Discussions By Condition: Muscle conditions

Osteoarthritis at 22

Posted In: Muscle conditions 6 Replies
  • Posted By: cazlee
  • April 16, 2009
  • 10:00 PM

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.

Impression:

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.

Comments?

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6 Replies:

  • Right now my symptoms are as follows;Coldness/tingling/pain down left arm. This sensation may affect either arm, radiating down the back of my arm, very tender towards the elbow, very tender in the wrist and coldness/tingling/tremor in fingertips. Does not affect both sides at the same time, does migrate, does vary in intensity and sensation severity.Significant discomfort across left shoulder. May also affect right shoulder, as noted above. Does not affect both sides at the same time, does migrate, does vary in intensity and sensation severity.Significant discomfort in the neck above that large-ish bone that usually kind of sticks out on people, C7? T1? Something like that. Logical location according to MRI report.Any insights would really be appreciated. I need help with this and some direction as to my next step in seeking relief.
    cazlee 10 Replies Flag this Response
  • Hi there - your report sounds similar to mine at the C5C6 - just wondering if you are having any problems with persistent headaches.
    Anonymous 42789 Replies
    • October 17, 2009
    • 10:06 PM
    • 0
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  • Right now my symptoms are as follows;Coldness/tingling/pain down left arm. This sensation may affect either arm, radiating down the back of my arm, very tender towards the elbow, very tender in the wrist and coldness/tingling/tremor in fingertips. Does not affect both sides at the same time, does migrate, does vary in intensity and sensation severity.Significant discomfort across left shoulder. May also affect right shoulder, as noted above. Does not affect both sides at the same time, does migrate, does vary in intensity and sensation severity.Significant discomfort in the neck above that large-ish bone that usually kind of sticks out on people, C7? T1? Something like that. Logical location according to MRI report.Any insights would really be appreciated. I need help with this and some direction as to my next step in seeking relief.In my estimation, and I am a pensioner., and have learnt through life that any accident if the accident is one that needs to be seen by a hospital usually after a while leads to osteo arthritis. After all, when our bodies were first made, they were not made to "come off motorbikes at 50, by a hit and run car driver", and even though you are 22, the same applies. Please look afteryourself because the medicals dont know it all. xxxx
    Anonymous 42789 Replies
    • October 30, 2009
    • 04:12 PM
    • 0
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  • "Coldness/tingling/pain down left arm. This sensation may affect either arm, radiating down the back of my arm, very tender towards the elbow, very tender in the wrist and coldness/tingling/tremor in fingertips. Does not affect both sides at the same time, does migrate, does vary in intensity and sensation severity.Significant discomfort across left shoulder. May also affect right shoulder, as noted above. Does not affect both sides at the same time, does migrate, does vary in intensity and sensation severity.Significant discomfort in the neck above that large-ish bone that usually kind of sticks out on people, C7? T1? Something like that. Logical location according to MRI report."I'm only a student, but I don't think it sounds at all like osteoarthritis (bar the presence of osteophytes, however I think that can occur after general trauma); the key sign of OA is a decrease in joint space seen on Xray/ MRI, and they have specifically said that that is not present. The symptoms above sound neurological; maybe a trapped nerve. Few extra questions: How often are you getting the pain/ tingling/ tremor/ coldness?Have you noticed any weakness in the muscles on your left side? Is the pain/ tingling/ etc triggered by anything (eg movements) ?Does anything make it better/worse? What do the joints look like (i.e. is your back & arm red/ inflamed/ hot)Hope that helps a bit!
    Anonymous 42789 Replies Flag this Response
  • Hello. I have the same issue. I also was diagnosed with OA in my 20's. I have it in my toes, knees, and cervical spine. Because of the swelling in cervical spine, I end up with pinched median nerves (both sides...but only 1 at a time). I causes the pain/numbness you are describing. Physical therapy helped each episode...but it always came back with in a few weeks. it was completely debilitating many times. The only thing that keeps it somewhat in check now is taking a prescription nsaid daily. My knees are still extremely painfull...but at least i dont get the fully pinched median nerves anymore. there is permanent nerve damage from scarring though. Hope this helps.
    Anonymous 42789 Replies
    • February 11, 2011
    • 05:35 AM
    • 0
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  • @ Unregisteredsorry for you. but on the topic: you gave helpful advice
    davbrwn 1 Replies Flag this Response
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