Q. How to diagnose ligament ossifications?
Hi doctor,
I am having a pins and needles sensation in my palms and feet. Also, stinging pain can be felt when performing physical activities that involve the upper body. X-ray report of the thoracic spine mentions potential ankylosing spondylitis due to the presence of interspinous ligament ossification and reactive sclerosis in the thoracic spine. However, an independent MRI report does not mention the same. I would like to have a radiologist analyze both my X-ray and MRI scan reports.
Hi,
Welcome to icliniq.com.
I understand your concern.
I understand it is quite concerning to have apparently dissimilar reports on two tests, especially when you are having specific and persistent symptoms. However, the good news is that MRI (magnetic resonance imaging) is almost the gold standard for spinal imaging, so if MRI has ruled out ankylosing spondylitis, it is conclusive. In fact, the ligament ossifications and reactive sclerosis identified on the X-ray point more towards degenerative spondylosis or reactive changes. So, you can quite rest assured on this point. However, you may still need to consult a neurologist regarding the pins and needles sensation and get some physiotherapy or other relevant treatment for the disc protrusion mentioned in the MRI report.
I hope the matter is clear to you now.
Best wishes.
Regarding follow up:
Neurologist/spine specialist
Hi doctor,
Thank you for the analysis. Is the loss of disc space mentioned in the X-ray report (D5-D6, D6-D7 and D7-D8 vertebra) also visible in the MRI scan?
Hi,
Welcome back to icliniq.com.
Very subtle space reduction can be appreciated at D5 and D6 levels. I do not see any significant space reduction at other levels. Thanks.
Best wishes.
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