Multilevel cervical spondylosis from C4-C5 through C6-C7 with mild to moderate central spinal stenosis and neural foraminal stenosis at these levels.
C4-5 Broad disc osteophyte complex, eccentric to the right. Effaces the ventral thecal sac and causes mild to moderate central canal stenosis. Bilateral uncovertebral hypertrophy and facet hypertrophy causing moderate right and mild left neuroforaminal narrowing.
C5-6 Broad central disc osteophyte complex which effaces the ventral thecal sac and flattens the ventral aspect of the cord without overt cord signal abnormality. There is moderate central spinal stenosis and obliteration of CSF at this level. Bilateral uncovertebral hypertrophy and facet hypertrophy cause mild bilateral neuroforaminal narrowing.
C6-7 Disc osteophyte complex which effaces the ventral thecal sac and causes mild central spinal stenosis. Bilateral uncovertebral hypertrophy and facet hypertrophy with a focal osteophyte in the left neural foramen. there is mild right and moderate to severe left neurofoaminal narrowing.
Left arm pain radiating to hand and fingers. Tingling and cramping on top of hand and fingers. Severe intermittent headaches which last 2-3 days at a time with nausea and occasional vomiting. Constant burning neck pain radiating through shoulder and down along spine between shoulder blades. Constant muscle spasms around base of neck and between shoulder blades. Daily, intermittent tingling and burning down both legs.
Based on the above MRI report and current symptoms do you think its time for surgery or can this continue to be managed with transforaminal injections and pain medications? I do not want to risk any permanent damage to my spinal cord.
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