Does upper back pain affect mobility in the right hand?

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1. Observations (attachment removed to protect patient identity):

Cervical spine: There is mild straightening of the cervical vertebrae. Vertebral bodies are showing mild osteophytes and are otherwise normal. No evidence of collapse or bony destruction. Atlantoaxial articulation appears normal. No features suggestive of basilar invagination or Chiari malformation. Neural arches appear normal. There is mild disc desiccation in multiple cervical disc levels. There is mild posterior longitudinal ligament thickening and disc osteophyte complex in C4-C5, C5-C6 and C6-C7 disc levels and causing a mild posterior thecal indentation. There are a mild right and minimal neural foraminal compromise in C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis. Pre or paravertebral soft tissues appear normal.

Dorsal spine: Dorsal vertebral bodies are showing mild osteophytes and otherwise, appear normal. No collapse or bone destruction. Dorsal kyphosis is maintained. No spondylolisthesis. Posterior elements appear normal. The dimensions of the thoracic spinal canal are normal. The dorsal intervertebral discs are showing mild disc desiccation changes. Height is maintained. No significant disc bulge.

There is mild thickening of the posterior longitudinal ligament in the thoracic disc and vertebrae levels and causing a minimal posterior thecal indentation. There is no spinal canal stenosis. The rest of the thoracic spinal cord is normal without abnormal signal intensity alterations. The perivertebral soft tissues are unremarkable.

2. Impression:

There is mild posterior longitudinal ligament thickening and disc osteophyte complex in C4-C5, C5-C6 and C6-C7 disc levels and causing a mild posterior thecal indentation. There are mild right and minimal neural foraminal compromise in C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis. Mild cervical spondylosis. Mild thoracic spondylosis. There is a limited visualization of the right rhomboid muscle and there is no obvious abnormal lesion in the right rhomboid muscle area in the given images.

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A short duration pain in the neck and back with MRI findings as visualized can respond to physiotherapy and pain killer ointments or sprays. If you are doing any sports activity then modifying it can help. Oral medications are needed only if lifestyle modification, physiotherapy, and ointments are not helping.