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What Does My MRI Scan Report Indicate?

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Posted on Tue, 3 Oct 2017
Question: hi. I had an mri taken of my shoulder and neck. Can you tell me exactly with the attached files mean? Where are the tears located exactly and what can I do to help heal them? thanks
doctor
Answered by Dr. Prof. Kunal Saha (4 hours later)
Brief Answer:
You are possibly suffering from neuropathic pain.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. I have gone through the MRI reports.
* The first MRI shows spondylotic changes in multiple cervical vertebrae. This means that the spinal nerves, that exit from the either sides of the vertebrae, are getting compressed and therefore leading to pain. This pain would be felt in the areas those nerves supply
* The second MRI shows that there is some soft tissue injury involved. The muscular attachment of some muscles and associated structures is involved. Such changes have also affected the nearby joints. Clinical correlation is needed.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (13 minutes later)
I am getting pain also on right upper chest. is this being caused from my neck mri or shoulder mri? the muscles that are torn, are they on my upper arm or on right side chest? on another question, is radiofrequency different than a nerve block? I am thinking it is, but not sure. I have to get nerve block on my lower spine. thanks again
doctor
Answered by Dr. Prof. Kunal Saha (26 minutes later)
Brief Answer:
GERD likely cause of your chest discomfort

Detailed Answer:
Your problem related to right upper chest seems to be due to gastritis or gastroesophageal reflux. In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.


Radiofrequency ablation is a form of nerve tract destruction in order to block unwanted 'short-circuits' caused by nerve tracts. However, I doubt if that could be of help in your case.

Hopefully that should help.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (12 minutes later)
thanks. I do have 2 pinched nerves on lower spine. are radiofrequency and nerve block different?
I thought maybe my upper right chest pain was from esophagitis or gastritis, but it is more on the right. And it feels kind if nerve like. bothers me when I take a deep breath sometime.
doctor
Answered by Dr. Prof. Kunal Saha (10 hours later)
Brief Answer:
Esophagitis is likely

Detailed Answer:
Thanks for the information. There are many processes for giving nerve blocks. Radiofrequency is one among them.

Yes, esophagitis occurs due to GERD, the one that I have mentioned. It can be more on the right and that does not change the suspicion. The fact that you get the pain on deep inspiration strongly indicates the likelihood of it being due to reflux esophagitis (the deep inspiration presses on the stomach and makes the stomach acids regurgitate back into the esophagus, thus causing the pain). The sensations from internal nerves cannot be felt like that and so, I do not think that it could be due to some nerve.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (26 minutes later)
thanks so much! I do take omeprazole 40mg each morning. Wouldn't this help with esophagitis and if I am taking this, would I be still getting pain. I don't seem to be getting heartburn with this. thanks so much for your input
doctor
Answered by Dr. Prof. Kunal Saha (38 minutes later)
Brief Answer:
Omeprazole should help.

Detailed Answer:
Thanks for the update. Omeprazole should help but that does not always suffice. Try the suggested steps and I hope that should help. If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.

Regards
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Does My MRI Scan Report Indicate?

Brief Answer: You are possibly suffering from neuropathic pain. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. I have gone through the MRI reports. * The first MRI shows spondylotic changes in multiple cervical vertebrae. This means that the spinal nerves, that exit from the either sides of the vertebrae, are getting compressed and therefore leading to pain. This pain would be felt in the areas those nerves supply * The second MRI shows that there is some soft tissue injury involved. The muscular attachment of some muscles and associated structures is involved. Such changes have also affected the nearby joints. Clinical correlation is needed. Let me know if I could help further. Regards