Doctor insights on:
C2 C3 Herniated Disc
I have been having severe and debilitating back pain! I'm getting more and more down in my back and as the days go by! I have three herniated disc's including C2 or C3, L4 and L5. I haven't had a recent MRI but I have an old scan on file at a place in Pue
Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more
No. Tread lightly.: No. Disc will not heal with injections. What ore your symptoms? Any weakness/numbness - see neurosurgeon. Pain only - nerve root block may indeed help. "shots" in the sense of epidural steroid injections are a (lucrative) "band-aid". Given the proximity to the spinal cord, injections into the cervical epidural space can cause paralysis. If pain is at all tolerable - tread lightly around "shots". ...Read more
I have a cervical fusion at C3, 4, 5. I have a herniation at C5-6. How would the herniated disc be fixed? Would it be connected to my current fusion?
Anatomy: There are 2 different types of epidural injections in the cervical spine: transforaminal and inter laminar. Inter laminar injections are given near the midline of the neck They are typically given either at c6-7 or c7-T1 because there is much more space for the cord at that level and the injection will typically spread up to the other levels like C3-5. More danger to do interlaminar at c3-5. ...Read more
I have suspected disc damage between C2 and c3, I have been told to do chin retractions. Day 3 and I can't move my neck! Any advice?
Disc damage: I would see either a neurologist or a neurosurgeon as soon as possible to get this further evaluated. I have not heard of "chin retractions" being of any help in treating disc disease of the neck. ...Read more
Just found out I have ostephyte complex in c2-c4. Also congenial stenosis at c2-c3, and t1-t2 disc bulge. What help is available.
Mri spine suggests slight loss of signal from interertebral discs at c4-c5 and c5-c6 suggest degenerative change, minimal lossof signal at c2-c3.
Your very young: For these findings! Any history of trauma? ...Read more
How rare is a C2/C3 disc herniation? Should I see a neurologist or ortho? I'm only seeing a chiro and pain management right now. Also one at C6/7
Either: There must be a reason you have the diagnosis of disk herniations (viz. Symptoms which your doctor then ordered radiographic studies). Please do not allow manipulation of these cervical levels before speaking with your physician who can discuss treatment options with you. ...Read more
Just diag congenital spinal stenosis. Bulging disc at c2-3, c3-4, c4-5, c65-6. Hern disc at c6-7, t10-11, l4-5. How serious is it short and long term?
Depends on symptoms: Congenital stenosis is narrowing of the space for the spinal cord in your neck that you were born with. If you have no nerve symptoms (numbness, tingling, weakness, hand clumsiness, unsteady walking) just be careful; avoid situations that could lead to injuring your neck (and spinal cord): climbing ladders, running yellow lights, having obstacles around to trip over. If you do have these see a doc. ...Read more
C2 /c3 minimal disc bulge / osteophyte complex. C3/c4 posterior disc bulge / osteophyte complex. C4/c5 posterior disc bulge early hypertrophy facet.
Is there a question?: Not clear if there is a question here. ...Read more
Does the following mean 2 pinch nerves? 1. degenerative disc disease at the C2-C3 level to result in mild to moderate spinal canal stenosis at this level. 2. Degenerate changes at the C5-C6 and C6-C7 levels resulting in mild to moderate spinal cana
No but can't tell: Spinal canal stenosis can cause spinal cord compression. In order to know if a nerve is pinched in the cervical spine you want to know if there is lateral spinal canal stenosis ore more specifically foraminal stenosis. The foramen is where the nerve comes out of the spine and can be pinched. ...Read more
Mri c-spine w/o contrast on 02-14-2013. Impression: mild left foraminal narrowing c2-c3. Disc ridge complexes c3-c4 through c6-c7 without central stenosis as described. Mild disc bulge c7-t1.
Spondylosis: The report describes cervical spondylosis, degeneration of the neck portion of the spine. The abnormalities may or may not be causing symptoms. Your doctor should see if those findings correlate with your story (the history) and your examination. From the description I might think you have neck pain or stiffness without symptoms in your arms. ...Read more
Wife's Mri of spine shows C2 C3 demonstrate T1 T2 bright signal along right lower aspect disc space. L3 small vertebral hemangimo. Minor facet hypertrophy at L4 L5 encroaching on the foramina. PLEASE explain these findings. Thank you Drs.
Some findings OK:
In general, small hemangiomas in vertebral bodies are not clinically significant, sort of like fingerprints.
Narrowed foramina from arthritis in the facets can be symptomatic and treated conservatively with anti inflammatories, steroid injections or rarely (sometimes micro) surgery.
Disc lesions with T1 and T2 abnormalities need to be seen to opine on. ...Read more
MY MRI: C2-C3-C4 -C5 mild bilateral facet arthropathy, .Disc bulge C5-C6, L2-L3 mild uncovertebral hypertrophy, spinal meningeal cyst S2-S3. lots pain?
Not enough info: Your MRI finding in the cervical, lumbar and thoracic spine sound like typical MRI findings in middle age individuals. Neck and back pain are very common in your age group and can be seen with and without these findings. What you described does not mean you should or should not have pain. Moreover, not knowing where your pain is, it makes it harder to help you. ...Read more
Yes: Start with physical therapy and core conditioning. At some point an epidural steroid injection might be helpful. If all else fails and your symptoms impact your activities of daily living, surgery can be curative. I would suggest seeing a spine surgeon with expertise in minimally invasive spine surgery if it comes to that. ...Read more
Fix, Unlikely...: Core strengthening can be the source to heal the disc as best as it can. Sometimes epidural injections are needed to reduce to the pain to keep with the exercise routine. Finally a fix would truly be surgery, in which you cut out the offending part of the disc, however it has its risks/benefits as well. ...Read more
Core muscle strength: You need to do abdominal and low back strengthening and flexibility training. There are certain exercise regimens that are designed to stabilize the core muscles in the trunk to help with herniated disc issues. ...Read more
Does not really: Herniated discs do not regenerate -it edge rates and when removed and "recurs", it is really residual disc, not regenerated disc ...Read more
Yes: Not only can you, but the vast majority of herniated discs are not painful. We know this by looking at many mris of patients without back pain where many herniated discs are seen. Getting a herniated disc is like getting a cold or a headache. It is part of life. Some herniated discs can cause pain, however. The art of the evaluator is to discern whether your disc is what is causing your pain. ...Read more
Ones that cause pain: This is only in the acute phase. Over time, activity helps the herniated disc to heal. For example, if there are twins, one fat and one thin, the fat twin will have the better looking discs. Instead of thinking of activity as a problem, think of it as a solution! ...Read more
Core Exercises: Typically core strengthening exercises are the best to help relieve pressure and forces in the spine. I would try and google some or look them up on youtube to see descriptions. If you can do them yourself, wonderful otherwise ask your doctor to get a referral to a good physical therapist for further assistance. ...Read more
Most often no: Herniated disc's can often be symptom free. And quite often pain from a herniated disc will resolve with time: conservative treatment is the first line: rest/nsaids/activity modifications and if not improving may consider an epidural steroid (albeit this may be effective in less than 50% of people). Surgery is reserved for failure of extensive conservative management. ...Read more
Time & exercise: A herniated disc does not necessary require treatment. If there is associated nerve root compression/irritation then treatment may be required. Understand that 90% of pain associated with nerve root irritation will resolve with time. Otc prescription nsaids, oral steroids, heat/cold and stretching exercises will help resolve the acute pain. If not then epidural steroids may be beneficial. ...Read more
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