Medical Questions? Ask a Doctor Online!
Hi, I'm Doctor Robert, a Medical Internist (MD) who deals with diseases of all organ systems. All my education has been completed in the US.
aytAre you there?
Whiplash classically affects C4/C5 disk interspace. it is due to forceful posterior motion of the head, causing damage to the disk at that interspace. It is almost always due to trauma.
The short term affects are clear: pain, difficulty moving the arms, and difficulty in neck movement.
The problem is that over time, the disk may continue to degenerate.
That rate varies by person.
But it is no worse than disk disease from any other cause.
If you're having problem, the best test is an mrimagnetic resonance imaging (MRI) of the cervical spine to evaluate the status of the disk.
If it is severely compromised, there are surgical options to repair or stabilize the disk.
ialPlease realize this: I am limited to the information that I glean from your posts, as I can't see, talk to, or touch you. I can only give you my approach to the evaluation of your symptoms if you were in my office. That puts me at a disadvantage compared to your doctor who actually sees your body right there in the office. This is just the nature of advising across the internet. A specific diagnosis under these conditions is VERY difficult.
I had that done
And what did it show/
looking for report...
Great. I'll wait for you to find it.
Have you found it?
Can you type the findings? Or do you know how to attach a scanned image, because I have no idea how to do that.
Sorry? About what?
C4/5 Small diffuse bulge
So, this is exactly the disk I mentioned above without knowing what your MRI showed. So, am I good or what??
Could not transfer scan
But honestly, a disk bulge is likely to impinge upon the spinal nerves that pass through.
C6/7 Slight enfacement of the anterior CSF
The means the disk at that level is moving foreward and effacing, or coming close, to the nerve roots.
Yes, That bulge worries me
It should be evaluated by a surgeon to see if it can be removed and the vertebrae fused. this is something i can't do over the net.
You need to have a consultation with a neurosurgeon or neurologist who NEEDS to examine you to determine if this bulge is clinically significant.
Just because it shows on a scan does NOT mean it is causing symptoms. Does this make sense?
I went to NUCCA doctor and his x-rays showed C1 - C2 out 8 degress
And the bulge concerns me, too.
yes it makes sense
I think you mean millimeters, not degrees.
And if so, that is a big shift.
So, can you see a neurologist/surgeon and have them examine you and look at the films? They'll need to SEE the films, not just the report.
He corrected it and then x-rayed again and showed only 2 mini
You can request a copy of the film burned to a CD by the radiology suite where it was performed.
I don't know what you mean by correcting it, but 2mm seems much more plausible. 8mm is HUGE for the neck vertebrae,
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aoqAny other questions I can answer for you today?
He showed me x-rays with protractor lines on them. Kind of before and after shots
No matter what it showed, you need an evaluation with a competent neurologic exam. That's a must do type of thing.
Can you do that?
yes of course , thanks I needed to here another option on my neck
And this movement of the vertebrae is called spondylolisthesis.
Yes, please have an exam.
No and thanks again
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I woke up experiencing skin irritaion / pain. It is from the right knee to about half way up the quadraciep . On the outer side of leg. I only feel it if I run my hand across the skin. There is no rash or discolor
Could this be from the above mentioned?