mysticdoc : The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
mysticdoc : Hello,
mysticdoc : Thanks for your question.
mysticdoc : Your MRI report does show problem on the left side of the C6, 7 vertebrae.
mysticdoc : There is some foraminal narrowing and this can cause nerve compression.
mysticdoc : This can result in neck, shoulder and arm pain.
mysticdoc : However, the dizzy spells can still be stroke related although MRI without contrast was normal.
mysticdoc : BPV does explain these symptoms but that does not rule out stroke either.
mysticdoc : Physical therapy of the cervical spine shoulder and arm will help with the pain symptoms.
mysticdoc : Symptomatically dizziness can be treated with meclizine tablets.
mysticdoc : In ore severe cases, benzodiazepines like clonazepam can be used.
Customer: Would it explain a problem on the left side of my neck- feels like the large muscle there is tight and under pressure.?
mysticdoc : A consultation with a spine surgeon should be considered.
mysticdoc : yes it does.
mysticdoc : In some cases, surgery may be required if physical therapy does not yield good results.
mysticdoc : Also steroid injections by a pain medicine specialist is another option.
Customer: What about numbness and tingling on left side of face, cheek and ear? Would nerve or disc problem in neck cause this?
Customer: I was doing those (stupid) vestibular rehab exercises 2 times a day for 3 weeks- and then suddenly this?
mysticdoc : That can also be caused by the cervical spine problem.
mysticdoc : If you inadvertently twisted your neck that can worsen your symptoms.
Customer: Could I have caused the problem in my attempt to get rid of my dizziness?
mysticdoc : probably.
Customer: In the c 4/5 area with a mild disc bulge- what does "This fattens the ventral sac" mean? Sounds bad.
mysticdoc : flattening not fattening of the ventral sac
Customer: Yep- sorry.
mysticdoc : that means you likely have pinched nerve root.
mysticdoc : That can cause these symptoms.
Customer: In the c 4/5 area this flattening or pinched nerve can cause face and neck numbness, pressure and tingling?
mysticdoc : yes correct
Customer: Wow- the neurologist told me my Cervical MRI only showed "mild degenerative disease" - nothing that would produce my head and neck symptoms and he's sending me to a stroke center. The only reason I know what the MRI showed is that I asked his nurse for a copy of my results.
mysticdoc : No, MRI suggests more than that.
mysticdoc : That is why, you should consider physical therapy and a spine surgeon consultation.
Customer: I've had this numbness and pressure over 2 months since the sudden onset that sent me to the ER.
Customer: How likely I can reverse the damage or has it been too long?
mysticdoc : This can start that way.
mysticdoc : the symptoms will likely reverse over time with physical therapy.
Customer: Will Flexeril help at all?
mysticdoc : it may with muscle tightness.
Customer: How about Medrol? About 3 weeks after my issues started, my allergist put me on Medrol for a month to combat my severe sinusitis and return of nasal polyps. My face and neck symptoms improved and then when I stopped the Medrol I've pretty much stayed the same- no more improvement.
mysticdoc : Medrol is a strong steroid and can help to reduce the inflammation.
mysticdoc : This may be helpful but it has several side effects on long term use.
mysticdoc : That is why I suggested steroid injection ( epidural) as an alternative.
Customer: Ok. I guess it's off to another doctor then. I appreciate your information.
mysticdoc : very welcome
mysticdoc : yes you do need a second opinion.
Customer: Any websites you know of that I could tap into to possibly copy information about cervical spine issues causing neck and face pressure and numbness to take to my doctor? Honestly, I'm stunned that he flat out told me these results showed nothing that would cause my issues .
mysticdoc : This is one website:
mysticdoc : http://www.americanspinal.com/diffuse-cervical-bulge.html
Customer: Thank you.
mysticdoc : http://www.webmd.com/pain-management/features/neck-pain
mysticdoc : Best wishes,
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