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Doctor insights on: C3 C4 Herniated Disc

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Will shots work for a c3-c4 herniated disc?

Will shots work for a c3-c4 herniated disc?

No. Tread lightly.: No. Disc will not heal with injections. What ore your symptoms? Any weakness/numbness — see neurosurgeon. Pain only — nerve root block may indeed help. "Shots" in the sense of epidural steroid injections are a (lucrative) "band-aid". Given the proximity to the spinal cord, injections into the cervical epidural space can cause paralysis. If pain is at all tolerable — tread lightly around "shots". ...Read more

Dr. Thomas Dowling
848 doctors shared insights

Bulging Disk (Definition)

Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more


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

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

Anatomy: There are 2 different types of epidural injections in the cervical spine: transforaminal and inter laminar. Inter laminar injections are given near the midline of the neck They are typically given either at c6-7 or c7-T1 because there is much more space for the cord at that level and the injection will typically spread up to the other levels like C3-5. More danger to do interlaminar at c3-5. ...Read more

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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?

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?

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. ...Read more

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I have a herniated disc in my neck c4-5. The ortho dr is urging me to have an epidural or at the least trig point shots. The chiro is saying no. Is physical therapy good for this or adjustments?

I have a herniated disc in my neck c4-5. The ortho dr is urging me to have an epidural or at the least trig point shots. The chiro is saying no. Is physical therapy good for this or adjustments?

Diagnosis first: The injections are to confirm clinically what the pain generator is he is trying to figure out what pain is coming from where, the disc causes refered pain but usually not tenderness confirming the working diagnosis for pain is alwys a good idea. ...Read more

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How risky are cervical epidural injections for someone with ddd severe canal stenosis and foraminal stenosis and 2 herniated discs c3/c4 and c7T1?

How risky are cervical epidural injections for someone with ddd severe canal stenosis and foraminal stenosis and 2 herniated discs c3/c4 and c7T1?

Just as risky: Just as risky, is for someone without these findings. Risk do not increase, based on severity of the disease for which you are doing the epidural. Which in your case, is spinal stenosis. ...Read more

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I have 2 herniated discs in my neck (c3-c4 poster and c5-c6 left side w impingement) I've tried pt (helps) is there a permanent way to fix? The pain is unbearable sometime

I have 2 herniated discs in my neck (c3-c4 poster and c5-c6 left side w impingement) I've tried pt (helps) is there a permanent way to fix?  The pain is unbearable sometime

See below: If you have done pt, are you doing the exercises that have been prescribed for you to do at home? I find that sometimes people forget to do these or think that these are not necessary. People do best when they follow the home exercise program. At 30 years of age, disc herniations can heal on their own but can take a while, sometimes over a year. Surgery can "fix" but will involve a fusion. ...Read more

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I got herniated discs in the c3-4 c4-5 c5-6 t6-7 t7-8 t11-12 l2-3 l3-4 l5- s1 indent cord ventral margin with clumping of nerve roots.? Does it mean

I got herniated discs in the c3-4 c4-5 c5-6 t6-7 t7-8 t11-12 l2-3 l3-4 l5- s1 indent cord ventral margin with clumping of nerve roots.? Does it mean

It's complicated: As we age, we are prone to get basically arthritis of the spine, often referred to as spinal stenosis as well as changes in the discs between the spine bony vertebrae. Some have these changes earlier. If you have any arm or leg weakness, loss of control of bowels/bladder, then you will need to see a neurologist to further examine you and evaluate your symptoms in the context of the MRI findings. ...Read more

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What is affected by C3 C4 disc compression?

What is affected by C3 C4 disc compression?

If significant: Compression occurs it can lead to weakness of shoulder shrug and tingling or pain over front upper chest and shoulders. ...Read more

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What does C3/C4 disc protrusion completely effacing the ventral CSF mean?

What does  C3/C4 disc protrusion completely effacing the ventral CSF mean?

Disc herniation: The disc between the neck vertebrae has herniated into the spinal canal and depending on symptoms may require surgical intervention.
Wish you good health! ...Read more

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C3-4, c4-5 posterior disc bulgingmust it always be treated by an operation or can any other therapy help too?

C3-4, c4-5 posterior disc bulgingmust it always be treated by an operation or can any other therapy help too?

No: Many people at your age have herniated disks and very few get surgery. Depends on the symptoms and the extent of nurse compression. Talk to neurosurgeon or ortho spinal surgeon. Surgery is the last resort. ...Read more

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If I have a disc extrusion at c3/c4 that went from. Small to large in two years time with severe stenosis chances of it healing without surgery?

