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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Moderate Disc Space Narrowing & Unconvertebral Hypertrophy Of Cervical Spine Suggest?

Recently I had an mri done for the pain I was having between my shoulder blades, shooting to my shoulder, up the back of my head causing a headache, my right ring finger and pinky goes numb, hurts to raise my arm causing pain to area between my shoulder blades. Mri was done on my thoracic pain, however it showed my cervical spine had moderate disc space narrowing with anterior spondylosis and uncovertebral hypertrophy involving lower cervical spine. I had a lumbar spinal fusion 2 years ago with similar symptoms before surgery, but still have a lot of problems with lower back pain. Does this new MRI sound as if I need another surgery?
Tue, 19 Jan 2016
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Neurologist, Surgical 's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. I will first narrate indications of surgery in case of disc surgery to give you some insight
; disc herniation causing discogenic pain which is not responding to maximum dose of painkillers even after 2 weeks
; disc herniation causing nerve damage and focal deficit
; traumatic disc herniation
; disc herniation causing compression of spinal cord with focal deficit
; disc herniation with slippage of vertebral bodies over each other
; patient is fit to undergo surgery
; clinics-radiologic correlation which means your symptoms' origin is explained by radiologically confirmed disc herniation.

Now coming to your complaints and radiologic findings, it appears that your symptoms are due to disc herniation. But from your question, it is not clear whether you have taken any medication for it? whether you are having any focal deficit? If answer of both questions is "yes", you might need surgery. If answer is "no", you should consult doctor and take conservative treatment.
Meanwhile, you can follow few tips

; bed rest
; avoid neck flexion. You can use neck collar (soft or hard) according to your neck size
; avoid pillow use while lying in supine position
; avoid lifting weight
; you can take painkiller like Pregabaline or Gabapentine or combination after proper prescription

If you get some relief, you can wait and watch. If still no relief, you should consult doctor.

Hope it will help you. Thanks. Take care.
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What Does Moderate Disc Space Narrowing & Unconvertebral Hypertrophy Of Cervical Spine Suggest?

Hello. Thanks for asking from HCM. I can understand your concern. I will first narrate indications of surgery in case of disc surgery to give you some insight ; disc herniation causing discogenic pain which is not responding to maximum dose of painkillers even after 2 weeks ; disc herniation causing nerve damage and focal deficit ; traumatic disc herniation ; disc herniation causing compression of spinal cord with focal deficit ; disc herniation with slippage of vertebral bodies over each other ; patient is fit to undergo surgery ; clinics-radiologic correlation which means your symptoms origin is explained by radiologically confirmed disc herniation. Now coming to your complaints and radiologic findings, it appears that your symptoms are due to disc herniation. But from your question, it is not clear whether you have taken any medication for it? whether you are having any focal deficit? If answer of both questions is yes , you might need surgery. If answer is no , you should consult doctor and take conservative treatment. Meanwhile, you can follow few tips ; bed rest ; avoid neck flexion. You can use neck collar (soft or hard) according to your neck size ; avoid pillow use while lying in supine position ; avoid lifting weight ; you can take painkiller like Pregabaline or Gabapentine or combination after proper prescription If you get some relief, you can wait and watch. If still no relief, you should consult doctor. Hope it will help you. Thanks. Take care.