Well alittle about myself I've been in the Army(19k) seven years. I have one deployment to Iraq(Kirkuk 09-10) and Afghanistan(11-12). I've always been known as a excellent soldier when it came to leadership I was waivered all the way through Sergeant. I even made it to a staff sergeant board by year five. Since returning from Afghanistan my health both mental and physical has detoriated to the point where I just don't know what to do. I see at least one doctor a week for various issues. I will try to make this as organized as possible starting with symptoms followed by medications and doctors diagnosis/mri results.
difficulty putting thoughts to words
anger that comes from no where
unexplained loss of strength in both arms followed by a tingling sensation
left shoulder grinding/pain
blood when wiping butt
im currently on
Effexor xr 225mg
restoril 30mg(starting to not work)
severe PTSD I thought I read my gaf being 21 but I would have to verify
psoriasis 60% coverage from old dermatologist(originally on stelera but apparently the army can't issue this drug even though I got it from the on post hospital)
arthritis in left shoulder blade.
Grand mal seizure on the 15th no known cause waiting for a neuro appointment. I did go blind before hand. Blood,urine and mri showed nothing.
MRI of the cervical spine without IV contrast was performed. No comparison.
Degenerative endplate signal abnormalities of the cervical vertebra. Loss of T2 signal intensity of the intervertebral disc at all cervical spine levels. The cervical spinal cord signal intensity is within normal limits. The medullocervical junction has a normal appearance. Probably hemangioma in C2 vertebra.
No evidence of disc herniation or central canal narrowing at C2-C3 and C7-T1 levels.
C3-C4: Mild disc bulge, facet and uncovertebral joint hypertrophy causing mild left neuroforaminal narrowing. Minimal effacement of the thecal sac.
C4-C5: Facet and uncovertebral joint hypertrophy causing mild left neuroforaminal narrowing.
C5-C6: Central and right paracentral osteophyte formation and disc protrusion accompany with disc bulge, facet and uncovertebral joint hypertrophy causing mild to moderate central canal narrowing and bilateral neuroforaminal narrowing, right greater than left.
C6-C7: Central and right paracentral osteophyte formation and disc protrusion causing mild central canal narrowing.
Incidentally noted is disc protrusion at T2-T3 and T3-T4 levels with mild central canal narrowing.
1. Degenerative changes causing mild-to-moderate central canal narrowing at C5-C6 level with bilateral neuroforaminal narrowing, right greater than left. 2. Degenerative changes causing mild central canal narrowing at C6-C7, T2-T3 and T3-T4 levels. 3. Degenerative changes causing left neuroforaminal narrowing at C3-C4 and C4-C5 levels. 4. No evidence of disc herniation or significant central canal narrowing of the cervical spine.
TECHNIQUE: High-field MR exam of the left shoulder without gadolinium contrast: axial PD with fat suppression and GRE, sagittal T1 and T2 with fat suppression, and coronal T1 and T2 with fat suppression.
FINDINGS: The infraspinatus tendon: Mild degenerative changes. The supraspinatus tendon: Mild degenerative changes. The subscapularis tendon: Mild degenerative changes and possible coracohumeral impingement. The teres minor, and long head of biceps tendons are intact. Labrum: Thickened and partially torn anterior-inferior labrum. Bone and joint: There is no fracture, Hill-Sachs or Bankart defect, bone marrow edema or bone lesion.
Acromion process: Downward sloping with concave undersurface , medial beak and mild hypertrophic acromioclavicular joint . Neurovascular structures: The neurovascular structures have normal course and signal through the shoulder girdle. There is no soft tissue mass or abnormal fluid collection.
IMPRESSIONS: 1. Mild degenerative changes in the infraspinatus and supraspinatus tendon. 2. Degenerative changes of the subcoracoid ligament and possible coracohumeral impingement. 3. Thickened and partially torn anterior-inferior labrum. 4. Type III acromion process and hypertrophic AC joint.
I have issues getting straight answers from anyone i see. Especially concerning the mri results. I apologize for this being such a large post. Thanks to anyone who can make sense of all this.