Doctor insights on:
Arm Pain From Cervical Fracture
Nucleoplasty done in c5-6 due to cervical hnp 6 weeks ago. Numbness and arm pain continue my doctor wants do a racz catheter.Sounds good? So scared.
Epidural Neurolysis: The above is the medical term for the racz procedure named after the doctor. It is used to release scar tissue from around nerves in the epidural space of the spine . It is a natural event following surgery. Under a flouroscope a local anesthetic, corticosteroid are put in and a concentrated salt solution is used to soften the scar tissue. Do not be scared, it should give relief. ...Read more
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Can RIGHT cervical nerve root compression cause symptoms on the LEFT side, such as left shoulder/arm pain? I have severe foraminal stenosis.in c6/7.
Yes,happens alot: MRI & imaging attempt to give the best information in 2 dimensions as relates to the 3 dimensions of your body.It can be difficult for MRI readings to capture a correlation w/all of the symptoms you are experiencing.Presuming that you don't have a primary shoulder issue,the left sided symptoms are probably caused by the stenosis.Epidural injections can act as a diagnostic tool.Talk to your MD also ...Read moreSee 1 more doctor answer
After a c5/c6 cervical posterior fora monotony 6 weeks post op i still get shoulder & arm pain .Will this improve?
Hard to say: It depends on the cause, i would certainly let your surgeon know. Something's in the spine just may take longer to get better than 6 weeks, other times people come to see me and come to find out they still have some degree of nerve impingment or they have had a complication. Thank you for your question. ...Read moreSee 1 more doctor answer
Idiagnosed with central cervical canal stenosis and far lateral disc protrusion and a disc extrusion indenting cord. How serious is this. Arm pain ?
What are signs of symptoms of cervical cord compression Cuz I'm really scared. Sever neck pain shooting arm pain and weakness getting worse ?
Neck arm pain and numbness from cervical hnp but no motor weakness. Should i go for acdf in 30 yr. Pt? Mri shows rt. C5-6 root compress.Sx for a year
Nerve impingement: Of the neck is a very common problem, affecting about 10-12% percent of the adult population in the us. Nerve impingement can be caused by being sandwiched between two spinal bones, pressed by a bulging disc or encroached upon by bony overgrowth. It can cause severe vision impairment and muscle spasms. Rec.: see an interventional pain management specialist for further investigation. ...Read more
If conervative tx are tried for a year and symptoms got worse, is op the only option? diangosis cervical hnp 18.104.22.168 neck pain arm pain numbness.Im only 30 yrs old
Depends: If you have significant compression on the nerve roots based on the MRI scan and your symptoms are limited to the same involved nerve roots, then surgery will help you and is a good idea. If how ever your symptoms can not be explained, based on the nerve roots involved on x-rays then, surgery may not be helpful.I hope that helps good luck. ...Read more
Should I have surgery on my neck or injection? I have a herniated disc at my c5-6 cervical that is compressing a nerve that is givin me right arm pain and numbness.Should i choose to have surgery instead of the injection to asure that i want have issues w
Surgery : Surgery and injections are not interchangeable options- they work in completely different ways. The decision is made typically on what symptoms you have, what your examination shows, and what your MRI demonstrates. Injections are typically done under x-ray guidance (fluoroscopy) to direct a needle, under local anesthesia, into either the spinal canal (for an epidural injection) or into the small canal through which an individual nerve leaves the spine (a selective nerve root block, into the foramen). Typically, both a numbing medicine (local anesthetic) and a steroid are injected together. A diagnostic block may only use the local anesthetic without the steroid. The local anesthesia gives you temporary relief of the nerve pain, and the steroid may give you longer relief. To be clear, injections do not make the disc herniation resolve or heal any faster. However, as the majority of disc herniations will heal without surgery, injections often help control the pain while the body is trying to heal itself. I always prescribe physical therapy with injections. In my experience, injections do nothing for numbness, or for weakness- only for pain relief. The advantage of an injection is that it can be done without general anesthesia, in the office, and with quick recovery. The disadvantage is that it does not remove the herniated disc, or take the pressure off of the nerve, so the injection relief may be short-lived. Surgery is much more invasive, but does involve direct decompression of the pinched nerve, with complete removal of the herniated disc. This treats both pain, weakness, and numbness. However, surgery is also much more involved, with an overnight stay in the hospital, general anesthesia, and recovery over several weeks. It is a more permanent treatment, however. I send lots of patients for injections and operate on many others. The patient who responds best to injections is one whose primary complaint is pain (little numbness and no weakness), who has a smaller disc herniation, with recent symptoms, and who has no signs/symptoms of spinal cord compression. Patients with larger herniations are less likely to improve with conservative treatments, and typically do better with surgery. Patients with signs/symptoms of spinal cord compression, or those with progressive weakness of the arm/hand, or with severe pain, often do better with surgery. Patients with long-standing symptoms (more than 6 months) likely have a disc herniation that is not healing, and are less likely to have long-term relief with injections. ...Read moreSee 2 more doctor answers
Neck arm pain so severe i can't do anything in morning but gets better in afternoon.Mri shows cervical hnp 4-5-6-7.Can hnp exhibit varying sx.?
Yes: Herniated nucleus pulposis can vary in symptoms from no symptoms in some people to pain and paralysis in others. On arising increased pain can be due to postural changes at night or to the fact that on recumbancy body fluids shift from our lower body to our upper putting pressure on sensitive areas. On arising the fluids reshift. ...Read more
Could cervical issues cause extreme hand pain without arm pain. Only slight numbness, pain in palm, index finger knuckle , starting in other hand too?
Hand pain: The short answer to your question is yes. The longer answer is that there are various sources of hand painn, ranging from the spine to the thoracic outlet region to nerve compression in the forearm or more commonly also the wrist. The answer to the site of the problem can be determined by a careful neurologist possibly including electrical sudies of the nerves. See your neurologist. ...Read moreSee 1 more doctor answer
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
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