My college has give a very nice explanation, for your queries.
I would like to add on to it.

We don't see so many spine segments involved in the degenerative process. This results in a lot of muscle wasting as well as weakness as the proper weight transmission dynamics are distorted. Hence all the vague problems arises.
Please go as per the advices and , if still no relief, please discuss.
Regards.

[elbar56]

also could this be a reactive arthritis