Go Back   ISPINE.ORG Forum > Main forums > iSpine
FAQ Members List Calendar Search Today's Posts Mark Forums Read

iSpine Discuss Can someone explain my MRI results? in the Main forums forums; Hi Experts What do these notes from Radiology mean in laymans terms? C5-C6: There are posterio endplate hypertrophic changes ...

Reply
 
LinkBack Thread Tools Display Modes
  #1 (permalink)  
Old 10-17-2012, 09:00 PM
Junior Member
 
Join Date: Oct 2012
Posts: 4
Default Can someone explain my MRI results?

Hi Experts

What do these notes from Radiology mean in laymans terms?

C5-C6: There are posterio endplate hypertrophic changes eccentric towards the right, with slight effacement of the right ventral aspect of the thecal sac, and narrowing the procimal aspect of the right neural foramen. The left neural foramen is patent.

C6-C7: There is also mild endplate hypertrophic changes and broad based disc herniation/spur slight effacing the right ventral aspect of the thecal sac without central canal stenosis. Slight narrowing of the right neural foramen is seen.

IMPRESSION:

1) Spontylotic changes as noted above, particularly at the C5-C6 and C6-C7 levels resulting in right neural foraminal stenosis. No evidence of dentral canal stenosis or cord compression.

Thank you
Reply With Quote
  #2 (permalink)  
Old 10-22-2012, 09:07 AM
Junior Member
 
Join Date: Oct 2012
Posts: 22
Default

Quote:
Originally Posted by SpineBurger View Post
Hi Experts

What do these notes from Radiology mean in laymans terms?

C5-C6: There are posterio endplate hypertrophic changes eccentric towards the right, with slight effacement of the right ventral aspect of the thecal sac, and narrowing the procimal aspect of the right neural foramen. The left neural foramen is patent.

C6-C7: There is also mild endplate hypertrophic changes and broad based disc herniation/spur slight effacing the right ventral aspect of the thecal sac without central canal stenosis. Slight narrowing of the right neural foramen is seen.

IMPRESSION:

1) Spontylotic changes as noted above, particularly at the C5-C6 and C6-C7 levels resulting in right neural foraminal stenosis. No evidence of dentral canal stenosis or cord compression.

Thank you
At 5-6 bone growth is narrowiing where the nerve roots exit. The thecal sac is what surrounds the spinal cord. You don't have contact or indentation of the cord at 5-6

At 6-7 where the disks attach there is bone growth and the space the nerve root exists the foramin is narrowing.

A chiropractor can give you a better explanation that I or your surgeon can.

My guess is that you don't need any surgery but if you do do with a minimal percutaneous approach.
Reply With Quote
  #3 (permalink)  
Old 10-31-2012, 10:50 PM
Junior Member
 
Join Date: Oct 2012
Posts: 4
Default

The reason for the MRI was to identify possible causes of bodywide muscle twitching, peripheral neuropathy symptoms and strange nerve sensations.

Does any of the above (despite what doctors may assume) play a role in this? I see two mentions of abnormal growth in the location where nerves are .... and even though they did not see any contact while I was laying prostrate .... the spine is a moving thing, and different positions may very well elicit contact.

Thoughts?
Reply With Quote
  #4 (permalink)  
Old 11-04-2012, 11:12 PM
Junior Member
 
Join Date: Oct 2012
Posts: 22
Default

Quote:
Originally Posted by SpineBurger View Post
The reason for the MRI was to identify possible causes of bodywide muscle twitching, peripheral neuropathy symptoms and strange nerve sensations.

Does any of the above (despite what doctors may assume) play a role in this? I see two mentions of abnormal growth in the location where nerves are .... and even though they did not see any contact while I was laying prostrate .... the spine is a moving thing, and different positions may very well elicit contact.

Thoughts?
Have a standing MRI. See a chiropractor for a consult. Some do it for free.

Sometimes a disk under load will bulge. You could also have weak ligaments.
Reply With Quote
  #5 (permalink)  
Old 11-04-2012, 11:21 PM
mmglobal's Avatar
Administrator
 
Join Date: Sep 2006
Posts: 2,511
Default

I usually look at the adjectives instead of the pathology noted. Most people in their 50's or 60's will have MRI's that sound much worse... even people with no symptoms.

I'll be surprised if your doctors get too excited about the MRI. No smoking gun there???

What I see in your report is slight, mild, slight.

You are correct. The spine is a dynamic system and the MRI is a static image of you laying in a neutral position. Have they looked at t-spine and brain? Even with no smoking gun, it is often difficult to get the doctors motivated to look for less likely causes.

Good luck... please keep us posted. All the best,

Mark
__________________
1997 MVA
2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
Life After Surgery Website
President: Global Patient Network, Inc.
Founder: www.iSpine.org
Reply With Quote
  #6 (permalink)  
Old 11-10-2012, 05:18 PM
Junior Member
 
Join Date: Oct 2012
Posts: 4
Default

Thanks for the feedback -

Im pretty proactive with my health, so I wanted to ask you guys - i am 38 years old and .... well fortunate enough to have "early and slight" on an MRI ... is there anything I can do, daily, that will reverse what is starting, or dramatically reduce its progression?

I see arthritis being mentioned and degenerative disk disease .... they wont be slight or beginning stages forever. So what can I do so Im not the 78 year old guy in constant back pain?
Reply With Quote
Reply

Bookmarks

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On



All times are GMT. The time now is 10:31 PM.


Powered by vBulletin® Version 3.7.2
Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.