C5-C6 issue affecting my shoulder?

Posted by amywood20 @amywood20, Sep 18, 2019

Hello! According to my MRI, I have a bulge with a small annular fissure (noting it can be symptomatic) at the C5-C6, DDD and a small bone spur causing foraminal narrowing on the right side and foraminal stenosis of the right. I also have some slight reversal of the normal curve that I think has to do with the osteophytic change at the C5-C6 level. I have battled this issue for over 7 years and during that time it has come and gone. It is back and causing some left hand tingles and a bit of numbness, although if you scratch the hand I still have feeling in it and can use it. I also have a painful spot near the shoulder blade and can even get discomfort at the front of the shoulder near the armpit. Most of this is on the left arm/upper back, yet the narrowing is on the right foramen. I don't know if the bulge is centrally located or to one side. I do get a few tingles on the right hand but it's less frequent than the left. For a while now I was chasing the issue of if my left shoulder issue was from the shoulder or the neck. I had a MRI with contrast done on that shoulder and the only thing it showed was a low grade partial tear of the infraspinatus, most likely from weight lifting and just wear and tear being that I am 43. Shoulder doc said that many have these small tears and they do not cause pain. Because of the hand issue and how I did fine with the in-office shoulder manipulation, he feels my issue is from the cervical spine. He didn't even want to try a cortisone injection into the shoulder to see if it would help, noting he really things the shoulder is not the issue. I have had one cortisone injection into the neck without any relief. I am getting a second one next week. I see a neurosurgeon in November. Here is where I get pretty confused. I know the C5-C6 innervates the infraspinatus (ironic that is where my partial tear is) and from what the pain doc noted when getting the first injection, the pain around the shoulder blade is common. Does disc issues like this actually cause the shoulder to not function quite like it should or does it just cause it to hurt? Example: went to physical therapy this morning and had traction done on the cervical spine for the second time. Came home and as I was reaching down to pick up a cat bowl of water from the floor with the left arm I heard a clunk, which sounded like it was coming from the back of the shoulder. Then I felt discomfort in that one spot near the shoulder blade and some hand tingles. Can these disc issues cause the shoulder blade not to work quite like it should? Is the C5-C6 issue what cause this to happen? Because I know there is a low grade partial tear in that shoulder anytime it makes a weird noise or I get an odd discomfort my mind wants to blame it on that even though the shoulder doc says it's not the issue. Kinda of wish I didn't know about it, as it has really been exhausting mentally. I can't stop questioning things. Anyway, was just curious as to how these disc issues/nerve issues actually affect the movement of extremities. I hear people say that the C5-C6 can cause shoulder pain but I've not really heard much about how it can affect the movement of it. Side note, I also have an issue at my L4-L5 and L5-SI. I will be coming to the Rochester Mayo on Oct 1st for the first time to be seen for my PKD/PLD. I wanted to have a specialist there go over my cervical spine and lower lumbar MRIs but from what I was told, you can only see two docs per visit. I have already been scheduled with two doctors for the PKD/PLD so that's my limit. Where I live PKD and PLD isn't as common so traveling out of state for that reason is much more important than having my spine images looked at. Would have been neat though since I will be there anyway. 🙂

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@fdchik22

First of all thank you so much for your advice, being a sounding board and being a great listener. Something that's funny is I've looked at both those websites before lol. I spent so many years as a medic so I'm very curious about anything medically related. When I don't understand things I must do research. But you explained some of it by "breaking it down barney style" as we say in the fire dept, that's much appreciated. I of course welcome many opinions on my body before having surgery. The visit up there would be no problem because I have a ton of family up there my folks are from there. I'll probably start the process soon since you said it takes a while to get in. Is it done online or just call? How does one go about creating an account??

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@fdchik22 You can contact Mayo online, but it's more efficient to call the Neurosurgery department during the business week M - F and they will have a nurse talk to you for triage and ask you questions. They will set up the account and tell you how to send in your imaging. I am sending the phone number in a private message. Good luck! I hope you'll share your experience along the way and let us know how you are doing. It sounds like you have a great advantage with family in the area. Make sure to take time to enjoy the art collection and all the people who play pianos in the public areas. As an artist and a biology major, I studied anatomy, and I also worked in neuro-anatomy research at the University of Chicago. That made is easier for me to understand research, and I have watched a lot of surgeons giving online presentations at their conferences on spine surgery. I have a 3 dimensional understanding of how the body works, and I've documented my own progression of spine issues and had the feedback of the effects of moving my body and producing my symptoms that were reproducible. I also have been working with a great physical therapist and I have learned a lot from her. She recommended that I get my spine checked out when the first symptom was ankle pain when I turned my head. No one believed me that a bone spur on my spinal cord could do that until I got to Mayo. Being a medic will help you understand as a patient, but remember it's your job to explain your symptoms to let the doctors figure out why and solve the problems. They have trained many years for that and deserve respect.

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You could be my twin brother BUT I already have one. I am a retired P.T. C4-5 definitely has overlapping motor and sensory nerves to the neck and scapula. Get an anatomy book at the library and look for dermotomes as well as motor distributions. You probablely have neck and shoulder nunbess to thumb and feeling like a sun burn, Your L-4-5 may cause come problems lifting the knee from the hip or lifting your leg upward lying on your side(insdei). L5-S-1 is a bummer. You can loose some elemination control and your ankles. Surgery above L-5, when warranted, will help. I have no relief in site of L,5-S-1 except exercise. Try to avoid oxycodone or hydrocordone trap. Be pro-active for yourself. You have serious problems that only you can allow decisions to be made, Seek 2nd and 3rd opinions. But above all, don't get hooked on opiates. The maximum for Tylenol is 4000 Mg a day before Liver concerns Good Luck

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