What Does This X-ray For Stiffness In Arms Indicate?

Brief Answer:
evidence of C5-C6 disc protrusion with central canal stenosis

Detailed Answer:
Hello XXXXXXX
I have gone through your question and images and understand your concerns.
You have definite pathology at C5-C6 region with mild spondylolisthisis. Disc protrusion is present with canal diameter narrowing, cord compression and disc material has prolapsed up and down behind the adjacent vertebrae. Also there is evidence of foraminal narrowing and osteophytes.
Your pain in arm is attributable to these pathology features.
There is not much difference in both Mri and surgical procedure may be required for definite treatment.
Xray are image of choice for bone and not disc. Disc space reduction is there between C5 and C6 with osteophytes and preserved rest vertebrae.
I will advise you to consult a neurosurgeon for proper evaluation, examination and treatment.
Possibly you may require disc surgery as progression of symptoms may be there.
Hope you recover early.
Do get back to me for further details.
Regards
Dr Neeraj Kumar

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Brief Answer:
operation depends upon neurodeficit

Detailed Answer:
Hello XXXXXXX
I have gone through your old MRI also and it is also showing some disc protrusion. comparing shows that there is progression from previous imaging.
In most cases in absence of neurodeficit , conservative management of pain can be tried.
As your neurosurgeon and physiotherapist both are not of surgical advise , I rather tell you to wait and follow your symptoms.
Hope the answer is helpful.
Regards
Dr Neeraj Kumar

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Brief Answer:
Lumbar disc are not much involved, keep physiotherapy going

Detailed Answer:
Hello XXXXXXX
I have gone through your lumbar spine MRI also. There seems to be degenerative changes with disc changes and mild prolapse of L4-5 and L5-S1 disc. Also there is mild foraminal narrowing causing radiculopathy symptoms in lower limb with back pain.You can also get investigated for calcium and vitamin D3 deficiency.
Since there is not much progression in cervical disc and you are improving with physiotherapy, you can defer any surgical intervention at present.
Be in regular follow up of your neurosurgeon and physiotherapist.
Hope you found the answer helpful.
Do get back for further queries.
Regards
Dr Neeraj Kumar
Neurologist

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Brief Answer:
Slight improvement in lumbar spine imaging

Detailed Answer:
hello XXXXXXX
I have gone through all your MRI images . Lumbar MRI imaging is showing some improvement than previous one.
I will not advise for nerve block at cervical level if you are symptomatically better and improving as it also has side effects.
Loss of normal curvature of spine like cervical and lumbar lordosis is found in spine and disc diseases.
Hope you found the answer helpful
Dr Neeraj Kumar
Neurologist

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Brief Answer:
Detail answer below

Detailed Answer:
Hello XXXXXXX
Sorry for the delay.
I have gone through all your new queries.
Surgery of cervical spine is usually successful and has lesser risk in operations of lower cervical disc rather than upper cervical disc. Need of surgery depends upon
1) motor weakness
2) sensory loss in the distribution of nerve
3) reflex loss (checked by hammer used by doctor)
4) bladder bowel involvement
5) excessive unresponsive pain to medication.
yes , disc pain and prolapse improves with physiotherapy and medications. The cervical stenosis is caused by disc prolapse. Cervical lordosis is normally present at cervical spine level. In degenerative spine disease this lordosis may be lost causing straightening of spine.
Pain in foot is symptom caused by disc prolapse causing compression of root at lumbar level rather than cervical level.
Isthmic Spondylolisthesisis caused by movement of one vertebrae over other at pars interarticularis level. You have rather disc prolapse.
Your disc prolapse may be considered to be of moderate nature.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

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Brief Answer:
continue drugs and physiotherapy, surgery last option

Detailed Answer:
Hello XXXXXXX
L5-S1 radiculopathy has back pain with radiation to lower limb causing tingling, burning and pain over foot and sole and lateral aspect of leg.
C5-C6 radiculopathy is lower cervical cord involvement causing neck pain, radiating pain in Upper limbs.
Urinary complains may or may not be present in both cases.
Yes you have some increase in recent Mri of cervical spine as compared to previous one.
You need to continue physiotherapy and medication if improvement is there. Surgery is only required in cases as discussed earlier in my response.
Hope you recover early.
Wishing you good health
Regards
Dr Neeraj Kumar
Neurologist

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Brief Answer:
May be accident related also

Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
Usually some age related degeneration occurs in spine of every one. The symptoms occurs only when there is compression of cord or nerve roots due to bony alignment disturbances and disc prolapse.
Any significant trauma may increase this instability and lead to increase in symptoms.
Whiplash injury may lead to bony instability with or without cord injury.
There is no apparent fracture of spinal bone but definite disc prolapse. This may be due to accident also.
Soft tissue swelling may lead to superficial edema but not in cord.
Cord swelling is usually due to injury to cord itself.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

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