Post. disc herniation w/ assoc. annular tear,completely effaces ventral thecal & produces mass effect upon cord, max ap 7 mm mod. foramen encroc@ c4-5?

Neck pain: This is an MRI report that states you have a herniated disc in the neck between the fourth and fifth cervical vertebrae. The pain is usually in the neck and into the shoulders. There may be headaches too. When there is pressure on the spinal cord this can cause numbness in the hands, difficulty urinating, and cramps in the legs at night. See a neurosurgeon to discuss these MRI results.

Spine Specialist: By definition you have spinal stenosis in the neck due to the disc herniation. If it is causing problems, see a spine specialist to discuss your options. Epidural steroid injections may relieve the pain, but the disc will take time to heal. If its getting worse or your are noticing weakness see a surgeon to discuss your options.

Any weakness ?: How to proceed depends upon symptoms (pain, weakness) overall health (anesthesia risk) and response to conservative therapy. Sometimes I recommend an EMG_NCS study to look for evidence of muscle denervation that might escape detection with manual testing of strength. One also sometimes needs to eclude double crush injury ( concomitant carpal tunnel, polyneuropathy, ulnar neuropathy.)

Contact neurosurgeon: This is indeed a threat to the spinal cord, and the pressure cone could cause paralysis of legs if left alone. We are essentially dealing with a strong surgical indication. See the surgeon ASAP, and in meantime, wear a cervical collar.