Tuesday, February 07, 2006

Cervical Spine Five Views Including Obliques...

CLINICAL HISTORY: Neck and shoulder pain.

There is a reversal of the normal cervical curve. Disc heights are relatively well maintained, there may be limited narrowing at C6-7, oblique views show limited foranimal narrowing and minimal uncal vertebral joint spurring especially C3-4 and perhaps greater on the right than on the left. C1-2 articulation appears normal.


IMPRESSION: Reversal of the normal cervical curve, consider muscular spasm.

suggstion of limited foranimalnarrowing C3-4 greater on the right.

That there is what the doctors said about my X-rays. Anyone know what that means? Could it be my big gigantic head casuing me this pain?

8 Comments:

Anonymous Anonymous said...

Although this doesn't happen very often, the term lordosis would describe a reversal of the curve in the thoracic area of the spine.


Swayback (Lordosis)
The spine normally curves at the neck, the torso and the lower back area. This positions the head over the pelvis naturally. The curves also work as shock absorbers, distributing the stress that occurs during movement.

When the spine curves too far inward, the condition is called lordosis or swayback.


Symptoms
Lordosis can cause pain that sometimes affects the ability to move. It is usually found in the lower back, where the inward curve can make the buttocks seem more prominent.

When lying on the back on a hard surface, someone with a large degree of lordosis will have a space beneath the lower back and the surface. If the curve is flexible (or reverses itself when the person bends forward), there is little need for medical concern. If the curve does not change when the person bends forward, the lordosis is fixed, and treatment may be needed.


Causes and Risk Factors
Lordosis can affect persons of any age. Certain conditions can contribute to this condition, including achondroplasia, discitis, kyphosis, obesity, osteoporosis and spondylolisthesis.


Diagnosis
To diagnose lordosis, a doctor will take the patient's medical history and perform a physical examination. The medical history will cover such issues as when the excessive curve became noticeable, if it is getting worse and whether the amount of the curve seems to change. During the examination, the patient will be asked to bend forward and to the side to see whether the curve is flexible or fixed, how much range of motion the patient has and if the spine is aligned properly. The doctor may feel the spine, checking for abnormalities.

The doctor may order a neurological assessment if the person is having pain, tingling, numbness, muscle spasms or weakness, sensations in his or her arms or legs or changes in bowel or bladder control. Other tests may be ordered, including X-rays of the spine as a whole and the lower back where the spine joins the pelvis.


Treatment
If the doctor decides that conservative treatment is best, it may include:

Drugs to relieve pain and swelling
Physical therapy to build strength and flexibility and to increase range of motion
Braces to control the growth of the curve, especially in children and teens
Reducing excess body weight to ideal
If the curvature is severe and causing other symptoms, spinal instrumentation, artificial disc replacement and kyphoplasty are all potential surgical treatments for lordosis.

8:49 AM  
Blogger Eric Soderstrom said...

Thanks for the info, whoever you are. I put a call in to my doctir today to see if her diagnosis and treatment have changed based on the X-rays.

Wow - two e-mails from strangers in a week. I had no idea anyone would see this blog other than friends and family.

4:40 PM  
Anonymous Anonymous said...

Rickers, I once had an xray of my spine and y also diagnosed foraminal narrowing. I was rejected for health insurance because of that until I was able to convince them that foraminal narrowing is a natural process of aging and that my condition was no worse than the average man my age. Ted

8:33 PM  
Anonymous Anonymous said...

You seriously think a stranger would have left such "textbook" dialog??? Ding-dong! Maybe it was Bigfoot?!? -L

9:48 PM  
Blogger Eric Soderstrom said...

Oh, uh, hi Sis. Yeah. It was just so clinical. And you didn't say anything that would let me know it was you like, "Hey Bro, I looked this up for you," or, "you lazy sack of dumbass, just sit up straight and it will get better." How was I supposed to know it was you?

11:41 PM  
Blogger Eric Soderstrom said...

Oh, uh, hi Sis. Yeah. It was just so clinical. And you didn't say anything that would let me know it was you like, "Hey Bro, I looked this up for you," or, "you lazy sack of dumbass, just sit up straight and it will get better." How was I supposed to know it was you?

11:41 PM  
Blogger Eric Soderstrom said...

I will also add that you should start blogging. I know we shouldn't say should, but I'm serious - you will enjoy it.

11:42 PM  
Blogger Eric Soderstrom said...

And you won't have to be anonymous any more.

2:36 AM  

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