Question 1

why would they do epidural between c7 & t1 when the herniated disc is between c3 &c4 & c4&c5?

Accepted Answer

Symptom dependent: The location of epidural blocks should correspond to the area of referred pain. It is certainly plausible that the treating physician did not feel that the C3 disc was the cause of your symptoms and in fact the area in C7 region was in fact more likely to be causing your pain.

Question 2

what can cause persistent debilitating dizziness for 2 months? it is brought on by activity. brain mri was normal in sept 22. spinal mri shows minor findings as well as herniated disc at c4 - c5. small syrinx below the disc. muscle fatigue also?

Accepted Answer

: Please discuss a Cardiology referral with your physician. Cardiac and Pulmonary conditions should be considered.
Watch for fainting, vision change and imbalance.

Question 3

what is 3mm anterolisthesis of c4/c5 and which is better a acdf or a cervical total disc arthoplasty? i need to bend  pretty far forward for work.

Accepted Answer

Neck Pain: To avoid surgery try Necercises and Aleve (naproxen).  The conservative and surgical Rx is outlined in my book, "Stop Your Neck Pain and Headache Now." You have degenerative disc disease and the disc would best be replaced with a "new" one instead of bone. The learning curve for the surgeon is not steep and the published results are superior to a fusion.

Question 4

degeneration of disc at cervical spine c3, c4, c5, what to do?

Accepted Answer

Fairly common: Finding. This does not mean you will be disabled, just that arthritis is setting in and the discs are not as healthy as one would want. Work on strengthening your neck, helping support the area. Range of motion and stretching exercises, and stay well hydrated. Consider physical therapy as well if you start to notice pain and see a physician if you have any radiation of pain into arms. Best of luck.

Question 5

my husband was in an accident and hit an embankment. he was taken to er, they said he had a mild reversal of cervical lordosis, mild disc space narrowing at c4-c5, and mild anterior degenerative end changes at c5- c6. can this be caused by accident?

Accepted Answer

: Muscle strain/pain from the accident can cause a temporary reversal of the normal neck alignment (lordosis). Disk narrowing might be from the accident. Degenerative means age related unless their is a bone disorder.

Question 6

when you receive impression such as : status post c3-c6 anterior cervical disc fixation with multilevel degenerative changes. interval decompression of the spinal canal at c3-c4 and c4-c5. moderate canal stenosis at c2-c3. a new finding...prior scan?

Accepted Answer

: With such findings, one should at least, see The Spine Specialist. Also the ordering physician must have clinical reasons for the orders and those should be discussed with him or her  for best management and appropriate referral

Question 7

i have severe pain in my arm, sometimes radiates to my hand and it hurts. mri results from 10/9/2020: slight focal kyphosis at c4-c5. multilevel degenerative disease of cervical spine c4-c5 3mm disc protrusion which idents the cord?

Accepted Answer

Radiculopathy: Your symptoms and imaging are consistent with cervical radiculopathy. Your ordering physician will likely get a neurosurgeon involved at this point for an assessment for decompressive surgery.

Question 8

cervical disk herniation c4-c5 c5-c6 c6-c7?

Accepted Answer

Pinched nerve: Causes neck pain and pain down your arm or into the shoulder  area. Usually responds  to  meds, pt  but if it doesn't then surgery is necessary

Question 9

had cervical fusion(c4 & c5) 16 years ago. current x-ray shows one screw has backed out almost completely and tilting down. no symptoms yet. danger?

Accepted Answer

Probably not, if its: not causing any symptoms. 
Certainly talk it over with a spine Surgeon who will be able to Foresee if there are going to be any problems in the foreseeable future. He might decide to take it out, as the Hardware (plate/screws ) are now not doing much. They might need to be removed.
Best advise: Talk it over with spine surgeon who can examine you as well.

Question 10

i have a cervical fusion at c3,4,5. i have a herniation at c5-6. how would the herniated disc be fixed? would it be connected to my current fusion?

Accepted Answer

Adjacent Fusion: If you have a herniated disc at a level near your current fusion the new disc can be treated with a fusion that would connect with the other fusion.  There are also new modern devices which allow us to do this without removing the plate from your previous surgery.

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Doctor answers about:

Cervical c4 c5 herniated disc symptoms

A member asked:

Why would they do epidural between c7 & t1 when the herniated disc is between c3 &c4 & c4&c5?

A member asked:

What can cause persistent debilitating dizziness for 2 months? it is brought on by activity. brain mri was normal in sept 22. spinal mri shows minor findings as well as herniated disc at c4 - c5. small syrinx below the disc. muscle fatigue also?

A member asked:

What is 3mm anterolisthesis of c4/c5 and which is better a acdf or a cervical total disc arthoplasty? i need to bend pretty far forward for work.

A member asked:

Degeneration of disc at cervical spine c3, c4, c5, what to do?

A member asked:

My husband was in an accident and hit an embankment. he was taken to er, they said he had a mild reversal of cervical lordosis, mild disc space narrowing at c4-c5, and mild anterior degenerative end changes at c5- c6. can this be caused by accident?

A member asked:

When you receive impression such as : status post c3-c6 anterior cervical disc fixation with multilevel degenerative changes. interval decompression of the spinal canal at c3-c4 and c4-c5. moderate canal stenosis at c2-c3. a new finding...prior scan?

A member asked:

I have severe pain in my arm, sometimes radiates to my hand and it hurts. mri results from 10/9/2020: slight focal kyphosis at c4-c5. multilevel degenerative disease of cervical spine c4-c5 3mm disc protrusion which idents the cord?

A member asked:

Cervical disk herniation c4-c5 c5-c6 c6-c7?

A member asked:

Had cervical fusion(c4 & c5) 16 years ago. current x-ray shows one screw has backed out almost completely and tilting down. no symptoms yet. danger?

A member asked:

I have a cervical fusion at c3,4,5. i have a herniation at c5-6. how would the herniated disc be fixed? would it be connected to my current fusion?

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