I have been suffering from neck pain, radiating down through my shoulders, arms, hands and back, and radiating up, causing severe headaches. I was in physical therapy for 3 months but I am still having problems so my doctor sent me for an MRI.
I just got the MRI results shown below yesterday. I was immediately referred by my doctor to a Neurosurgeon who I saw today. He told me I need to have surgery and have a disc removed from my C-spine. So, first, I am scared to death, and second, I want to know what this all means in "lay" terms I can really understand. What exactly is wrong? Do I really need surgery? Are there any other alternatives or life style changes that might make things better? What will happen if I don't have surgery? Please help me. I'm feeling overwhelmed and desperate.
Thanks (in advance) for your help.
FINDINGS: There is a normal alignment of the cervical spine. The vertebral body heights are maintained. The prevertebral soft tissues appear to be normal. The visualized portions of the intracranial contents appear to be normal. The structures of the posterior fossa are normal. C2-C3: There is no disk bulge or protrusion. There is no spinal stenosis. The neural foramina are patent bilaterally. C3-C4: There is a focal posterior disk protrusion with effacement of the ventral thecal sac without spinal stenosis. The neural foramina are patent bilaterally. C4-C5: There is a focal posterior disk protrusion with effacement of the ventral thecal sac and mild spinal stenosis. There is mild abutment of the ventral aspect of the spinal cord. The neural foramina are patent bilaterally. C5-C6: There is a posterior disk osteophyte complex, slightly greater to the right, with effacement of the ventral thecal sac and abutment of the ventral aspect of the spinal cord with mild cord compression. There is no evidence of signal abnormality within the spinal cord to account for acute cord edema. There is bilateral uncovertebral arthrosis. There is severe narrowing of bilateral neural foramina. C6-C7: There is a left paracentral disk osteophyte complex with effacement of the ventral thecal sac and mild spinal stenosis. The neural foramina are patent bilaterally. C7-T1: There is no disk bulge or protrusion. There is no spinal stenosis. The neural foramina are patent bilaterally. IMPRESSION: Cervical spondylosis with evidence of mild cord compression noted at the C5-C6 level.