How to Read a MRI of Cervical Nerve Compression Neck Pain Colorado Spine Surgeon
now we're going to look at a cervicalspine MRI of a patient with arm pain the patient doesn't have much neck pain and he has no spinal cord dysfunction in this MRI again you can see thespinal cord in the center surrounded by the white cerebral spinalfluid or water and the vetrebral bodies and the discs you can see a small disc bulge here andsmaller disc bulges here and here
since there's no real compression of thespinal cord the patient has no spinal cord dysfunction symptoms but if we do come to the right side wecan see these spurs that are compressing out of the canal at these two levels andthose are the spurs that are catching the nerve root on the right we can look at it from the top down view and we come up to the first level atC two three again spinal cord is clear the white
csf water around it these are the nerveexit polls here in here the C two three level looks normal we march down to the C three four level and again spinal cord has room the nerveholes have room this one is a a little tight but it still has plenty of room come down to C four five again the nerve holes are free the spinal cordis free come down to C five six
and here we see a nice big spur on theright side the left nerve root is exitingquite nicely the right nerve root here is compressedby the spur and this is one of the spurs causing this patient right arm pain we can pass by this level and go to thenext level at six seven and again see the same thing the left nerve hole is free there's a big spur on the right nerve hole and this nerve is compressedand this is what's causing him the arm pain from the C seven nerve
this is a side by side example of a normal level of the cervical spine and a levelwhere there's nerve compression again we noted before this nice largespur is compressing the exiting nerve route right here where the nerve root onthe opposite side is open here we can see again the vertebralbody the spinal cord where both nerve roots are free and clear andthere's no compression and either foramen so in this particular case thisspur is what's causing this patient's
neck pain and arm pain.
Sciatic Nerve Pain Stretches Exercises Ask Jo
Hey y'all, it's Jo and my assistantwith me today is Bailey again. And today I'm going to be talking about your piriformis.So lots of times I hear people say they've got that sciatic nerve, well actually everybodyhas a sciatic nerve, but you can have pain coming from that nerve, and a lot of timesthat piriformis muscle is causing the pain. So we're gonna show you some stretches tostretch out your piriformis and hopefully get rid of that sciatic nerve pain. Alrightlet's go on to our backs. Here we go. I think we're gonna maybe move Bailey out of the way.In the first stretch for your piriformis is a pretty simple one. A lot of pictures youmay get from your therapist will actually
show one leg down, I actually like for youto have it staying up so you can prop your foot over it. So your gonna make almost likea figure 4 with your legs and then what you're gonna do, the side that's hurting, so my leftside is hurting, I'm gonna cross that leg over. And what I'm gonna do is I'm gonna bringmy knee with my opposite hand towards my shoulder over here. So I'm pulling this leg up and acrossmy body. And what you wanna do same kind of thing with all the stretches, you wanna pulland you wanna feel a stretch under there. Soon as you feel a really good stretch youwanna hold it for 30 seconds. So remember up and across the body. Just coming up isnot gonna get that piriformis stretch. But
coming up and across the body like I'm tryingto bring that knee towards my shoulder. Holding it there for about 30 secondsa real 30 seconds.And then coming back down and you wanna do that 3 times. Now the next one to do, sometimesthis is a little harder for people, but what your gonna do is your gonna keep that samefigure 4, and what your gonna do is your gonna take your hands and on the opposite side thatit's hurting, so the hurting side is still up crossed over it's still my left side. I'mgonna take my hands and put them underneath my thigh, and I'm gonna bring my leg up, andI'm gonna pull until I feel that stretch underneath there. Now some people might have a hard timegrabbing on to their leg here, so again you
can use your belt, or your dog leash and putit under, around your leg, and pull up towards you like this. Same kind of thing, you wantto hold that stretch for 30 secondsbye Bailey, we'll see you later and then 3 times each.Alright, so now you're gonna bring that down getting it nice and stretched. For those ofyou that need a stronger stretch, those might not be stretching it out quite as much, whatI'm gonna have you do is I'm gonna have you turn over. And what your gonna do is the sidethat's hurt again, my left side, I'm gonna bring my leg up across. Now as you can see,this is something you have to be pretty high level, pretty flexible to do, but it's gonnaget a fantastic stretch. So your gonna put
your knee over across your body, and bringyour body down. So it's almost that same concept, you're bringing that knee towards the oppositeshoulder, but what you're doing now, is you're using your body weight to bring it down. Youcan stretch that back leg as far as you can. You can bring your arms down, but that kneeis essentially going towards that opposite shoulder. 30 second stretch, 3 times each.Alright and there you have it. Those were your piriformis stretches. So if you had somepressure on that sciatic nerve, hopefully that will loosen it up a little bit. So ifyou like my hair, or if you like the stretches, please click quot;likequot; and leave me a comment.And if you'd like to see some more stretch
tutorials, or if you'd like to go see some educationaltutorials, please go to AskJo . And remember, Be Safe. Have Fun. And I hope youget to feeling better y'all!.