cervical and lumbar mri, do i need surgery in both

[virgilio19]

HI DR. PLEASE DO I NEED SURGERY FOR MY NECK AND MY BACK, HERE ARE THE CERVICAL MRI RESULT WAS. FINDING. THERE OSTEODEGENERATIVOS CHANGES TRANSLATED BY THE PRESENCE OF OSTEOPHYTIC FORMATIONS BEFORE AND AFTER THE VERTEBRAL BODIES. THESE ACOMPANAN WITH DISC DEGENERATION HIPOITENSIDAD EXPRESSED BY THE INTERVERTEBRAL SIGNAL FROM C3 TO C7. IT CAN BE SEEN SLIDING INTO THE CANAL ESPECIALLY IN THE INTERVERTEBRAL DISCS ESPECIALLY AT C5-C6 AND C6-C7 POSTERIOR OSTEOPHYTES ASSOCIATED WITH COMPLEX SHAPE OSTEOFITOS. THIS OVERFLOW DISK CONTACTS THE THECAL SAC AND SPINAL DEFORMATION  IN PREVIOUS ASPECT WITHOUT EVEN OBSERVE SIGNAL CLEVEL.
DIAGNOSIS IMPRESSION. OSTEODEGENERATIVOS CHANGES. DISC DEGENERATION AND DISC OSTEOPHYTE CMPLEX AT ALMOST ALL LEVEL WHO CONTACT THE SPINAL CORD, ESPECIALLY C5-C6 AND C6-C7. MRI DONE 09-14-2009.

LUMBAR MRI RESULT, DONE 27-11-2009.
FINDING. THESE SEQUENCES SHOW SOME BEFORE AND MARGINAL OSTEOPHYTES IN THE LUMBAR REGION EMERGING HIGH AND LOW DORSAL PLATEAU OBSERVED IN LOWER INTRACORPORAL HERNIA D11. THERE IS DEGENERATIVE HYPERTROPHIC CHANGES AT EVERY FACET OF L3-L4 TO L5-S1, ALSO NOTING THICKENED YELLOW LIGAMENT, WHICH DETERMINES OVERALL NET A DECLINE IN THE AMPLITUDE OF THE FFORAMINA, WITH DEFORMITY OF THE BAG BY REDUCTION IN THE TRANSVERSE DIAMETER CHANNEL. THE INTERVERTEBRAL DISCS RETAIN A NORMAL HEIGTH AND SIGNAL. THERE IS A SLIGTH SLIP OF THE INTERVERTEBRAL DISC AT L5-S1 CIRCUMFERENTIAL MANNER. CONUS MEDULLARIS AND CAUDA EQUINA UNALTERED. VERTEBRAL PRE-FREE SPACES. CYSTIC IMAGE WAS OBSERVED IN THE RRIGHT KIDNEY INFERIORLY AT THE POLE, THE CORTEX.
DIAGNOSIS IMPRESION. LUMBAR MRI.
OSTEOARTROSICOS DEGENERATIVE CHANGES AT EVERY FACET OF L3-L4 TO L5-S1 CONDITIONAL REDUCTION IN THE AMPLITUDE OF THE FORAMINA AND THE SAC IN TRANSVERSE ASPECT DISCRETE SLIDING DISC CIRCUMFERENTIAL CANAL AT L5-S1.
INTRACORPORAL HERNIA IN THE LOWER PLATEAU OF D11
ANTERIOR AND MARGINAL OSTEOPHYTES IN THE LOWER THORACIC VERTEBRAE AND LUMBAR  LEVELS
RIGTH RENAL CYST
TY

[Abhijeet Ghosh]

Dear Buddy,
That a lot of pain medications you have been taking.I would suggest you to go for an epidural steroid injection in the back.
Regards

[Abhijeet Ghosh]

Dear Virlong19,
You have specifically asked me,whether the surgery is required or not.
To begin with, you have lot of positive findings on the MRI.But we don;t treat the MRI report.Because the human body has a great capacity to adjust with the changes.
So i need you to think and analyze the following questions of mine -
1) Have you taken medical treatment for more than 6 weeks for your pain without any improvement?
2)Do you have persistent numbness?
3)Do you have any loss of muscle power?
4)Do you have any loss of sensations in some particular body part?

If out of these 4 questions, more than 2  are "YES", then you need a surgery.
Else you don't require a surgery and start/continue with the Medical treatment.
I  hope my questionnaire was self explanatory.Feel free to discuss more.
Regards
Regards

[virgilio19]

I had been taking  many medication for long years like motrin, ubeprufen, naproxen, lyrica, tramadol, neurotin, and gabapentina,  taking physical terapy, ciropractic, acupunture, natural doctor fon many years, and still have many neck pain, shoulder pain, arms pain, back and leg pain, arms, and leg cramp, slepping hand, i have neck weakness, vertigo, tinnitus, blured vision, some times nauseas, cold arms. thank you for you answer dr.