Sir, I have serious pain infrequent in my right shoulder since 10 years. Initial days I went to local doctor and they suggested some painkillers. Now recently frequency increased drastically and I took mri brain and mri cervical spine. In brain span, everything looks normal but in cervical spine scan, they are many observations as follows. 1.mild lateral curvature of cervical spine with convexity of left side. 2.mild marginal osteophytes noted in cervical spine. 3.mild disc osteophyte complexes at c4-c5, c5-c6 levels causing indentation of thecal sac and abutting the cord. 4.long segmental hydrosyringomyelia noted extending from c3 to c6 levels of cervical-dorsal cord. 5.crowding noted at foramen magnum with mild descending cerebellar tonsillar herniation of about 4 mm to 5 mm. Please conclude and tell me 1.whats present situation 2. What best I can do3. What's best I can avoid. Thanks in advance. Your reply means a lot to my life could you please a call with expert team @mobile.

Dr. Sirish PhysiotherapistPhysiotherapist17yrs exp

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Based on the mri findings of your cervical spine, here are some observations and potential implications: mild lateral curvature of cervical spine with convexity of left side: this indicates a slight sideways curvature of the cervical spine, which may be contributing to your shoulder pain and other symptoms. Mild marginal osteophytes: osteophytes are bony growths that can develop along the edges of the vertebrae in response to degenerative changes in the spine. They can sometimes cause compression of nearby structures, leading to pain and other symptoms. Mild disc osteophyte complexes at c4-c5, c5-c6 levels: this refers to the presence of bone spurs and associated disc degeneration at specific levels of the cervical spine (cervical vertebrae 4-5 and 5-6). These changes may be contributing to compression of the thecal sac (the membrane that surrounds the spinal cord) and abutment of the spinal cord itself. Hydrosyringomyelia: this is a condition characterized by the presence of fluid-filled cavities (syrinx) within the spinal cord. In your case, it appears to be extending from the cervical to the dorsal (upper back) levels of the spinal cord. This can lead to symptoms such as pain, weakness, and sensory disturbances. Crowding at foramen magnum with mild tonsillar herniation: the foramen magnum is the opening at the base of the skull through which the spinal cord passes. Crowding at this location, along with tonsillar herniation (where the lower part of the cerebellum extends below the opening), can sometimes lead to compression of the spinal cord and related symptoms. Based on these findings, it's important to consult with a neurologist or spine specialist who can provide a comprehensive evaluation and recommend the most appropriate treatment options. Treatment may involve a combination of medications for pain management, physical therapy to improve strength and flexibility, and possibly surgical intervention depending on the severity of symptoms and underlying pathology. In terms of what you can do: follow the recommendations of your healthcare provider regarding pain management, activity modification, and any prescribed treatments. Consider seeking a second opinion from a spine specialist or neurosurgeon to ensure you have a comprehensive understanding of your condition and all available treatment options. Avoid activities that exacerbate your symptoms or put strain on your neck and spine. Maintain good posture and ergonomics to minimize stress on your cervical spine. Stay informed about your condition and ask questions during your medical appointments to ensure you understand your treatment plan and prognosis.  

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