Top
30
Doctor insights on: Cervical Spine Disc Herniation C4 6

Share
1

1
Any trigger point injections for cervical spine disc herniation?

Any trigger point injections for cervical spine disc herniation?

Typically not: Trigger point injections are best used for spasm and pain in the muscle. If the pain is originating from a cervical disc herniation, the trigger point is usually not successful, and even when it is, rarely gives any lasting relief. ...Read more

Dr. Thomas Dowling
203 Doctors shared insights

Cervical Spine (Definition)

Cervical spine is the segment of spine found in the neck. Because damage to the cervical spine can cause paralysis of the arms, legs, and respiratory muscles, the cervical spine is often the first area protected in ...Read more


2

2
How do trigger point injections work for cervical spine disc herniation?

How do trigger point injections work for cervical spine disc herniation?

Symptom relief: If a disc herniation is causing muscle spasm and localizable pain the injection can decrease pain. It will have no effect on the disk herniation itself or any spinal cord or nerve irritation caused by pressure from the herniation. ...Read more

3

3
Pls provide meaning for results of cervical spine MRI central protrusion of c3/4 & c4/5 discs, right paracentral & right foraminal herniation of c5/6?

Pls provide meaning for results of cervical spine MRI central protrusion of c3/4 & c4/5 discs, right paracentral & right foraminal herniation of c5/6?

Symptoms: The central disc proteusions are likely age appropriate asymptomatic incidentsl findings if you have right arm shoulder and painto indes and thumb then this image reveals cause to be a correctable disc herniation if you don't have right arm pain then this means nothing. At your age. ...Read more

4

4
Degeneration of disc at cervical spine c3, c4, c5, what to do?

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

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. ...Read more

5

5
My current MRI of cervical spine shows reactive endplate changes and large central disc extrusion at c3/c4 indenting on spinal cord. Should I Worry?

My current MRI of cervical spine shows reactive endplate changes and large central disc extrusion at c3/c4 indenting on spinal cord. Should I Worry?

Herniated disc: Not to worry but you should visit a neurosurgeon in the next week for evaluation and treatment. Hand tingling and weakness is a sign of cord compression. Do not do repetitive lifting and bending (housework/yardwork) until a neurosurgeon sees you because the weakness and numbness could worsen with these activities. Avoid contact sports or jarring exercises (running) too. ...Read more

7

7
Is a thoracic disc herniation usually more painful than of cervical or lumbar spine? Any harder 2 remove?

Is a thoracic disc herniation usually more painful than of cervical or lumbar spine? Any harder 2 remove?

Thoracic Disk: Pain is too subjective to answer, but to answer the second part of your questions, yes. Unlike the cervical spine, where the disk is pretty close to the skin, we can't easily remove a thoracic disk from the front, the heart and lungs are in the way. Unlike the lumbar spine, where the spinal cord has ended, the thoracic spine still contains the spinal cord. More risky and more difficult to remove. ...Read more

8

8
I had an MRI done and it says c4/c5 posterior disc herniation impinging on the anterior thecal sac. I have pain in neck and shoulders and headaches.

I had an MRI done and it says c4/c5 posterior disc herniation impinging on the anterior thecal sac. I have pain in neck and shoulders and headaches.

Unclear if related: While this sounds like it could be the cause of your problems, you should talk to a neurosurgeon & carefully go over where the neck & shoulder pain is located. Just because the MRI shows an abnormality does not mean this is the cause. In fact, autopsy studies have shown 40% of all people have disc herniation, but only about 10% of people ever complained of back/neck/shoulder pain. Discuss w/ ur MD ...Read more

9

9
Heavy neck pain continuous & on 03.03.2012 cervical laminectomy (c6-7) with disectomy. Mri 08-04-2013central and left paracentral disc herniation c6-7?

Heavy neck pain continuous & on 03.03.2012 cervical laminectomy (c6-7) with disectomy. Mri 08-04-2013central and left paracentral disc herniation c6-7?

Neurosugery: In situations where there was a laminectomy and continued pain with new MRI findings you need to see a neurosurgeon. The doctor will confirm by exam and maybe nerve testing that your symptoms correlate to new MRI findings and then may recommend fusion. ...Read more

10

10
After MRI, dx with c4-c5 disc herniation. Painful neck, shoulder & upper arm. How long should I wear a collar with simultaneous PT & meds.

After MRI, dx with c4-c5 disc herniation. Painful neck, shoulder & upper arm. How long should I wear a collar with simultaneous PT & meds.

Until improved: However that really depends upon the disc herniation as if this is large, surgery may be needed to remove the disc from pressing on the nerves. If symptoms improve then you should continue until your doctors say it is safe to remove collar. If there is no improvement then do not wait too long to see or get second opinion. Best wishes ...Read more

11

11
What does "mri neck spine w/o dye" image or cover? Does above image or look for c5/c6 disc herniation? If it does, is MRI dye used for better accuracy?

MRI: Mri of the neck/cervical spine examines the entire cervical spine and will detect abnormalities at c5-c6. Contrast is used to detect infection, tumor or prior cervical spine surgery, but is no more accurate for a bulging disc. ...Read more

14

14
Hello sir... I have MRI of cervical spine. My report is mild straighting of cervical curvature. Complete block of C4 and C5 vertebrae?

Hello sir... I have MRI of cervical spine. My report is mild straighting of cervical curvature. Complete block of C4 and C5 vertebrae?

It appears that: The slight straightening may either suggest that your body was positioned in such a way that this came about or reflecting some muscle spasm. The block vertebra is a congenital or something you were born with which may also be a sign of other possible congenital issues in your spine or body so see a spine specialist if symptoms persist ...Read more

15

15
C3 C4 disc herniation which approach better acdf or laminectomy from back of kneck-mri shows herniation which is better approach major?

