I know there are some very knowledgeable people here. I did a search on the net about the new doc I am seeing June 3rd and he is listed by Boston Medical Journal as in the top 100 spine docs so maybe I have hit on a good one. I hope so anyhow, I think the vet I take my critters to could do a better job than that jacka$$ pain doc I was going to. These studies were done 3-4 months ago and since then I was in a car accident, a minor one but non the less I was in a fender bender. I am really worried the hardware has moved because at times when I move it sometimes feels like something get a catch in my neck and then my shoulder and neck will just explode with plain, burning, sharp stabbing pain. I am having numbness in both hands now, ring and pinky finger. I have had 2 falls, bad ones, and the car accident. I kept telling everyone but it was like no one listens to anything I say. And pain doc said it was all phantom pain. I should have punched his lights out and said phantom pain not only strikes and hurts like hell doesn't it.... My reports and I would appreciate all the feedback you can give me. CERVICAL MYELOGRAM: CERVICAL MYELOGRAM AND POST MYELOGRAM CT WITH SAGITTAL, CORONAL AND FORAMINAL OBLIQUE REFORMATS. FINDINGS: 1. C2-3: There is moderate left degenerative facet change. No disc herniation, central or foraminal stenosis. No nerve root cuts are seen. 2. C3-4: No disc herniation, central or foraminal stenosis. No nerve root cuts. 3. C4-5: Mild posterior central, right paracentral disc bulge. No disc herniation central or foraminal stenosis. 4. There is very slight hypertrophic foraminal narrowing inferiorly on the left. On the myelogram, there is incomplete filling of the right C6 nerve root with mild nerve root cut. Only minor thinning of the left C6 nerve root is seen without nerve root cut on the left. 5. C6-7 and C7-T1 levels appear normal. CT OF THE NECK: Axial images were obtained from the level of the skull base through the thoracic inlet. IV contrast was administered. The patient is status post surgery with hardware noted anteriorly at the C5-6 and C6-7 levels. The airway is unremarkable without evidence of significant asymmetry or compromise of the airway. There is no evidence of abnormal mass or fluid collection in the neck with no enlarged adenopathy noted. The parotid and submandibular glands are unremarkable in appearance. There is facet hypertrophy at multiple levels with mild neural foraminal stenosis n the left at C2-3, on the right at C3-4, on the left at C4-5, and bilaterally at C5-6. There is also central canal stenosis which appears to be most marked at the C5-6 and C6-7 level. Findings are based on spondylotic changes. An MRI and/or post myelogram CT would be more sensitive. Due to the fact that this patient has had recent surgery the post myelogram CT would be the best option for further evaluation of significant cord compression and/or disc herniation if this is of clinical consideration. IMPRESSION: 1. POSTOPERATIVE CHANGES AS DESCRIBED ABOVE WITH ANTERIOR HARDWARE AT THE C5-6 AND C6-7 LEVELS. 2. MULTILEVEL NEURAL FORAMINAL STENOSIS AS DESCRIBED IN THE BODY OF THIS REPORT WHICH APPEARS TO BE MOST PROMINENT AT THE C5-6. 3. MILD-TO-MODERATE CENTRAL CANAL STENOSIS AT C5-6 AND C6-C7 SECONDARY TO SPONDYLOTIC CHANGES. A MORE SENSITIVE EVALUATION FOR DISC HERNIATION AND/OR SIGNIFICANT CORD COMPROMISE WOULD BE A POST MYELOGRAM CT.