Thank you very much for your feedback on my neck issues, hopefully this will be of help to others experiencing similar pain. I didn’t think of my bladder not working well as a symptom of my neck issues. The nurse from my surgeon’s office asked if I was having loss of control, which I have not. Only inability at times to urinate at all. I assumed it was something to do with my lower back nerves. My surgeon assured me last year it was not the cause.
Here’s part of MRI report for my neck, done in April.
C5-C6: Degenerative disc changes present at this level with intervertebral disc space loss and posterior disc osteophyte complex. Stable associated mild to moderate narrowing of the spinal canal with partial effacement of CSF surrounding the cord and flattening the right anterior surface of the cord. Moderate right lateral recess narrowing and mild left lateral recess narrowing. Uncovertebral osteophytes result in moderate to severe neural foraminal narrowing on the right and mild-to-moderate on the left.
The level below is similar.
C6-C7: . Mild Modic type I changes involve endplates on the right new in comparison with the prior. Mild partial effacement of CSF surrounding the cord but no significant narrowing of the spinal canal. Moderate bilateral neural foraminal narrowing on the right.
My pain management PA told me Monday the diagnostic injections were on C3-4 level, not sure if that’s correct.
I will ask the dr. Next week when he does the 2nd diagnostic injections, exactly where he’s aiming.
As to your other question, I haven’t had the emg testing yet. My NS gave me directions to try PT, then he will order the emg testing if it doesn’t help.
So far it is making pain worse; the therapist is very experienced and does manipulations on my neck on each level of vertebrae, and last week we tried dry needling.
Perhaps I need to check in with my surgeon, who did my last fusion? And see if the emg tests should be done now.
@ga29
Your MRI results are very similar to mine. My orthopedic spine surgeon immediately diagnosed me when others missed it having cervical spondylitic myelopathy at C5C6 which was affecting arms/hands/bladder and walking. I also did PT and dry needling but did not do cervical injections. You may need to get a second opinion on whether you have myelopathy which is flattening and injuring your spinal cord to prevent further and permanent injury. I also never thought my neck was causing these issues because I also have severe lumbar stenosis. Your bladder definitely is having problems releasing urine because your brain signals are being disrupted traveling through your cervical spine/spinal cord to your bladder. It sounds like you may need ACDF surgery to remove injured disc(s) and osteophytes and fuse/cage. Injections are not going to stop your vertebrae/discs mechanically pressing in your spinal cord. It is only a bandaid for the inflammation caused by the pressure/friction.