Hi all. I'm sorry for the novel, but the more info I give you right now, the better you will be able to help me.
I'm concerned that I should seek a 2nd opinion. I was diagnosed with osteoarthritis yesterday. I'm 22.
I was in a bad car accident November 26th, 2008. Full work up done after the accident, x-rays of most major joints and entire spine. No one said anything about arthritis at that time.
My Orthopedist seems to feel that the arthritis is not related to the wreck. It's my understanding that trauma to any joints can lead to the onset of arthritis. I have never had the kind of problems I'm having until after the accident.
My doctor is generally a bright guy. I like him, great doctor. But I feel like I need to respectfully disagree with his opinion that it isn't related to the accident due to my medical history - I've never had any constant joint pain anywhere except my ankle that's given me problems since I twisted it as a kid.
Would it be fair to present my case to another orthopedist with my opinion for review? If it's as advanced as my orthopedist is leading me to believe, shouldn't it have been clinically diagnosable with x-rays alone? I'd like to reiterate there were NO ABNORMALITIES on ANY x-rays immediately subsequent trauma.
My MRI report is as follows;
Technique - Multiple pulse MRI sequences were performed in multiple planes through the cervical spine without administration of intravenous contrast.
Findings - There is no evidence of acute fracture, subluxation, or dislocation. The vertebral body heights, intervertebral spaces and alignment of the spine are maintained.
The prevertebral soft tissues are within normal limits.
At C1-C2 - No abnormalities are seen.
At C2-C3 - There is no evidence of disc herniation. The spinal canal and neural foramen are patent.
At C3-C4 - There is no evidence of disc herniation. The spinal canal is patent. There are mild hypertropic changes seen in the uncovertebral joint causing mild right neural foraminal stenosis, the left neural foramen is patent.
At C4-C5 - There is no evidence of disc herniation. The spinal canal is patent. There are mild hypertropic changes seen in the uncovertebral joint causing mild right neural foraminal stenosis, the left neural foramen is patent.
At C5-C6 - There is a central disc osteophyte complex abutting the ventral aspect of the cord and causing mild cord flattening. There is mild to moderate stenosis of the spinal canal. The neural foramens are patent.
At C6-C7 - There is a large central disc osteophyte complex abutting and causing flattening of the ventral aspect of the cord with mild to moderate stenosis of the spinal canal. The neural foramen are patent.
At C7-T1 - No abnormalities are seen.
There is no evidence of cord edema or cord compression.
1. No evidence of acute fractures.
2. Central disc osteophyte complexes seen at C5-6 and C6-7 causing mild to moderate stenosis of the spinal canal and abutting and causing mild flattening of the ventral aspect of the cord without cord compression or edema.
3. The remaining intervertebral disc spaces demonstrate no evidence of disc herniation and the remaining portions of the spinal canal are normal in caliber.
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