C3 C4 disc herniation which approach better acdf or laminectomy from back of kneck-mri shows herniation which is better approach major?

ACDF: Acdf is an anterior approach and will involve the removal of the entire disc and take pressure off the nerve roots and spinal cord. The downside of the acdf at c3-4 is the higher incidence of dysphagia (difficulty swallowing) afterward. The spinal cord and nerve roots can be decompressed from behind the neck as well - downside of that is that approach typically causes more neck pain. ...Read more

17

17
Help I did an MRI of my cervical spine and the result was posterior disc herniations as noted at c-4 c-5 with impingement straightening and reversal of the normal curvature on the saggital views. Mild disc space narrowing as noted at c-4 c-5. Posterior d

Help I did an MRI of my cervical spine and the result was posterior disc herniations as noted at c-4 c-5 with impingement straightening and reversal of the normal curvature on the saggital views. Mild disc space narrowing as noted at c-4 c-5. Posterior d

Hi,: Hi, what are your concerns/specific questions?

These results discribed are disk disease/degenerative changes, there is nothing described to tell of how sever eit is so it is difficult to know what the extent is without seeing the images. The most important thing concerning the MRI is to make sure the finding are consistent with your symptoms in order to tell if it is of any concern. As we age, most of us have the abnormalities as described in your report, but the importance is deciding if this is the cause of your symptoms. This should be done by your doctor.

Let me know if I can be of further assistance.
Dr khoury
usradreview. Com
[email protected] Com. ...Read more

18

18
MRI cervical spine showed 2 central disc herniations, a bulge, 2 uncovertebral joint hypertophy into thecal sac. How long until I heal, I am doing PT.

MRI cervical spine showed 2 central disc herniations, a bulge, 2 uncovertebral joint hypertophy into thecal sac. How long until I heal, I am doing PT.

Can take 1- 2 years: MRI's of the cervical spine show the current state of the the spinal elements as they change over time. Several of those changes such as uncovertebral joint hypertrophy are a response to gravity and changes in the disc. The disc herniations will do their best to heal slowly over time, however they are due to aging and degeneration with water loss. In the meantime continue PT and regular f/u w/your MD ...Read more

19

19
Can a lumbar disc herniation cause tingling in the back and neck?

Can a lumbar disc herniation cause tingling in the back and neck?

NO: A lumbar disc herniation will not cause tingling in the neck. In the cervical spine there is the spinal cord and nerve roots that supply the upper extremities. A disc herniation will not affect the spinal cord or cervical nerve roots. It may result in lower back pain. If lumbar nerve root is compressed/ irritated then you may experience pain, numbness and tingling of the lower extremities. ...Read more

21

21
Could a lumbar disc herniation cause tingling/throbbing sensations in the back and neck?

Could a lumbar disc herniation cause tingling/throbbing sensations in the back and neck?

Only in low back: Lumbar disc does not cause any neck symptoms. In the low back it can depending on which nerve roots it pinches in the back. ...Read more

22

22
Does c4-c5, c5-c6 disc herniation n nerve impinchment cause headache / dizziness?

Not directly: C5 nerve causes referred pain to the arm, C6 nerve causes referred pain to the thumb.

People with pinched nerves in the cervical spine will often also complain of neck pain and some headaches. ...Read more

23

23
How are cervical disc herniation and cervical disc encroachment different?

Encroachment: Any condition limiting space for the nerves causes encroachment. A herniated disc would cause encroachment. A bone spur would also cause. Encroachment does not imply pressure, or severity, or the presence of symptoms. ...Read more

24

24
What are the differences between cervical disc herniation and cervical disc encroachment?

Semantics: A ruptured disc is indicative of a tear in the annulus fibrosis which contains a gelatinous substance, and the rupture sticks out beyond a few mm. If the disc rupture is large enough, it could contact nerve roots or even the spinal cord, and as it gets closer, it is termed encroachment. ...Read more

25

25
I have numbness in? My feet after cervical disc herniation. Is this reversable?

I have numbness in? My feet after cervical disc herniation. Is this reversable?

It is possible: When the disc is not in its normal location as is the case with herniation symptoms can occur. Inflammation can occur, impingement can occur. If the swelling can be minimized and the pressure off the nerve somehow controlled, then it is possible to reverse. The longer a nerve is irritated the harder it maybe to treat. ...Read more

26

26
Can you snowboard? If you have? A cervical disc herniation?

Not if it hurts: If you have recovered and have no symptoms, then yes. If you are currently symptomatic, not advised. ...Read more

28

28
Can doctors tell from a MRI whether a cervical disc herniation is from aging or injury? I'm an active person but not sure how I got my disc herniated.

Probably not: Each case is unique, but herniated discs from various causes often look similar on MRI. By combining the MRI result with your personal history and symptoms, it may be possible to suggest a likely cause. Good luck! ...Read more

29

29
Post. Disc herniation w/ assoc. Annular tear, completely effaces ventral thecal & produces mass effect upon cord, Max AP 7 mm mod. Foramen [email protected] C4-5?

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?

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. ...Read more

30

30
Is a Broad based cervical disc bulge the same thing as a herniated disc. I keep seeing it called a broad based disc herniation online.

Is a Broad based cervical disc bulge the same thing as a herniated disc. I keep seeing it called a broad based disc herniation online.

Not exactly: A disc bulge may not be a herniation. Both can possibly impinge on the cord and the nerves. They are not related to your scleritis or your red puffy feet. More importantly does the disc bulge call Aide with any neurologic changes you have. These are things to discuss with your physician ...Read more

Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more