Disc herniation: While the pain associated with this herniation may improve, it is very unlikely that the herniation will go away by itself. Also, you should ask you doctor if the disc is pinching your spinal cord as this can be dangerous. ...Read more

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How common is it to herniate the c3/c4 disc and the c7-t1. Are either particularly a dangerous place to herniate and why?

Ortho question: C3-4 is not as common as c8-t1 for herniation, both are dangerous due to the function lost by severe herniation, for example, a c3-4 herniation could leave a person without diaphragm function and ventilator dependent ...Read more

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How dangerous is it to have a large disc extrusion at c3/c4 indenting the cord but no signal abnormality as of now is it operable?

How dangerous is it to have a large disc extrusion at c3/c4 indenting the cord but no signal abnormality as of now is it operable?

Yes: Consult a neurosurgeon for details. This should be followed for changes and needs meds and physical therapy if you are trying to avoid surgery. The options depend on your current level of pain and debility. ...Read more

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36 years old femsle, pain right side chest since 1 year. Mri report: disc at c3-c4 causing thecal sac and nerve root compression.

Likely unrelated: Many disc bulges are asymptomatic. A c3-4 disc generally impinges the C4 nerve root which mainly would cause pain in the neck-shoulder region, not the chest. ...Read more

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Just found out I have ostephyte complex in c2-c4. Also, congenial stenosis at c2-c3, and t1-t2 disc bulge. What help is available.

Just found out I have ostephyte complex in c2-c4. Also, congenial stenosis at c2-c3, and t1-t2 disc bulge. What help is available.

Cervical spine issue: Without knowing the exact severity of the findings and the symptoms it's difficult to direct you. You are 29yrs so I would assume its not severe. So we usually start with PT, exercise program etc... ...Read more

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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

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Is 3mm broad posterior disc protrusion dangerous? Mildly contacts the cord c3-c4? What does 3mm mean how far should it be from the spinal cord?

Is 3mm broad posterior disc protrusion dangerous? Mildly contacts the cord c3-c4? What does 3mm mean how far should it be from the spinal cord?

At least 3mm away: The disc pads the intervertebral space, if slips and contacts the cord it can cause symptoms of numbness and tingling, the severity depends on how far the disc contact and the pressure, if so severe it will cause incontinence and saddle numbness,, the body can often heal itself and it varies widely in different people, so to keep it healthy use good body mechanics, wight normal, never smoke. ...Read more

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What would cause a dip in the lower right back? I have bulging discs in c3, c4, and c5. I also have stenosis of the spine. The area has sunken in.

What would cause a dip in the lower right back?  I have bulging discs in c3, c4, and c5.  I also have stenosis of the spine. The area has sunken in.

Posture, shots.: Low back problems/pain results in favoring one side or the other, and change in posture can lead to change in contour of back. Steroid shots can result in loss of fatty tissue, ending in sunken place. Best to check with your back doctor. ...Read more

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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

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What does it mean C3-C4 Disc protrusion with impingement on the thecal sac? Also, what does it mean to have a cyst on the floor of maxillary sinus?

What does it mean C3-C4 Disc protrusion with impingement on the thecal sac? Also, what does it mean to have a cyst on the floor of maxillary sinus?

Radiologic findings: 1) The soft disk between vertebrae C3 and C4 has a defect and is protruding toward the spinal cord. The thecal sack covers the actual cord and is appearing a bit indented on the image. Whether this has significance for you depends on symptoms and expert physical examination. You will learn more about what to do next at your follow up visit
2) the cyst is a small fluid pocket at the bottom of... ...Read more

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MRI=C3-4 disc herniation stenosis ap 0.7cm c4-5 c5-6 bulging disc w impression on anterior thecal sac? Loss normal lordotic curvature? What are risks?

What are symptoms: What the risks are of not treating those anatomical findings depends on and what your symptoms are. The spinal stenosis is of more concern as it may lead to a more severe neurological deficient and the potential for permanent damage a concern. If there are no symptoms, the risks may be less. In any event, the best talk to you Doctor. ...Read more

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What dose mild degenerative changes with disc desiccation c3-c4, c4-c5and c5-c6 and c6-c7 and reversal of cervical lordosis with disc desiccation mean?

Not much: If these are your film readings, suggests some early wear and tear degenerative problems, especially for your age. The films also suggest muscular spasm. In view of findings, if you have symptoms, find a good physical therapist. ...Read more