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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hello, I Have Been Having Neck & Trapezius Muscle Pain

Hello,
I have been having Neck & Trapezius muscle pain for more than 6 months now.
Initially, I thought it was due to soft mattress so I changed it to firm ones and then changed couple of pillows but it didn't help.
I then visited local GP and got a referral for MRI.
The MRI reports states as follows:
Mild reversal of the normal cervical lordosis. Minor retrolisthesis C5 on C6.
Mild loss of disk height c4/5 and c5/6. Mild neurocentral joint spurring. Significant facet joint arthropathy.
Normal Cervical junction. The cervical cord has normal signal.
At C2/C3, there is moderate left sided foraminal narrowing, due to facet joint encroachment.
At C4/C5, there is effacement of CSF anterior to the cord, with minor central cord compression. there is mild to moderate right sided foraminal narrowing, with mild narrowing on the left.
At C5/C6, there is effacement of CSF anterior to the cord by vertebral body disk osteophytosis. There is a mild compression of the left side of the cord. there is moderate left sided foraminal narrowing, due to neurocentral joint disc-osteophytosis. Mild narrowing on the right.
At C7/T1, there is no neural compromises. There is an incidental small right perineural cyst, of little significance.
In the visualised upper thoracic spine, there is shallow disc bulging at T2/T3, with no neural compression.
Conclusion : Mild Spinal stenosis and minimal cord compression C4/5. Mild Spinal stenosis and mild cord compression C5/C6. No myelomalacia.
Foraminal narrowing, worst on the left at C2/C3 and C5/6, where moderate narrowing is present.

The pain is a lot some times and it keeps bothering me even when I'm sitting.

Can you please suggest what actions I need to take ?
I'm 37 years old and very active especially playing sports.
posted on Fri, 1 Jun 2018
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