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Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.
how old are you?
looks like the majority of your problems are at L4-S1
you may need from L4-S4 multi level laminectomy and diskectomy and spinal fusion in your lower back to take disk pressure off of the nerves in your lower back and to open up wider channels for your nerves to travel in the lower back and out of the neuroforamen.
you should see a spinal surgeon for your lower back issue.
you most likely will need fusion from L4-S1
disk herniation means the disk between the vertebral bodies have slipped out of position.
there is 2.5mm which is a small disk herniation at C34 in the upper neck.
the neuroforamen are the holes next to the spinal canal where the nerves exit out of the spinal canal.
this narrowing can be helped by a laminectomy and diskectomy.
a laminectomy removes bone on the back of the spinal canal to allow more space
and diskectomy removes part of the disk which is pressing on nerves.
you have some severe foraminal stenosis in the C34 level, C45
and severe on the right at C56
you may also need spine surgery in your neck as well to take pressure off of nerves exiting the spinal canal in your neck which can cause weakness and numbness in your arms.
the spinal cord ends at L12 level at the conus medularis and turns into hairs of nerves called the cauda equina or horse tail nerves which go through the canal and exit out of the neuro foramen in the lumbar and sacral spine.
spinal issues in the thoracic area which can be repaired by surgery are less common than problems in the neck or lumbar spine
which can be fixed by surgery
the findings on the T spine are not as severe on the MRI scan
that doesn't mean you don't have pain from there.
you may benefit from a TENS unit on your thoracic spine to help decrease pain.
have you tried a TENs unit so far?
the surgery in the thoracic spine would be too long, the fixation would be too long and difficult and you would loose too much mobility.
hot packs on your back can help relax muscles in your back
cold or ice packs can help decrease pain and inflammation
you can alternate them and see if that helps your back