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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Below Test Report Suggest?

Hi Dr., could you pls advice on the below report and how serious that could be? Clinical History: Neck pain with right upper limb Symptoms and radiculopathy Technique Sagittal T1, T2, bilateral T2 oblique, sagittal STIR, axial T2. Findings There is straightening of the normal cervical lordosis without subluxation At C6/C7, there is a right posterolateral disc protrusion with an extruded fragment extending to the foramen measuring 5mm and indenting the right C7 nerve. The left foramen is maintained. No significant facet arthrosis. Mild Canal stenosis due to developmentally short pedicles. At C5/C6, there is moderate to advanced degenerative spondylosis. No focal disc protrusion. Mild diffuse disc ridge complex. Thereis mild to moderate central canal stenosis from combination of disc ridge complex and short pedicles. Moderate left foraminal stenosis seen from prominent uncovertebral hypertrophy. Minimal right foraminal stenosis from uncovertabral hypertrophy. The facet Joints are maintained. At C2/3, C3/4 and C4/C5 there are no significant findings. At C7/T1, no disc bulge or disc protrusion. No canal or foraminal stenosis. The Facet joints are maintained. The visualised posterior fossa structures are unremarkable. COnclusion Right Posterolateral disc protrusion at C5/C6 with a sequestered disc fragment extending to the foramen indenting the exiting right C7 nerve. No additional sites of focal disc protrusions or additional sites of suspected right-sided neural impingement. Background of mild developmenrtally short pedicles. Moderate to advanced spondylosis at C5/6
Wed, 1 Apr 2020
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General Surgeon 's  Response
Hello,

* As per my surgical experience, the report with narrated symptoms of upper limb peripheral neuropathy is related to cervical nerve compression at the level of Brachial plexus through the underlying cervical spondylosis at C 5 and C 6 levels. My guidelines at present

- postural adaptations to avoid certain positions that aggravate the pain

- use of cervical collar as per advise of your orthopedic surgeon
- analgesic and anti inflammatory medicines
- control of blood sugar and body weight
- assisted physiotherapy of neck and cervical portion

* Discuss the need of surgery with your treating ortho surgeon for best guidelines ahead.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Does My Below Test Report Suggest?

Hello, * As per my surgical experience, the report with narrated symptoms of upper limb peripheral neuropathy is related to cervical nerve compression at the level of Brachial plexus through the underlying cervical spondylosis at C 5 and C 6 levels. My guidelines at present - postural adaptations to avoid certain positions that aggravate the pain - use of cervical collar as per advise of your orthopedic surgeon - analgesic and anti inflammatory medicines - control of blood sugar and body weight - assisted physiotherapy of neck and cervical portion * Discuss the need of surgery with your treating ortho surgeon for best guidelines ahead. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel