My neurologist said I have double crush syndrome. I have C5-6-7 bi-lateral radiculopathy and carpal tunnel. For over 2 months now my hands have been constantly tingly and loss of feeling. below is my mri of cervical spine results:
c4-5:mild circumferential end plate spurring & moderate broad based disc bulging effacing the ventral thecal sac narrowing ap diameter to 9.5mm compatible with mild stenosis.
c5-6(5&6):decrease in the ap diameter vetebral bodies, narrowing of the c5-6 intevertebral disc space-compatible with partial congenital fusion.
c6-7:mild circumferential end plate spurring & moderate broad based disc bulging effacing the ventral thecal sac narrowing ap diameter to 10.0mm compatible with borderline stenosis.
mild kyphosis of c4-c7, which may be secondary to congenital fusion of c5 and c6 vertebra or secondary to muscle spasm
Given the mri and the new development of carpal tunnel with the hand tingling on both hands that started together over 2 months ago my neurologist has referred me to a neurosurgeon. My neurologist said if I had 1 part bad I would be fixed already but I am diffuse with so much bad he is not sure this neruosurgoen will be able to help me. What options do I have given the mri and new developments?
I'm not a professional, if that's the kind of input you're looking for, I'm just a patient like your self with a history neck problems and neck surgery.
CTS is very common among people with neck problems, I assuming you had an EMG. The Neurologist was not able to differentiate between Cervical radiculopathy and CTS when he was doing the test on your arm?
The other thing is you need to look at the symptoms of C5,C6 and C7 radiculopathy, and compare your symptoms. Tingling in the hand is just one symptom, if you have any of these radiculopathies you should be experiencing neck, scapular, shoulder and arm pain. And there are specific muscles that these nerves supply, there are reflex tests that can be done as well to determine if there's a problem at one of these levels.
And if there's still doubt as to the source, CT release is a very simple procedure, it doesn't get any easier surgery wise. Cervical fusions and laminectomies are a very big deal, and best to be avoided unless absolutely necessary, this I can tell you from personal experience. You don't need a Neurosurgeon to do a CT release.
My understanding of double crush syndrome is that correction of the problem at one site alone is more likely to result in lingering or persistent symptoms, but logically wouldn't you attempt the easiest surgery 1st? You wouldn't just give up, would you?
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.