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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Neck, Shoulder And Arms After An Accident. MRI Showing Minimal Disc Protrusion, Normal Cervical Lordosis. What Would Be The Treatment Plan?

Hello MRI report back: Findings Problems with neck since a car accident in the 90 s. Many times the pain hurts not only in my neck, but in my shoulders and arms. The spot feels very mushy like its a sponge inside. C2-3 normal dis contour C3-4 minima ldisc protrusion centrally. No spinal stenosis or neuroforaminal encroachment C4-5 Mild disc protrusion centrally with the neuroforamina patent C5-6 There is posterior disc protrusion slightly greater to the right with mild posterior hypertrophic changes. No psinal stenosis. C6--7 normal C7-T1 normal Impression: reveral of normal cervical lordosis w/several levels of minimal disc protrusion. Posterior protrusion most pominent at C5-6 with no spinal stenosis or neuroforaminal encroachment. What is the prognosis and possible treatment plan? Thank you!!!
Thu, 7 Nov 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi and welcome to HCM

There are features of Disc bulge on MRI.
Usually, the spinal cord and nerve roots are protected within the spinal canal. The spinal canal is guarded by the vertebrae which separated from one another by a cushion like intervertebral discs. With age, degenerative changes occur which leads to disc prolapse and spinal cord/nerve root compression.
These degenerative changes are not completely reversible but the further progression of these changes can be retarded with medical treatment and regular physiotherapy exercises.
Usually the treatment goes in following lines: rest, lifestyle modifications (namely- avoiding pillow while sleeping, following a healthy diet plan, maintaining suitable posture while working on computer/driving, avoiding any activity that strikes neck discomfort), medications (that your physician prescribes) and most important physiotherapy ( in form of neck exercises, cervical traction if required along with local ultrasonics).

Hope this will helps you. Take care.
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Pain In The Neck, Shoulder And Arms After An Accident. MRI Showing Minimal Disc Protrusion, Normal Cervical Lordosis. What Would Be The Treatment Plan?

Hi and welcome to HCM There are features of Disc bulge on MRI. Usually, the spinal cord and nerve roots are protected within the spinal canal. The spinal canal is guarded by the vertebrae which separated from one another by a cushion like intervertebral discs. With age, degenerative changes occur which leads to disc prolapse and spinal cord/nerve root compression. These degenerative changes are not completely reversible but the further progression of these changes can be retarded with medical treatment and regular physiotherapy exercises. Usually the treatment goes in following lines: rest, lifestyle modifications (namely- avoiding pillow while sleeping, following a healthy diet plan, maintaining suitable posture while working on computer/driving, avoiding any activity that strikes neck discomfort), medications (that your physician prescribes) and most important physiotherapy ( in form of neck exercises, cervical traction if required along with local ultrasonics). Hope this will helps you. Take care.