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Dr. Andrew Rynne

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What Does The Loss Of Cervical Lordosis Shown In The Ct Scan Indicate?

Hi I'm a 28 year-old male. I have been suffering from mild right-side chronic neck pain, right-sided muscular rigidity of the lumbar area, intermittent muscle tremors of the right jaw, shoulder, and hand. This has been progressing for a year and half, being currently at its worst. I've consulted a doctor and have taken a CT of the neck. The CT showed a loss of cervical lordosis and c3/c4 intervertebral disc backward herniation, slightly putting pressure on the dural sac. I need a second opinion
Thu, 12 Jun 2014
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Radiologist,  's  Response
Hi,
Thanks for using healthcaremagic.
Normally the cervical vertebrae show lordosis, meaning it is slightly bent backwards. In your case, that bending of the cervical vertebrae is lost. It occurs usually due to muscle spasm or in older people due to degenerative changes. As you are young and as per your history, most likely it is due to muscle spasm.
The disc herniation at C3-4 level can be compressing the spinal cord which can cause neck pain also. CT is not a good modality to assess disc herniations and spinal cord compression. You should get an MRI done to assess the intervertebral disc herniation and whether it is causing any compression or not. MRI is the gold standard modality which will give accurate information about the intervertebral disc. If the herniation is severe, small surgery will be required. For mild herniations, physiotherapy is adequate and it will relieve you of the pain.
Hope it sorts your problem and wishing you a speedy recovery.
Regards,
Dr. Pankaj Nagori
Specialist Radiology
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What Does The Loss Of Cervical Lordosis Shown In The Ct Scan Indicate?

Hi, Thanks for using healthcaremagic. Normally the cervical vertebrae show lordosis, meaning it is slightly bent backwards. In your case, that bending of the cervical vertebrae is lost. It occurs usually due to muscle spasm or in older people due to degenerative changes. As you are young and as per your history, most likely it is due to muscle spasm. The disc herniation at C3-4 level can be compressing the spinal cord which can cause neck pain also. CT is not a good modality to assess disc herniations and spinal cord compression. You should get an MRI done to assess the intervertebral disc herniation and whether it is causing any compression or not. MRI is the gold standard modality which will give accurate information about the intervertebral disc. If the herniation is severe, small surgery will be required. For mild herniations, physiotherapy is adequate and it will relieve you of the pain. Hope it sorts your problem and wishing you a speedy recovery. Regards, Dr. Pankaj Nagori Specialist Radiology