Have Had Cervical MRI. What Are The Findings?

Posted on Fri, 4 Oct 2013

Question: Hi..
This is XXXXXXX from Kanpur. My brother's cervical MRI (age - 26Y) report is telling that
1. Marginal osteophytes are noted in C3 to C6,
2. Diffuse disc bulge is seen at C3/4 level indenting the thecal sac encroaching bilateral exiting foramen (grade I),
3. Diffuse disc bulge is seen at C4/5 level indenting the thecal sac encroaching bilateral exiting foramen (grade I),
4. Diffuse disc bulge with right foraminal disc protrusion is seen at C5/6 level indenting the thecal sac and compressing the right exiting C6 nerve (Grade III),
5. Broad based disc bulge is seen at C6/7 level indenting the thecal sac encroaching bilateral exiting foramen (grade I),
Kindly suggest me the proper medical.

Answered by Dr. Sudhir Kumar (9 minutes later)

Brief Answer:
Medical treatment and physiotherapy are required

Detailed Answer:
Hi,

Thank you for posting your query.

I have gone through the MRI cervical spine reports of Mr XXXXXXX Baranwal.

These reports show minor problem, with bulging of discs in the neck region with compression of nerves. This may result in neck pain, pain, tingling, numbness and weakness of arms and hands.

Treatment would include use of medications such as pregabalin and methycobal.

In addition, physiotherapy with IFT, ultrasound, and neck extension exercises are also required.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (21 hours later)

Thank you very much for this valuable suggestion regarding MRI of my brother XXXXXXX Baranwal.
Before following up the inquiry I would like to add some more information. The medical treatment which is running are:
1.     Elcafort (In morning only)
2.     Chemoral Forte (three times/day)
3.     Calvanta (In morning)
4.     Numoloide (2 times/day)
Kindly also suggest the necessity of operation along with the condition under which the patient needs operation.

Answered by Dr. Sudhir Kumar (4 minutes later)

Brief Answer:
Operation is not usually needed

Detailed Answer:
Thank you for getting back.

In this condition, operation is not required in 90% of cases, and it is needed in only 10% of patients.

Please continue the medical treatment and physiotherapy.

I hope it helps.

Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (17 minutes later)

Thanking you sir for your sudden response.
How long this medicine and exercises will run to recover this ?
and kindly also say about precautions for this in detail, if possible.

Answered by Dr. Sudhir Kumar (3 hours later)

Brief Answer:
Detailed answers are below

Detailed Answer:
Thank you for getting back.

It would take three to six months of treatment to recover well.

Precautions would include doing regular exercises for the neck, and avoiding sitting in front of system for long time.

Best wishes,
Dr Sudhir Kumar Md DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar