Really bad ddd and other problems
This is my mri report and i want to know how to proceed as the medical system is broken in canada and wait times are insane
I want to know if chiropractic care is an option , physio, etc..
Im a plumber and this has completely stopped my career but also want to know how to protect my spine for my remaining yrs as im 60yrs old
Thanks
MRI CERVICAL AND LUMBAR SPINE WO CONTRAST
Clinical indication:
Severe DDD...
This study was done without IV contrast injection according to standard protocol coronal prior study for comparison
Good alignment of the cervical spine with no visible fracture or aggressive bone lesion. No visible fracture or aggressive bone lesion. No myelopathy. Few artifacts though. Prior cervical junction is within normal limits
C2-C3: Mild DDD
C3-C4: Mild DDD. Thecal sac is still measuring 9 mm in the midline with no visible spinal cord compression. Chronic looking left severe foraminal stenosis secondary to uncovertebral OA
C4-C5: Mild DDD with disc bulging. Thecal sac is measuring 10 mm with left more than right moderate to severe chronic foraminal stenosis
C5-C6: Moderate DDD with disc bulging. Thecal sac is estimated at 10 mm. Chronic looking right severe and left moderate foraminal stenosis
C6-C7: Moderate DDD with disc bulging. Thecal sac is measuring 8mm with mild spinal stenosis. Chronic looking right severe and left moderate foraminal stenosis
C7-T1: Beginning DDD
Good alignment of the lumbar spine except for grade 1 and millimetric anterolisthesis of L5 on S1 secondary to chronic looking bilateral pars interarticularis spondylolysis of L5. Conus is unremarkable. No visible aggressive bone lesion
L1-L2: Right subtle millimetric posterolateral disc protrusion with no stenosis
L2-L3: Unremarkable
L3-L4: Mild DDD with chronic looking bilateral moderate foraminal stenosis secondary to disc osteophyte complex
L4-5: Mild DDD with disc bulging. Chronic looking left moderate to severe and right moderate foraminal stenosis
L5-S1: Mild DDD with chronic looking bilateral moderate femoral stenosis
CONCLUSION:
Chronic looking multilevel DDD as described above
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danchamp,
Canada's healthcare system is interesting as it seems to depend a lot upon where you live. Are you covered by any private or public insurance plans.
Your disc disease isn't looking so bad for sixty. Mostly mild, but some moderate Sure looks occupation related.
You have good alignment throughout. I'm sure you are having pain, mostly from foraminal stenosis. You have bulging discs but it seems that non are herniated. And, thankfully, no central canal stenosis, at least visibly in this report.
I imagine the most pain at L5 where you have bilateral pars interarticularis spondylolysis which is actually a fracture of the pars--the slender bones that connect (the upper and lower facets and stabilize the vertebra. now you have L5 sliding forward over S1 which leaves less room for the nerves exiting the facets. The movement in your spine is only grade 1. https://www.healthcentral.com/condition/spondylolisthesis/pars-fractures I link this for the image of the pars which I think rather difficult to imagine.
The neck may be the most painful. While you have mild DDD there is severe foraminal stenosis at C3-4, C4-5 and C5-6. The foramen is a space left for the nerves to exit the spine. https://my.clevelandclinic.org/health/diseases/24856-foraminal-stenosis this link is for the image of the foraminal space. You have disc bulges narrowing the space because the disc separates the vertebral bodies. And you have osteophytes--tiny sharp bones that irritate the nerves. Osteophytes usually develop over several years. They can be removed. Disc bulges sometimes resolve.
But to answer your question finally.
Chiropractor are a good bet. I get great relief and they are less expensive here than doctors. They perform the lost art of the physical exam. And give you the best information on why you have pain with which movements. Physical therapy would be great for you. You don't want to aggravate the discs with movement. So you need the right movements to nourish the discs. You really have to move around. You shouldn't work out on your own walking is safe. I imagine that your discs would be helped by traction.
The center of the disc is mostly fluid and acts as a cushion. Stay hydrated.
Thx for answering
All this has been affecting my left ear my right eye I lose hearing constantly for 15 , 30sec in my left ear I have a lot of tinnitus changing allvthe time it is very loud , my right eye gets mostly slightly blurry a lot of neck paint I do lose balance from time to time as I have fallen off my stepladder at work I have tried everything walking is painful at the lower back causes sciatica for days and weeks even, I get numbness in my head not a lot of numbness in my feet to the point where it hurts I lose a bit of strength mostly to my left leg and right arm or hand, lots of pressure or the feeling of pressure in the left ear, feels lije water in it all the time and I'm popping my ear all day to the point where it causes more loos of hearing and jaw pain, my right ear gets strong what i call attacks wher extremw ringing for a few minutes and complete loss for 4 to 15 hrs comes back with sound sensitivity and scratchy like a ripped speaker, takes around 2 to 5 days to ge back to normal, the head numbness actually got me in hospital thinking i was getting a stroke,,, i will stop here for now as there's more its just too long of a list to continue typing
Almost forgot to mention constant nausea
Only thing that helps is laying down every 5 or 6 hrs, looking to the left with heaf tilted up seems to clear my left ear temporarily, lije 5 minutes
Thx Dan