[37F] With chronic back and neck pain, seeking second opinion

What might be happening

Based on the information you've provided, your symptoms and MRI findings suggest several possible conditions that could be contributing to your back and neck pain:

• Degenerative Disc Disease and Osteoarthritis: The presence of disc bulges, osteophytes (bony growths), and facet arthrosis (joint wear and tear) are common signs of degenerative changes in the spine. These changes can lead to pain, stiffness, and sometimes nerve compression, which might explain the radiating pain, numbness, and weakness in your arms or legs.

  • Typical treatments include physical therapy, pain management with medications like Vicodin and Baclofen, and sometimes interventional procedures like injections. Surgery is considered if conservative treatments fail and symptoms significantly impact quality of life.

• Spinal Stenosis: The narrowing of the spinal canal or neural foramina can compress nerves, leading to symptoms like pain, numbness, and weakness. This is consistent with the neural foraminal narrowing noted in your MRI.

  • Treatment often involves physical therapy, medications, and possibly surgical intervention if symptoms are severe and persistent.

• Herniated Discs: The disc bulges and protrusions noted in your MRI can press on nearby nerves, causing pain and neurological symptoms.

  • Management typically includes physical therapy, pain relief medications, and sometimes surgical options if conservative measures are ineffective.

What you can do

1. Seek a Second Opinion: Given the complexity of your case and the significant impact on your daily life, consulting with an orthopedic spinal specialist or another neurosurgeon could provide additional insights or treatment options.

2. Continue Physical Therapy: Keep up with your physical therapy exercises at home, as they can help maintain mobility and reduce pain.

3. Pain Management: Continue working with your pain management doctor to optimize your medication regimen and explore other pain relief options.

4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share detailed notes with your healthcare providers. This can help in assessing the effectiveness of treatments and making informed decisions.

What you should look out for

• Worsening Symptoms: If you experience increased pain, new or worsening weakness, or changes in bowel or bladder function, seek medical attention promptly.

• New Symptoms: Be vigilant for any new symptoms, such as changes in balance or coordination, and report them to your healthcare provider.

• Emotional Well-being: Chronic pain can affect mental health. Consider seeking support from a mental health professional if you're feeling overwhelmed or defeated.

Remember, while I can provide information and suggestions, it's important to work closely with your healthcare providers to determine the best course of action for your specific situation.