Dr. Anuj Gupta
Spine Surgery
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Patient's Query
Hello doctor,
I am 33 years old and very active. I got these results from a neurologist, who said I should try strength training instead of going straight to surgery. My symptoms are numbness in my arms and hands and weakness in my grip strength and shoulders. These symptoms have worsened over the last week, but I am not experiencing any pain. My MRI result is as follows. The cervical discs show mild narrowing at C3-4 and C4-5 and moderate narrowing at C5-6. A small posterior disc bulge is seen at C3-4. A small central disc protrusion is seen at C5-6, which abuts the cord without causing indentation. There is mild canal stenosis at this level. A small central disc protrusion is also seen at C6-7, which indents the thecal sac but does not abut or indent the cord. Uncovertebral joint osteophytes cause severe left foraminal narrowing at C3-4 and moderate left foraminal narrowing at C5-6. There is compression of the left C4 nerve root and possible compression of the left C6 nerve root.
Kindly help.
Hello,
Welcome to icliniq.com.
Thank you for your query. I understand your concern. Do you have weakness and numbness only on the left side? When you keep your hand above your head, do you feel improvement in numbness? Do you feel instability while walking? Is it possible to send your prescription of the neurologist? I want to see his examination findings.
I hope this has helped you. Thank you.
Patient's Query
Hello doctor,
I have numbness and weakness on both sides of my hands. I have tingling in the thoracic portion of my back, and I also have scoliosis. It feels better if I lift my arms. I felt dizzy and had trouble walking three years back. I have not experienced that in a while, though. I have also had some vision abnormalities. I asked if I could strength train before resorting to surgery, and he said he did not see a problem with that. He only said he could refer me to a surgeon. I am worried about it.
Hello,
Welcome back to icliniq.com.
I do not think the cervical spine is responsible for your symptoms, per my understanding of the report. The report mentions that you have compression on the left side, but you have symptoms bilaterally. Moreover, difficulty in walking and vision problems are not explained by this. Get an MRI (magnetic resonance imaging) of the brain and EMG (electromyography) of all four limbs.
I hope this has helped you. Thank you.
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Spine Surgery
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