
My MRI Says: Technique: Sagittal - T 1 T2 And

Technique: Sagittal - T 1 T2 and STIR Wls. - Axial T2 and GR Wls - Coronal T2 WIs.
- CV3-4 & CV6-7 posterior disc protrusions, indenting the ventral aspect of the spinal canal, and compromising the corresponding exiting nerve roots bilaterally
- CV4-5 & CV5-6 posterior disc protrusions inclined to the right side, indenting the ventral aspect of the spinal canal, and compromising the corresponding exiting nerve roots, especially the right
- Normal cervical medullary junction and atlanto-axial articulation.
- Normal course and caliber of the spinal cord with no abnormal signal intensities.
- Normal paravertebral soft tissues.
Opinion:
Marginal osteophytosis and decreased hydration of the interve1iebral discs material, with CV3-4, CV4-5, CV5-6, and CV6-7 disc lesions and neural compromises as described
Technique: Sagittal Tl WI, T2WI –Axial, Tl WI, T2WI - Coronal T2 WI
MRI Findings:
- Straightening of the lumbar spine reflecting muscle spasm
- LV5 - SV1 posterior disc bulge inclined to the right side, effacing the ventral aspect of thecal sac and compromising the corresponding traversing and exiting nerve roots bilaterally.
- LV4-5 posterior disc bulge, effacing the ventral aspect of thecal sac and compromising the c01Tesponding traversing nerve roots bilaterally
- Apophyseal arthropathy at LV4-5
- Evidence of marginal osteophytosis and decreased height and hydration signal of the intervertebral discs material, as well as Modic I end-plate change at LV5-SV1.
- Normal site, shape and intensity of the conus medullaris.
- Normal pre and paravertebral soft tissue.
Opinion:
- LV4-5 & LV5-SV1 Disc lesions as described.
- Apophyseal arthropathy at LV 4-5.
- Marginal osteophytosis and decreased height and hydration signal of the intervertebral discs material.
I have pain in my neck and in my lower back and experience numbness in both my shoulders down the back of my arms; and also in my buttocks, calves, the balls of my feet and toes (both sides). This occurs mostly when I stand or sit for periods of 20 minutes or more.
I am in the military on active-duty and have full coverage medical care, but I am seeking a second opinion because I do not believe my condition is being taken seriously.
I presume the injuries were incurred over the course of more than 20 years being a soldier, jumping from airplanes over 30 times, and natural degeneration of my body due to my age, of course.
I was prescribed gabapentin 300mg x 2 daily, plus I take regular Tylenol; however, this is not really helping.
I plan to seek another face-to-face consult through the military, but I would value the professional medical opinion of a civilian doctor.
Thank you.

Technique: Sagittal - T 1 T2 and STIR Wls. - Axial T2 and GR Wls - Coronal T2 WIs.
- CV3-4 & CV6-7 posterior disc protrusions, indenting the ventral aspect of the spinal canal, and compromising the corresponding exiting nerve roots bilaterally
- CV4-5 & CV5-6 posterior disc protrusions inclined to the right side, indenting the ventral aspect of the spinal canal, and compromising the corresponding exiting nerve roots, especially the right
- Normal cervical medullary junction and atlanto-axial articulation.
- Normal course and caliber of the spinal cord with no abnormal signal intensities.
- Normal paravertebral soft tissues.
Opinion:
Marginal osteophytosis and decreased hydration of the interve1iebral discs material, with CV3-4, CV4-5, CV5-6, and CV6-7 disc lesions and neural compromises as described
Technique: Sagittal Tl WI, T2WI –Axial, Tl WI, T2WI - Coronal T2 WI
MRI Findings:
- Straightening of the lumbar spine reflecting muscle spasm
- LV5 - SV1 posterior disc bulge inclined to the right side, effacing the ventral aspect of thecal sac and compromising the corresponding traversing and exiting nerve roots bilaterally.
- LV4-5 posterior disc bulge, effacing the ventral aspect of thecal sac and compromising the c01Tesponding traversing nerve roots bilaterally
- Apophyseal arthropathy at LV4-5
- Evidence of marginal osteophytosis and decreased height and hydration signal of the intervertebral discs material, as well as Modic I end-plate change at LV5-SV1.
- Normal site, shape and intensity of the conus medullaris.
- Normal pre and paravertebral soft tissue.
Opinion:
- LV4-5 & LV5-SV1 Disc lesions as described.
- Apophyseal arthropathy at LV 4-5.
- Marginal osteophytosis and decreased height and hydration signal of the intervertebral discs material.
I have pain in my neck and in my lower back and experience numbness in both my shoulders down the back of my arms; and also in my buttocks, calves, the balls of my feet and toes (both sides). This occurs mostly when I stand or sit for periods of 20 minutes or more.
I am in the military on active-duty and have full coverage medical care, but I am seeking a second opinion because I do not believe my condition is being taken seriously.
I presume the injuries were incurred over the course of more than 20 years being a soldier, jumping from airplanes over 30 times, and natural degeneration of my body due to my age, of course.
I was prescribed gabapentin 300mg x 2 daily, plus I take regular Tylenol; however, this is not really helping.
I plan to seek another face-to-face consult through the military, but I would value the professional medical opinion of a civilian doctor.
Thank you.
Physiotherapy and cervical traction can help in improvement.
Detailed Answer:
Hello,
Thanks for posting your query.
I have seen the attached reports. The changes in spine are age related and can be aggravated by injuries. Gabapentin helps in reducing the nerve related pains like you are having. In addition you need to increase your fluid intake as your discs show dehydration. In case of severe nerve related pain, physiotherapy like cervical traction and lumbar traction help in reducing the nerve root compression.
You can also get your serum Vitamin B12 levels checked and start with proper supplements in case the levels are low.
In case the pain is persistent even after taking gabapentin then you can consider getting an oral muscle relaxant prescribed as back muscle spasm also adds to the problem.
You need to use a firm mattress to rest on and avoid forward bending or lifting heavy weights or rigorous exercises and start with back muscle strengthening exercises to help with this condition.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Physiotherapy and cervical traction can help in improvement.
Detailed Answer:
Hello,
Thanks for posting your query.
I have seen the attached reports. The changes in spine are age related and can be aggravated by injuries. Gabapentin helps in reducing the nerve related pains like you are having. In addition you need to increase your fluid intake as your discs show dehydration. In case of severe nerve related pain, physiotherapy like cervical traction and lumbar traction help in reducing the nerve root compression.
You can also get your serum Vitamin B12 levels checked and start with proper supplements in case the levels are low.
In case the pain is persistent even after taking gabapentin then you can consider getting an oral muscle relaxant prescribed as back muscle spasm also adds to the problem.
You need to use a firm mattress to rest on and avoid forward bending or lifting heavy weights or rigorous exercises and start with back muscle strengthening exercises to help with this condition.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

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