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Doctor insights on: Severe Cervical Foraminal Stenosis

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I have cervical stenosis and fibromyalgia. With activity my upper chest area aches with severe pain. My thoracic MRI was good. What could cause this?

I have cervical stenosis and fibromyalgia. With activity my upper chest area aches with severe pain. My thoracic MRI was good. What could cause this?

Coronary arteries?: 59yo female reports chest pain with exercise. Physicians generally rule out the most worrisome pathology ascribed to symptoms patients report. Before all other considerations, a 59yo women with chest pain upon exercise needs an in-depth evaluation for angina pectoris and coronary artery disease. If a workup is negative, then consult with an Osteopath. These symptoms require expeditious evaluation.

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Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


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What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face

What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face

Degenerative: Basically refers to degenerative (aging) changes of the spine. Disk/osteophyte refers to bone spur and/or disc protrusion, and facet/uncovertebral hypertrophy refers to arthritis of the joints at the back part (facets) and sides (uncovertebral) of the vertebrae. Ventral thecal sac deformity and ventral cord flattening refer to slight pressure on the spinal cord. Stenosis refers to pinched nerve.

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Severe cervical foraminal stenosis. Are there any effective treatments?

Severe cervical foraminal stenosis. Are there any effective treatments?

May require surgery: Severe cervical atenosis oftenresults in pain, numbness, even weakness and muscle strophy. Seek an orthopedic, or sometimes neurosurgical consultation regarding function, possible non-surgical treatment and surgical options.

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How risky are cervical epidural injections for some one with ddd severe canal stenosis and foraminal stenosis and 2 herniated discs c3/c4 and c7T1?

How risky are cervical epidural injections for some one with ddd severe canal stenosis and foraminal stenosis and 2 herniated discs c3/c4 and c7T1?

Just as risky: Just as risky, is for someone without these findings. Risk do not increase, based on severity of the disease for which you are doing the epidural. Which in your case, is spinal stenosis.

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How will epidural injections help severe stenosis and foraminal natroeing and herniated cervical discs. Is it safe to get 3 that's what my doc wants?

How will epidural injections help severe stenosis and foraminal natroeing and herniated cervical discs. Is it safe to get 3 that's what my doc wants?

Epidural Steroids: Epidural steroid injections are commonly used in the spine to treat nerve irritation and inflammation. They are considered a standard part of conservative neck and back pain management. For the cervical spine, it's critical that and MRI is performed before so that the available space for the spinal cord can be evaluated. If it's too narrow, epidural steroid injections may be contraindicated.

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Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?

Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?

Usually not quick: Unless neck is injured, the quick paralysis does not occur but a gradually progressive paralysis does occur which a neurologist or astute clinician can detect. It can be fixed by surgery and further progression will stop.

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Could cervical Radiculopathy shoulder and arm symptoms from severe foraminal stenosis C5c6 wax wane but is always at at least a 3 pain level?

Yes: Sorry to hear about those symptoms, if you haven't already you should tell your doctor who did the foraminectomy from 10 ytears ago. Good luck!

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2010 had cervical mri: moderate to severe foraminal narrowing right side c4-5. In 2013, mri: slight narrowing, no bony spinal stenosis. What to do now?

2010 had cervical mri: moderate to severe foraminal narrowing right side c4-5. In 2013, mri: slight narrowing, no bony spinal stenosis. What to do now?

Depends if symptoms: If you are not having any problems then you do nothing. There is not great correlation between signs and symptoms of and results of spine mris. This means many people with relatively minor findings on MRI can have lots of symptoms like pain, and many people with significant findings on mris have very few symptoms. If you are having problems you need to discuss the results with the ordering doc.

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Please explain the significance of my recent MRI findings on my cervical spine. I have a history of spinal stenosis in the lower back. I recently had an MRI on my cervical spine showing significant to severe foraminal and thecal sac narrowing at multiple

About 20% of people: With lumbar spinal stenosis will have coexisting cervical spinal stenosis. Spinal stenosis is a narrowing of a bony canal structure such as the central spine canal or the exiting nerve holes known as neuroforamen which when severe enough by imaging studies will be deemed spinal stenosis.

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What is cervical spondylitic myelomalacia / foraminal stenosis and what if any treatment/for it?

What is cervical spondylitic myelomalacia / foraminal stenosis and what if any treatment/for it?

