Help!!!!!!! The Pain Is Killing Me!!!!!!!!!!!!

May someone give me advice. Here is my MRI and Nerve conducting study results. Do I need Pain managment? Please help....

Findings: Reversal of the normal cervical lordosis centered at the c4-5 level. Mild irregularity of the end plates of c4-c5 and c-6 seen likely degenerative in etiology.
c2-3: unremarkable on the sagitlal images.
c3-c4 posterior disc bulge with tiny central disc herniation and facet disease causing mild ritht foraminal narrowing.
c4-c5: Posterior disc bulge with a central disc herniation and facet disease causing mild spinal stenosis at this level. Foramina appear patent.
c5-c6: Posterior disc bulge with a central disc herniation mildly indentinting the ventral cord. Mild spinal canal narrowing. Foramina appear patent.
c6-c7: Posterior disc bulge with a central dissc herniation indenting the ventral cord and facet disease causing moderate spinal stenosis at this level. Foramina appear patent.
c7-T1 facet disease causing mild left andmoderate frght foraminal stenosis. This is likely secondary to an osteophyte.

Impression:
Multilevel spondylosis superimposed upon reversal of normal cervical lordosis causing moderate spinal stenosis at the c6-c7 level as well as mild spinal stenosis at the c5-6 and c4-c5 levels. Foraminal stenosis as described above. There is facet disease causing probable moderate right facet disease at the c7-T1 level.

My Nerve conducting study read:
Borderline slow sensory nerve conduction veiocity noted in the first, second and third finger-wrist and palm-wrist segments of both median nerves.

Boredrline prolonged terminal latency noted in the left median nerve.

Normal sensory and motor NCV's with normal amplitudes noted in the other segments of tested nerves of both upper extremities. Tested nerves include both median, right ulnar and the right radial sensory.

Conclusion:
The above findings are compatible with minimal bilateral carpel tunnel syndrome. The electrical findings are minor, and essentially confined to the sensory segments only. The remainder of the nerve conduction data is normal.

Diognosis: Evaluate for neuropathy/entrapment syndrome

[Kalvin]

Describe your pain

[jackie693]

the pain in my neck is constant and when I turn my head I can only turn it so far, because the constant pain gets worse. The lower part of my back is in constant pain 9dull) and when i sit straight up, it burns and hurts but sometimes feels good. My fingers always feels like needles, I cant ball my hand in a fist. My fingers hurt when I bend them. My shoulders burn when I lift the up, sharp pains down my arms, sharp pains in my side and back. Basically I have sharp pains almost every where. Lost my balance in shower, fell and glass doors and the shattered. every time Imove my wrist, the pain is screaching. The back of my legs have musle spasms as in my neck. I cant walk long..... Oh Kalvin, I can go on and on.....All my bones hurt. if I hit my elbow ancle, knee It is so painful.....

[Dr. A. Srivastava]

Hi, Thank you for your question. I think your symptoms may be due to nerve irritation in the cervical (neck) spine because of cervical disc bulge. Main symptoms are pain referred and perceived as occurring in the back of head & shoulders (as electric sensation)- LHERMITTES SIGN, arms or chest, rather than just the neck. Other symptoms may include stress, anxiety, vertigo, nausea (dizziness) and stiffness. It will be best that you consult a neurologist who would like to prescribe Pain killers, steroid and muscle relaxants. Other treatments could be cervical orthosis such as a soft cervical collar or stiffer neck brace to restrict neck movement till you get complete recovery. In addition, cervical traction may also be suggested by the doctor, if condition is severe. Hope this helps.

[Kalvin]

Sorry to hear about all the pain you're having, I've had major neck problems myself for years, so I understand exactly what you're going through. You do have few problems in your neck, but know that everything in that report isn't necessarily causing symptoms, so don't let it overwhelm you.

As I said before, I really don't understand the direction your Doctor was taking with your diagnosis, and in my opinion, he's been wasting your time. You need to see a spine specialist, a Neurosurgeon or even a Neurologist. They can do EMG's later, right now you need to have your pain gotten under control and a treatment plan devised.

Generally, in the beginning like this, your family Doctor or one of these specialist you're going to see, should be able to handle your pain management. If there is a problem with them prescribing for you, then you might want to see a Pain Management specialist, but its usually not necessary at the point you are now.

Like I said, I've had neck problems, surgery, the whole nine. So if there's anyway I can be of help, just let me know.


Take Care

[Londres70]

I would recommend a Pain Management consult and a NeuroSurgeon consult ASAP.