How to treat C4-5 posterior disc complex and unconvertebral hypertrophy?
Patient: would like an opinion 1) should I see an orthopedic or neurosurgeon 2) Have to climb stairs 20 x a day, make it worse? Will try to make this easy to readCervical.................C4-5 mild loss of the normal cervical lordosis with a mild focal kyphosis.                            C3-4 mild posterior disc bulge without evidence of significantspinal canal or neural forminal stenosis                            C4-5 posterior disc oesteophytic complex which result in mild spinal canal narrowing. Minimal bilateral neurall foraminal narrowing                             C5-6 small posterior disc complex and uncovertebral hypertrophy resulting in mild bilateral neural foraminal stenosis Minimal spinal canal narrowingLumbar...................Osteoporosis                              L3-4 diffuse bulge. worse on right                                     questionable slight mass effect on right l4 nerve root                              L4-5diffuse disc bulge, small broad based central and right posterior paracentral disc herniation with extension to right neural foramen slight mass effectt on right L4-5 nerve roots is posible                              L5-S1 posterior annular tear and small broad based posterior central disc herniationALL of my pain is in my muscles,total bilateral down to feet including feet, walk flat footed.....Knuckles in hands enlarged mostly pinky and thumb knuckles again bilateral.Muscles in neck stiff 24/7                          Can all of this derive from the spinal situation.....or a muscle disorder. dr did blood test for MS, came out positive. He said only way to tell for sure is a brain cat scan looking for lesions. 35 yrs ago diagnosied with hydrocephlaus with lesions and report had the word blockage. At loma linda and night before surgrey was cancel.I am 68 so really dont want surgery. lumbar is 24/7 cervical when pain occurs is on a scale of 9.9    Would like your opinion and I know its hard without seeing me. Thankyou  Also numbness, tingling twitching burning charly horse,  Numbness entails both legs and fingers on both hands. sorry this is so lengthy                      C4-5Posterior disc complex and uncovertebral hypertrophyresulting in mild bilateral neural forminal stenosis.  mimimal spinal canal narrowingLumbar............... Doctor: HelloFindings suggests multi-level degenerative changes in cervical spine.Degenerative changes are generally age related findings.It is due to chronic stress on annulus fibrosis.At C5-6 level,there is disc complex with hypertrophy of uncus which is causing mild narrowing of neural formamen in both sides.Minimal narrowing noted in central spinal canal.In lumbar vertebra there are more degenerative changes.There are diffuse disc bulge at multiple levels .Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy,analgesics and muscle relaxants.Surgery is advised in non responding cases.Physiotherapy helps in strengthening of paraspinal muscles and it prevents further changes.Since you have mild findings,most likely you will need physiotherapy only.Get well soon.Take CareDr.Indu Bhushan