Definitions of: Myelomalacia or "bad spinal cord" is abnormal tissue structural change of the cord negatively affecting its function brought on in this case by advanced degeneration of the bones, discs, joints and ligaments leading to a narrowing of the spinal canal compressing the spinal cord and creating these cord changes. Surgery is the only help. Foraminal stenosis is narrowing of the nerve root exit holes.

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Orthopedist question: dizziness from cervical foraminal stenosis narrowing is typical of a problem with which vertebrae number (s)?

Not Usually Cervical: Cervical foraminal stenosis can cause pain, numbness, and weakness. It doesn't typically cause dizziness. Cervical stenosis can cause unsteadiness but not typically dizziness or vertigo.

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Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?

Ask your surgeon (s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck!

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High grade osseous neural foraminal stenosis with cervical spondylosis mean?

High grade osseous neural foraminal stenosis with cervical spondylosis mean?

Pinched nerve: Cervical spondylosis is arthritis in the neck. Foraminal stenosis means narrowing of the space where the nerves exit the spinal canal, in this case caused by bone spurs from arthritis. After they leave the neck these nerves form the three major nerves of the arm, controlling feeling and movement. Stenosis can cause pain, weakness, numbness or tingling in the arm or hand. High grade = severe.

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Can chiropractic neck "cracking" adjustment reduce dizziness caused by cervical foraminal stenosis?

Can chiropractic neck "cracking" adjustment reduce dizziness caused by cervical foraminal stenosis?

Not recommended: Neck cracking done as "head thrusts" is considered potentially unsafe and should be avoided. The academy of neurology has come out against this procedure due to high risks of artery dissection and fatal stroke which can occur. I have seen 3 cases of these consequences while in training. I advise all my patients to reconsider doing such maneuvers. Risks vs. Benefits ratio unacceptably high.

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An MRI report shows no central cervical spinal canal stenosis but does show a right sided foraminal narrowing. Any impingement on the spinal cord?

An MRI report shows no central cervical spinal canal stenosis but does show a right sided foraminal narrowing. Any impingement on the spinal cord?

Puzzled: If there were impingement on the spinal cord, the report would say so. Presumably you didn't just wander into an MR center & make an impulse purchase. The MRI was ordered by a Dr who took a history & did physical. It's Dr's responsibility to review test results with you or if he can't, to find someone who can. You have a right to an explanation in terms you understand.

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What are the long term outcomes of posterior cervical foramenectomy and ACDF For cervical RADICULOPATHY from foraminal/spinal stenosis C4 thru C7?

ACDF outcomes: Even a surgeon can not answer that question. Long term can be pain relief all the way to more pain. I would say if you haven't found a good interventional pain specialist to consult with prior do so now and see what other options there are besides surgery. This is if it is just for pain, if you are having any neurological deficits surgery might be your option.

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How safe is it to give cervical epidural steroid injections to c5/c7 if I have moderate canal stenosis, Ddd, foraminal narrowing & spondylosis.?

Not always safe: May have risk of spinal cord injury, and indication is very specific, clearcut disc compression of nerve root just prior to exiting spinal canal. Unlikely to be of any benefit for your described condition, and risk may outweigh benefit. Get second opinion.

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Cervical stenosis, disc bulge, foraminal narrowing. Could this cause ongoing chest and shoulder pain? Normal nuke stress, echo 2 yrs, plain ex. 7/12.

Cervical stenosis, disc bulge, foraminal narrowing. Could this cause ongoing chest and shoulder pain? Normal nuke stress, echo 2 yrs, plain ex. 7/12.

Potentially: One way to describe "foramina stenosis" is a pinched nerve and this can potentially cause neck pain headaches, and pain running into the shoulder. It is good you had your heart checked into as well. Sometimes we will use a nerve block which can be helpful both therapeutically and diagnostically. Thank you for your question.

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C4-5 right uncovertebral osteophyte/disc bulge complex broad disc bulge right neural foraminal stenosis & abutment of ventral cervical cord. Meaning?

Not meaningful: These findings on MRI of c spine are simply indicators of arthritic phenomenon with aging or wear and tear. These may or may not clinically corelate with the clinical symptoms or signs of a patient. Examining and ordering physician is in best position to tell if these findings corelate with your symptoms. See a neurologist.

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Please explain. Spinal stenosis and neural foraminal stenosis, inferior cervical spine due to posteriordisc osteophyten complex formation, uncovertebral?

Cervical narrowing: Age appropriate changes of a settling cervical spine causing bone spurs and crowding of nerves in neck may cause arm pain and numbess in fingers small and ring with or without neck pain.

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Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more


Dr. Marvin Ott
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Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more