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[|Human|] C3-C4 right paracentral disc bulge with end plate osteophytosis and right sided facet hypertrophy.  There is mild central canal narrowing with severe right sided foraminal stenosis. No left sided foraminal narrowing identified.  C7-T1 there is endplate oseophytosis with diffuse disc bulging.  There appears to me mild central canal narrowing with moderate left sided neural foraminal narrowing.  I am fused C4 thru C7.  Extreme shoulder blade pain and right hand numbness.  Pcp doesnt seem too concerned but I am unable to work.
[|AI|]  Hi there. Thanks for your question at Chat Doctor. Pain spinal fusion surgery is definitely a very frustrating proposition for both patient and treating doctor. Your MRI findings are manageable and do need any surgical interventional at present. Pain around the shoulder blade and axial neck pain can be due to facial arthropathy in your spine. Which can get better with facial injections shots and physical therapy for neck and shoulder over 2 to 4 weeks. The hand numbness is not fully explained by your MRI findings. It needs further evaluation by neurologist. Hope this helps.  All the best. Regards.  Chat Doctor.