腰及頸痛

病患者女 - 40歲

你好麥醫生，
幾個月前我跌落地，之後一直都有腰及頸痛，有幾次耳鳴，及頭暈。另外頸向前hold唔耐，簡單冼碗不過半小時已經頸痛。頸痛，有時引致頭痛，以前我冇呢啲情況，剛照左腰及頸椎2部份MRI想知道痛症因由。我睇過私家骨科醫生話我頸有少少壓到神經線，唔需要做手術，建議做私物理治療，但係我已經係政府醫院做物理治療中，冇乜進展。

腰椎MRI:
Mild Wide-based posterior Budging discs at L4/5 and L5/S1 levels causes no significant spinal stenosis and origins of L5 and S1 nerve roots are not compressed.
Mild degenerative changes in facet joints at L4/5 and L5/S1 levels.
Decreased lumbar lordosis can be due to spasm of paraspinal muscles.

頸椎MRI:
1. Moderate degenerative disc disease at the C3-7 levels with loss of the cervical lordosis.
2. C3/4 small central posterior disc herniation; C4/5 rigth posterolateral disvovertebral complex; C5/6 small centrel discovertebral complex and C6/7 mild board based posterior disc herniation.
3. Small schmorl’s nodes at the C4 lower and C5upper vertebral end plates;
4. No abnoramal intrasubstance cervica cord signal.
5. Discoverebral complexes causing the following nerve root neuroforaminal encroachment;
-right C4(mild);
-left C5(moderate)
-left C6(moderate)

多謝您抽出寶貴的時間閱讀這信件.