Concluded Case

C5-C6 PID with nerve impingement

MRI of the previous case Management & line of treatment. Please check the video linked with the history of this case in the previous post.

(Edited)

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Concluded answer

Needs detailed myotome and dermatome assessment , keep MMT scores diligently.. if score of less than 3 on any myotome ( apparently shoulder abduction C5 in this case) and it is not due to pain , needs urgent orthopaedic and neurological opinion... If disc bulge causing nerve compression to the extent causing muscle weakness then better to consider if surgical procedure may help...

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Needs detailed myotome and dermatome assessment , keep MMT scores diligently.. if score of less than 3 on any myotome ( apparently shoulder abduction C5 in this case) and it is not due to pain , needs urgent orthopaedic and neurological opinion... If disc bulge causing nerve compression to the extent causing muscle weakness then better to consider if surgical procedure may help...

Presenting symptoms are due to cervical scoliosis...MRI Brain angio also will help to rule out vertebrae basillary insufficiency & brachio plexus palsy. For cervical scoliosis...In conservative treatment... Inj.Dexa 8 mg to reduce inflammation.. IV.Dynapar AQ + 100 ml NS...BD Traction SOS. Further treatment protocol can be decided after above mentioned investigation

Thank you doctor
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Video shows significant weakness of left upper limb **Movements are not coordinated **EMG to rule out muscle involvement **MMT to see muscles strength **Neurologist opinion should be taken

Cervical scoliosis with cervical spondylosis present Disc bulging at C6-7 Analgesic Muscle relaxant Physio needed

Please take a look at the video attached to the previous case history
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Compressive load on C4-C5 & C5- C6 caused nerve roots opened. Degenerative changes of vertebra and discs. Cervical scloliosis with cervicall spondylisis. Refer to. Physiotherepist for exercise.

Physiotherapy apply