Bone Health
 Bone Health > Question and Answer > Pain and Symptoms > Spinal Cord Injury > cervical spine with chronic neck and arm pain
cervical spine with chronic neck and arm pain
9/26 9:48:22

Question
Hello, I had a neck injury back in 2006 I was reaching for a box over head. I felt a pinch somewhat like a bite. after about 6-7 minute I though I was having a stroke. I had a MRI can you help me understand the finding listed below. And how can that injury cause these problems.
C5-C6, minimal hypertropic osteophytic disc bulge changes are present, with thecal sac compression minimal contact with spine cord.C6-C7 minimal hypertrophic uncovertebral joint changes are present. with minimal foramen compromise Hypertrophic discogenic changes with thecal sac compression, no spinal cord compression are less conspicuous.this Second MRI done 04/15/2008
First MRI done 02/2006 finding below
C5-C6 a small left paracentral disc protrusion with out cord deformity is noted. Both foramina are widely patent.
C6-C7 subtle decreased disc height and marginal spur formation accompany a small/moderate right paracentral disc herniation with minimal cord deformity is noted. Foraminal stenosis is mild bilaterally.  C7-T1 disc space level is unremarkable.
Has my injury worsen  

Answer
hi harriet-

yes, it seems things overall have gotten worse- though i'm not sure how much of your current mri is caused by the injury in 2006

Translation:
basics- ok, your spinal cord runs through a hole in your vertebrae called the foramen, yes? and the thecal sac is like a plastic bag around your spinal cord that keeps fluid moving around the cord. with me so far?

current mri shows discs- the squishy things between vertebrae- are being aggravated by osteophytes (bone-y growth, often associated with aging or arthritis). These boney things are causing the disc a)to bulge out and push on the thecal sac and b)to push slightly on the spinal cord itself. The second part (b) is why you are probably feeling shooting pains or numbness or tingling or muscle weakness in your arms?
(I'm guessing there from the mri report, and reaching overhead would go along with this)
the foramen is only mildly affected

first mri shows the beginnings of this condition- the foramen are just fine, plenty of space for the cord to go through. the 'spur formation' is probably the beginning of your current osteophyte. you had a slight bulge in the disc that is now contacting the cord slightly...

hope that helps? medical language is terrible to try to wade through!

good luck
leslie

Copyright © www.orthopaedics.win Bone Health All Rights Reserved