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What Does My MRI Scan Report Indicate?
Question: I have had left sided neck pain with occasional vertigo I have been prescribed Ativan and Valium . The MRI showed posterior endplate osteophytes at C3-C4 and bilateral C4 neural foramen stenosis. I am afraid to do much physically because of the vertigo although I do walk every day. This has been going on for over 10 years. I also have involuntary movement , jerking movement in my legs when laying down. The Dr. is annoyed with me. I am working full time as an office manager and am on the computer turning my head to the left a lot.
I am getting minimal relief - any suggestions. I am 69 years old and in great health otherwise.
I am getting minimal relief - any suggestions. I am 69 years old and in great health otherwise.
Brief Answer:
Neck exercises can help.
Detailed Answer:
Hello,
Thanks for posting your query.
The symptoms you have and vertigo is suggestive of a nerve root compression at the cervical vertebral level due to degenerative disc changes or cervical spondylosis. It happens primarily due to degenerative changes secondary to age in the cervical spine.
Treatment includes
1. Use of cervical collar helps in immobilisation and brings relief.
2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful.
3. Methylcobalamin supplements are also recommended for nerve compression symptoms.
4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist.
5. Hot fomentation helps in relieving acute symptoms.
6. You can avoid using a pillow.
The treatment of vertigo involves using medications to suppress the impulse generation in the inner ear. Such medicine are Vertin (Betahistine) and Stugeron (Cinnarazine).
As you try these measures, I also encourage you to consult an orthopedician for both evaluation and to avail stronger prescription medications
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Neck exercises can help.
Detailed Answer:
Hello,
Thanks for posting your query.
The symptoms you have and vertigo is suggestive of a nerve root compression at the cervical vertebral level due to degenerative disc changes or cervical spondylosis. It happens primarily due to degenerative changes secondary to age in the cervical spine.
Treatment includes
1. Use of cervical collar helps in immobilisation and brings relief.
2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful.
3. Methylcobalamin supplements are also recommended for nerve compression symptoms.
4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist.
5. Hot fomentation helps in relieving acute symptoms.
6. You can avoid using a pillow.
The treatment of vertigo involves using medications to suppress the impulse generation in the inner ear. Such medicine are Vertin (Betahistine) and Stugeron (Cinnarazine).
As you try these measures, I also encourage you to consult an orthopedician for both evaluation and to avail stronger prescription medications
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much!
Brief Answer:
You are welcome.
Detailed Answer:
Hello.
Thank you.
I am happy I could help.
Please do recommend our services to others too in case you found them helpful. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you the best in whatever you do.
Best regards.
You are welcome.
Detailed Answer:
Hello.
Thank you.
I am happy I could help.
Please do recommend our services to others too in case you found them helpful. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you the best in whatever you do.
Best regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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